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Published on: November 30, 2022
Daily skin antisepsis and hygiene in the critically ill patient
E Díaz1, C Turégano1
1Servicio de Medicina Intensiva, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España.
Abstract:
Hygiene and skin care of patients admitted to the Intensive Care Unit (ICU) are part of basic care. For some years there has been evidence of skin colonization by multiresistant gramnegative and grampositive pathogens. The increase in nosocomial infections due to multiresistant microorganisms has led to evaluation of the role of the use of antiseptics, mainly chlorhexidine, as a strategy for reducing the number of such infections. This article reviews the current situation of this strategy, as well as the positioning of the authors in relation to the spreading of its use in ICUs. This article is part of a supplement entitled "Antisepsis in the critical patient", which is sponsored by Becton Dickinson.
Insights
Chlorhexidine use in Intensive Care Units (ICUs) is evaluated for reducing infections from multiresistant pathogens. This review examines current strategies and author perspectives on antiseptic use in critical care settings.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
- Microbiology
Background:
- Intensive Care Unit (ICU) patients face risks of skin colonization by multiresistant bacteria.
- Nosocomial infections caused by multidrug-resistant microorganisms are a growing concern.
Purpose of the Study:
- To review the current use of antiseptics, primarily chlorhexidine, in ICUs.
- To evaluate chlorhexidine's role in reducing nosocomial infections.
- To present author perspectives on the widespread application of chlorhexidine in critical care.
Main Methods:
- Literature review on antiseptic strategies in ICUs.
- Analysis of evidence regarding chlorhexidine efficacy.
- Discussion of current practices and expert opinions.
Main Results:
- Evidence suggests skin colonization by multiresistant pathogens is a significant issue in ICUs.
- Chlorhexidine is a key antiseptic strategy under evaluation for infection control.
- The article discusses the expanding role and author viewpoints on chlorhexidine implementation.
Conclusions:
- Antiseptic use, particularly chlorhexidine, is a critical consideration for infection prevention in ICUs.
- Further evaluation is needed to optimize strategies against multiresistant microorganisms.
- The review provides insights into the current landscape of antiseptic protocols in critical care.
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