INTERVENTION ASSIGNMENT (FOR THE BSI QIA) #7 CHLORHEXIDINE FOR - PowerPoint PPT Presentation

JULY CORE INTERVENTION ASSIGNMENT (FOR THE BSI QIA) #7 CHLORHEXIDINE FOR SKIN ANTISEPSIS 1

7. . Chlor Chlorhe hexidine xidine for or skin skin an antise tiseps psis is Use an alcohol-based chlorhexidine (>0.5%) solution as the first line skin antiseptic agent, for central line insertion and during dressing changes. Povidone-iodine, preferably with alcohol, or 70% alcohol are alternatives for patients with chlorhexidine intolerance. 2

CHLORHEXIDINE FOR SKIN PREPARATION 2011 CDC/HICPAC guidelines: • Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol before central venous catheter and peripheral arterial catheter insertion and during dressing changes. If there is a contraindication to chlorhexidine, tincture of iodine, an iodophor, or 70% alcohol can be used as alternatives. Category IA Also recommended in NKF KDOQI Vascular Access 2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections http://www.cdc.gov/hicpac/BSI/BSI-guidelines-2011.html 3