Hospital-acquired infections and thermally injured patients: Chlorhexidine gluconate baths work

Popp, Jay; Layon, A. Joseph; Nappo, Robert W.; Richards, Winston T.; Mozingo, D.W.

doi:10.1016/j.ajic.2013.08.015

Cited by 29 publications

(21 citation statements)

References 11 publications

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“…A recommended component is the use of chlorhexidine for bathing, which is employed at our burn unit. In a small study that used historical controls, the introduction of daily chlorhexidine bathing decreased rates of VAP and CLABSI to zero 27 .…”

Section: Discussionmentioning

confidence: 99%

Timeline of health care–associated infections and pathogens after burn injuries

Duin

Strassle

DiBiase

et al. 2016

American Journal of Infection Control

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Background Infections are an important cause of morbidity and mortality after burn injuries. Here, we describe the timeline of infections and pathogens after burns. Methods A retrospective study was performed in a large tertiary care burn center from 2004 through 2013. Analyses were performed on healthcare-associated infections (HAI) meeting Centers for Disease Control and Prevention criteria and on all positive cultures. Incidence rates (IR) per 1,000 days were calculated for specific HAI categories and pathogens, and across hospitalization time (week 1, 2–3 and 4+). Results Among 5,524 patients the median burn size was 4% of total body surface area (interquartile range, 2–10%). 7% of patients developed an HAI, of whom 33% had more than one HAI episode. Gram-positive bacteria were isolated earlier and Gram-negative later during hospitalization. Of 1,788 bacterial isolates, 44% met criteria for multi-drug resistance and 23% for extensive drug resistance. Bacteria tended to become increasingly resistant to antibiotics as time from admission increased. Conclusions We observed differences in infection type, pathogen and antibiotic resistant bacterium risk across time of hospitalization. These results may guide infection prevention in various stages of the post-burn admission.

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Section: Discussionmentioning

confidence: 99%

Timeline of health care–associated infections and pathogens after burn injuries

Duin

Strassle

DiBiase

et al. 2016

American Journal of Infection Control

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“…Another technique that provides evidence to reduce pathogen load and prevention of hospital acquired infection is bath of burn patients with chlorhexidine solution. Twice-daily chlorhexidine gluconate (CHG) bath protocol is very effective for lowering bioload of organismsand [10].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Nurses’ Knowledge and Practice for Prevention of Infection in Burn Patients

Buksh¹,

Ghani²,

Amir³

et al. 2019

SJMPS

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Objective: To assess nurses' knowledge and evaluate their practice for prevention of infection among burn patients, also to suggest guidelines especially of nursing practice for prevention of infection in burn patients. Study Design: A descriptive cross sectional study. Place and Duration: Six months, from April 2017 to Sep 2017, in burn units of 03 selected hospitals of Lahore. Methods: The study included all nurses who were providing care to burn patients (N=48). Nurses' knowledge was assessed by using a self-structured questionnaire and their practices were evaluated by direct monitoring using an observational Checklist. Results: Females constituted 100% of study participants. 62.5% of nurses had a GNM whilst 37.5 % had a Nursing degree. 73% (35) of participants had less than 2 years of experience working in the Burns Unit. Knowledge regarding infection control was received by 89% of nurses but their source of information was practice not in-service educational programs. Consequently they had unsatisfactory level of knowledge and practices indicated by knowledge and practice score less than 75%. Conclusion: The findings of the current study revealed nurses' low level of knowledge and practices. Hence, healthcare settings are required to organize advanced training sessions and to develop unit specific clinical guidelines and protocols.

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“…Alternatives to consider when replacing bath basins include CHG bath wipes and plain bath wipes. Despite the effectiveness of CHG in reducing CLABSIs, SSIs and MDROs (Climo et al, 2013;Dixon & Carver, 2010;Graling & Vasaly, 2013), evidence does not indicate a significant reduction in CAUTI rates when CHG wipes or CHG bathing protocols are implement-ed (Bleasdale et al, 2007;Evans et al, 2010;Koskeroglu et al, 2004;Popovich et al, 2009;Popp et al, 2014;Rupp et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Despite a study by Powers, Peed, Burns, and Ziemba-Davis (2012) that showed when mixed with bath water in bath basins, CHG reduced bacterial growth in bath basins drastically, numerous studies indicate that when used for routine daily patient bathing, CHG wipes or baths do not lower the incidence of CAUTIs in adult ICU, burn, trauma, medical, and surgical populations (Bleasdale et al, 2007;Evans et al, 2010;Koskeroglu, Durmaz, Bahar, Kural, & Yelken, 2004;Popovich, Hota, Hayes, Weinstein, & Hayden, 2009;Popp, Layon, Nappo, Richards, & Mozingo, 2014;Rupp et al, 2012). Addi tionally, while the use of CHG wipes has resulted in higher nurse satisfaction and decreased bath ing times when compared to traditional basin bathing, CHG wipes cost more than non-basin or wipe bathing alternatives (Eigsti, 2011;Ritz, Pashnick, Padula, & Simmons, 2012).…”

Section: Chlorhexidine Wipesmentioning

confidence: 99%

Appraising the Literature on Bathing Practices And Catheter-Associated Urinary Tract Infection Prevention

Strouse¹

2015

UNJ

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Hospital-acquired infections and thermally injured patients: Chlorhexidine gluconate baths work

Cited by 29 publications

References 11 publications

Timeline of health care–associated infections and pathogens after burn injuries

Timeline of health care–associated infections and pathogens after burn injuries

Assessment of Nurses’ Knowledge and Practice for Prevention of Infection in Burn Patients

Appraising the Literature on Bathing Practices And Catheter-Associated Urinary Tract Infection Prevention

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