Impact of chlorhexidine-impregnated washcloths on reducing incidence of vancomycin-resistant enterococci colonization in hematology–oncology patients

Central line-associated bloodstream infections in Australian intensive care units: Time-trends in infection rates, etiology, and antimicrobial resistance using a comprehensive Victorian surveillance program, 2009-2013

“…This is to be contrasted with VRE emerging as endemic in many Victorian centers over the past decade, 18,19 and suggests that the epidemiology within ICUs may not mirror hospitalwide trends. The second-most-frequently identified CLABSI pathogen was Candida spp.…”

Chlorhexidine Gluconate Bathing to Reduce Methicillin-Resistant Staphylococcus aureus Acquisition

“…Soon after that study, many hospitals decided to abandon bath basins for ICU bathing in favor of using washcloths impregnated with 2% CHG. Historically, several studies 11,[15][16][17][18][20][21][22]27 of the effects of CHG bathing used 4% CHG in bath basins or showering; other studies 4,10,[12][13][14][23][24][25][26]28 used cloths impregnated with 2% CHG. Our surgical/ burn/trauma ICU staff nurses willingly tried the CHGimpregnated cloths before this study but were not satisfied with their performance and preferred the bath-basin method for patient bathing. Since the report of bath basin contamination by Johnson et al, 3 Powers and colleagues 31 studied the presence of bacterial contaminants in wash basins when CHG solution was used in place of standard soap and water to wash patients.…”

“…Other products and protocols have been described since then. [13][14][15] Another limitation of our study was the differences in surveillance protocols for MRSA. We had active surveillance in the cardiothoracic, medical, Hand hygiene compliance monitoring helped to ensure that staff members adhered to other accepted measures that reduce cross-contamination of patients.…”

“…10 A review of the literature provides evidence that CHG bathing has several benefits. 4,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] CHG bathing reduces the acquisition of vancomycin-resistant Enterococcus by hospitalized ICU patients, 4,[10][11][12][13][14] Clostridium difficile, 15 and hospital-acquired MRSA. 4,[11][12][13]16,17 Bathing with CHG also reduces MRSA skin colonization in known MRSA carrier patients during their treatment.…”

Epidemiological Features of Bacterial Infections in Bone Marrow Transplant Units

“…в 1 мкл крови и ниже [8,9]. Для диагностики сепсиса использовали критерии Европейского общества интенсивной терапии [10], Интернациональной организации «Сепсис-Форум» [11], согласительной конфе-ренции Российской ассоциации специалистов по хирургической инфекции [12]. Диагностика катетер-ассоциированной инфекции крово-тока осуществлялась согласно классификации и критериям, разработанным Центром по кон-тролю и профилактике заболеваний США (CDC) [13,14,15].…”