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Neonatal skin and chlorhexidine: a burning experience
Neonatal Network : NN
|January 14, 2014
Summary
Chlorhexidine gluconate (CHG) can cause severe skin burns in extremely low birth weight (ELBW) infants. Wiping the antiseptic solution off the skin may help prevent these adverse reactions.
Area of Science:
- Neonatal dermatology
- Pediatric critical care
Background:
- Chlorhexidine gluconate (CHG) is a broad-spectrum antiseptic frequently used in neonatal intensive care units (NICUs).
- Limited safety data exists for CHG use in neonates, particularly preterm infants where skin integrity is crucial for preventing sepsis and other complications.
Observation:
- This report details two cases of severe skin burns in extremely low birth weight (ELBW) infants following umbilical cord sterilization with CHG before umbilical line placement.
- The affected infants weighed 610 g and 600 g at birth.
Findings:
- A significant association exists between CHG use and skin burns in the ELBW population.
- Promptly wiping the CHG solution from the infant's skin appears to mitigate the risk of burn injury.
Implications:
- Healthcare providers should exercise caution when using CHG in ELBW infants.
- Implementing a protocol to remove excess CHG solution from the skin may be a critical safety measure to prevent adverse skin reactions in vulnerable neonates.
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