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Chlorhexidine skin cleaning to reduce clean-catch urine contamination in infants: A pilot study
Jared Gursanscky1,2, Sharon Klim1, David Krieser1,3,4
1Department of Paediatric Emergency Medicine, Sunshine Hospital, Western Health, Melbourne, Victoria, Australia.
Objective:
Clean-catch urine (CCU) samples are frequently contaminated. Our aim was to determine if cleaning with 0.1% chlorhexidine before CCU is a safe and feasible method to reduce contamination.
Methods:
Prospective interventional pilot study. Children 1-24 months underwent perigenital skin cleaning with 0.1% chlorhexidine. Primary outcome was contamination rate, and secondary outcomes were parent and clinician satisfaction with the procedure.
Results:
Twelve of 54 urine samples were contaminated (22%, 95% CI 13-35). Over 90% of parents and clinicians were either 'satisfied' or 'very satisfied'. No adverse events were recorded.
Conclusion:
Cleaning with chlorhexidine solution before CCU is safe and feasible.
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