Chlorhexidine 2% and choice of transparent dressing increase skin reactions at central venous catheter insertion sites

Am J Infect Control. 2016 Dec 1;44(12):1712-1714. doi: 10.1016/j.ajic.2016.06.020. Epub 2016 Aug 17.

Abstract

Infection at central venous catheter (CVC) sites remains a common problem, particularly with long-term use. This report discusses the influence of choice of transparent dressing type and chlorhexidine concentration on skin reactions at CVC insertion sites. A concentration of 2% chlorhexidine is associated with a higher rate of skin reactions than either 0.5% or 1% chlorhexidine. Higher chlorhexidine concentrations may not decrease the number of central line-associated bloodstream infections.

Keywords: Central venous catheter; catheter dressing; chlorhexidine; infection; skin reaction; transparent film dressing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Infective Agents, Local / administration & dosage*
  • Bandages*
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / methods*
  • Child
  • Child, Preschool
  • Chlorhexidine / administration & dosage*
  • Dermatitis / epidemiology*
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Young Adult

Substances

  • Anti-Infective Agents, Local
  • Chlorhexidine