Effectiveness of 2 methods of chlorhexidine bathing

Area of Science:

• Infection Control
• Healthcare Management
• Nursing Practice

Background:

• Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) are significant healthcare-associated pathogens.
• Oncology units are particularly vulnerable to the spread of resistant organisms due to immunocompromised patients.

Purpose of the Study:

• To assess chlorhexidine's effect on MRSA and VRE transmission in an inpatient oncology setting.
• To compare the costs of two chlorhexidine bath delivery methods.
• To evaluate nursing time and satisfaction associated with chlorhexidine baths.

Main Methods:

• Retrospective analysis of MRSA and VRE transmission rates.
• Cost-effectiveness analysis of different chlorhexidine bath products.
• Time-motion study and staff surveys on bath administration.

Main Results:

• MRSA and VRE transmission rates declined following chlorhexidine implementation.
• Overall bathing costs increased, but the use of chlorhexidine cloths reduced administration time.
• Nursing staff expressed satisfaction with the convenience and efficacy of chlorhexidine cloths.

Conclusions:

• Chlorhexidine bathing is effective in reducing MRSA and VRE transmission on oncology units.
• Chlorhexidine cloths offer a more time-efficient method for bath administration, enhancing nursing satisfaction.
• Balancing increased product costs with reduced labor time and improved infection control is crucial.