High prevalence of reduced chlorhexidine susceptibility in organisms causing central line-associated bloodstream infections

Infect Control Hosp Epidemiol. 2014 Sep;35(9):1183-6. doi: 10.1086/677628. Epub 2014 Jul 23.

Abstract

In units that bathe patients daily with chlorhexidine gluconate (CHG), organisms causing central line-associated bloodstream infections (CLABSIs) were more likely to have reduced CHG susceptibility than organisms causing CLABSIs in units that do not bathe patients daily with CHG (86% vs 64%; P = .028). Surveillance is needed to detect reduced CHG susceptibility with widespread CHG use.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Infective Agents, Local / administration & dosage
  • Anti-Infective Agents, Local / pharmacology*
  • Bacteremia / microbiology*
  • Catheter-Related Infections / microbiology*
  • Catheterization, Central Venous
  • Chlorhexidine / administration & dosage
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / pharmacology
  • Cross Infection / microbiology*
  • Drug Resistance, Bacterial / drug effects*
  • Gram-Negative Bacteria / drug effects
  • Gram-Negative Bacterial Infections / microbiology
  • Gram-Positive Bacteria / drug effects
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Microbial Sensitivity Tests
  • Prospective Studies

Substances

  • Anti-Infective Agents, Local
  • chlorhexidine gluconate
  • Chlorhexidine