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Journals / Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi / 2022 / Cilt: 27 - Sayı: 1

The Effect of Skin Bathing with Chlorhexidine Gluconate (2%) to Central Line-Associated Bloodstream Infections in Pediatric Intensive Care

Çocuk Yoğun Bakımda Klorheksidin Glukonat (%2) ile Cilt BanyosununSantral Kateter İlişkili Kan Dolaşımı İnfeksiyonlarına Etkisi

Gülhan ATAKUL
Mustafa ÇOLAK
Elif BÖNCÜOĞLU
İlker DEVRİM
Hasan AĞIN
Sevgi TOPAL
Ekin SOYDAN
Utku KARAARSLAN
Nevbahar YAŞAR
Nihal ÖZDAMAR
Pages
135–141
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Adding a 2% CHG bath every other day to CLABSI precaution bundles may be an effective strategy for reducing the frequency of CLABSI in PICUs.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Central line-associated bloodstream infections (CLABSIs) are important causes of mortality and morbidity in pediatric intensive care units (PICUs).
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Key Findings & Data:This study aimed to investigate the effect of a 2% chlorhexidine gluconate (CHG) bath on CLABSI.
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Conclusion & Impact:Conclusion: Adding a 2% CHG bath every other day to CLABSI precaution bundles may be an effective strategy for reducing the frequency of CLABSI in PICUs.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: Central line-associated bloodstream infections (CLABSIs) are important causes of mortality and morbidity in pediatric intensive care units (PICUs). This study aimed to investigate the effect of a 2% chlorhexidine gluconate (CHG) bath on CLABSI. Materials and Methods: Skin bathing was performed every other day with 2% CHG in patients as of 25.04.2019. The frequency of CLABSI pre and post-intervention was evaluated. Results: A total of 226 patients were included in this study, 111 patients before CHG and 115 patients after CHG. CLABSI rates before and after using CGH were 10.11 and 5.52, respectively. The relative risk of CLABSI frequency during CHG bathing was compared to the control period and resulted in a significant reduction (13.0%, p< 0.0001, 95% CI= 2.5-4.2%). Conclusion: Adding a 2% CHG bath every other day to CLABSI precaution bundles may be an effective strategy for reducing the frequency of CLABSI in PICUs.

Özet

Giriş: Santral kateter ilişkili kan dolaşımı enfeksiyonları (SKI-KDE), çocuk yoğun bakım ünitelerinde (ÇYB) önemli mortalite ve morbidite nedenleridir. Bu çalışma, %2 klorheksidin glukonat (CHG) banyosunun SKI-KDE üzerindeki etkisini araştırmayı amaçlamaktadır. Materyal ve Metod: Hastalara 25.04.2019 tarihinden itibaren gün aşırı %2 CHG ile cilt banyosu yapıldı. SKI-KDE’nin müdahale öncesi ve sonrası sıklığı değerlendirildi. Bulgular: Bu çalışmaya CHG öncesi 111, CHG sonrası 115 hasta olmak üzere toplam 226 hasta dahil edildi. CGH kullanımı öncesi ve sonrası SKI-KDE oranları sırasıyla 10.11 ve 5.52 idi. CHG banyosu sırasında SKI-KDE sıklığının relatif riski kontrol periyodu ile karşılaştırıldı ve önemli bir azalma olduğu görüldü (%13.0, p< 0.0001, %95 CI= %2.5-4.2). Sonuç: SKI-KDE önlem paketlerine gün aşırı %2 CHG banyosu eklemek, ÇYB’lerde SKI-KDE sıklığını azaltmak için etkili bir strateji olabilir.

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Cite This Article

ATAKUL, G., ÇOLAK, M., BÖNCÜOĞLU, E., DEVRİM, İ., AĞIN, H., TOPAL, S., SOYDAN, E., KARAARSLAN, U., YAŞAR, N., ÖZDAMAR, N. (2022). The Effect of Skin Bathing with Chlorhexidine Gluconate (2%) to Central Line-Associated Bloodstream Infections in Pediatric Intensive Care. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 27 - Sayı: 1, 135–141. https://ajindex.com/articles/517048

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