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http://dx.doi.org/10.7586/jkbns.2018.20.1.38

Effects of Daily Chlorhexidine Bathing on the Acquisition of Multidrug-resistant Organisms and Healthcare-associated Infection in an Intensive Care Unit  

Lee, Ju Yeon (Ulsan University Hospital)
Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan)
Kim, Min Young (Department of Nursing, University of Ulsan)
Park, Sil Hwa (Ulsan University Hospital)
Hwang, Young Hui (Department of Nursing, University of Ulsan)
Publication Information
Journal of Korean Biological Nursing Science / v.20, no.1, 2018 , pp. 38-46 More about this Journal
Abstract
Purpose: The aim of this study was to verify the effects of daily 2% chlorhexidine gluconate (CHG) bathing on the acquisition of multidrug-resistant organisms (MDRO) and healthcare-associated infection (HAI) in a medical intensive care unit (MICU). Methods: The study was a randomized controlled group posttest only design, involving 91 patients in MICU at a tertiary hospital (47 patients in the experimental group and 44 patients in the control group). The 2% CHG bathing was performed daily according to bathing protocol to the patients in the experimental group, and traditional bath was performed every three days to those in the control group. Fisher's exact test and x2 test were used to analyze the data. Results: MDRO were found in 6 patients of the experimental group and in 15 patients of the control group. The difference was statistically significant (p= .016). HAI occurred in 2 patients of the experimental group and in 7 patients of the control group. The difference was not statistically significant (p= .084). Conclusion: The results confirmed that daily bathing with CHG was effective in reducing the incidence of MDRO acquisition. Therefore, it is expected that daily bathing with CHG will be used as an effective nursing intervention to reduce the incidence of MDRO acquisition.
Keywords
Intensive care units; Chlorhexidine; Baths; Antimicrobial drug resistances; Cross infection;
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