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Skin antisepsis: using 2% chlorhexidine gluconate in 70% isopropyl alcohol

Sheila Inwood1

  • 1Vascular Access Service, North Block, Royal Berkshire NHS Foundation Trust, London Road, Reading, Berkshire.

British Journal of Nursing (Mark Allen Publishing)
|March 26, 2008
PubMed

Insights

Healthcare-associated infections from venous access devices can be reduced with proper skin antisepsis. This article discusses the use of 2% chlorhexidine gluconate (CHG) in 70% isopropyl alcohol (IPA) for effective infection control.

Area of Science:

  • Infection Control
  • Antimicrobial Agents
  • Public Health

Background:

  • Peripheral and central venous access device insertion poses a significant risk of healthcare-associated infections (HAIs).
  • Microbial introduction from the patient's skin is a primary risk factor for HAIs during device insertion.
  • Effective skin antisepsis is crucial for reducing HAI rates.

Purpose of the Study:

  • To describe the introduction of 2% chlorhexidine gluconate (CHG) in 70% isopropyl alcohol (IPA) into the UK healthcare market.
  • To discuss the recommendations from the epic2 guidelines regarding skin antisepsis.
  • To clarify the correct application and use of 2% CHG in 70% IPA to improve infection control.

Main Methods:

  • Literature review of guidelines and product information.
  • Analysis of the UK market for skin antisepsis products.
  • Discussion of best practices for application of 2% CHG in 70% IPA.

Main Results:

  • 2% CHG in 70% IPA is recommended by national guidelines for effective skin antisepsis.
  • Various products and applications of 2% CHG in 70% IPA are available in the UK.
  • Potential for incorrect product use exists due to cost pressures.

Conclusions:

  • Correct application of 2% CHG in 70% IPA is essential for high standards of infection control.
  • Adherence to guidelines and proper product utilization can significantly reduce HAIs.
  • Awareness of potential misuse is necessary to ensure optimal patient safety.

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