A Comparative Clinical Study Focusing on the Antimicrobial Efficacies of Chlorhexidine Gluconate Alcohol for Patient Skin Preparations

Comparative efficacy study data showed that skin preparations formulated with more than 0.5% chlorhexidine gluconate (CHG) in alcohol produced significant reductions in microbial populations at the inguinal, abdominal, and antecubital sites at each sample time (P < .05) relative to baseline, and...

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Published in:	Journal of infusion nursing Vol. 35; no. 1; pp. 44 - 50
Main Authors:	Nishihara, Yutaka, Kajiura, Takumi, Katsuhiro, Yokota, Kobayashi, Hiroyoshi, Okubo, Takashi
Format:	Journal Article
Language:	English
Published:	United States Copyright by the Infusion Nurses Society 01-01-2012
Subjects:	Analysis of Variance Anti-Infective Agents - therapeutic use Anti-Infective Agents, Local - therapeutic use Chlorhexidine - analogs & derivatives Chlorhexidine - therapeutic use Colony Count, Microbial Humans Japan Methicillin-Resistant Staphylococcus aureus Nursing Patient Care Skin - drug effects Skin - microbiology Statistics as Topic Statistics, Nonparametric Japan
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Abstract	Comparative efficacy study data showed that skin preparations formulated with more than 0.5% chlorhexidine gluconate (CHG) in alcohol produced significant reductions in microbial populations at the inguinal, abdominal, and antecubital sites at each sample time (P < .05) relative to baseline, and there were no significant differences statistically, including persistent effects within 24 hours (P > .05). It would be reasonable to expect that a 1% CHG-ethanol skin preparation (with >0.5% GHC in alcohol) could be chosen in Japan that would perform well and have promising potential for catheter preparation/maintenance preparation with consideration for recommendation of the Centers for Disease Control and Preventionʼs guideline dssuei in 2011.
AbstractList	Comparative efficacy study data showed that skin preparations formulated with more than 0.5% chlorhexidine gluconate (CHG) in alcohol produced significant reductions in microbial populations at the inguinal, abdominal, and antecubital sites at each sample time (P < .05) relative to baseline, and there were no significant differences statistically, including persistent effects within 24 hours (P > .05). It would be reasonable to expect that a 1% CHG-ethanol skin preparation (with >0.5% CHG in alcohol) could be chosen in Japan that would perform well and have promising potential for catheter preparation/maintenance preparation with consideration for recommendation of the Centers for Disease Control and Prevention's guideline issued in 2011. Comparative efficacy study data showed that skin preparations formulated with more than 0.5% chlorhexidine gluconate (CHG) in alcohol produced significant reductions in microbial populations at the inguinal, abdominal, and antecubital sites at each sample time (P < .05) relative to baseline, and there were no significant differences statistically, including persistent effects within 24 hours (P > .05). It would be reasonable to expect that a 1% CHG-ethanol skin preparation (with >0.5% CHG in alcohol) could be chosen in Japan that would perform well and have promising potential for catheter preparation/maintenance preparation with consideration for recommendation of the Centers for Disease Control and Prevention's guideline issued in 2011. Comparative efficacy study data showed that skin preparations formulated with more than 0.5% chlorhexidine gluconate (CHG) in alcohol produced significant reductions in microbial populations at the inguinal, abdominal, and antecubital sites at each sample time (P < .05) relative to baseline, and there were no significant differences statistically, including persistent effects within 24 hours (P > .05). It would be reasonable to expect that a 1% CHG-ethanol skin preparation (with >0.5% GHC in alcohol) could be chosen in Japan that would perform well and have promising potential for catheter preparation/maintenance preparation with consideration for recommendation of the Centers for Disease Control and Preventionʼs guideline dssuei in 2011.
Author	Nishihara, Yutaka Kobayashi, Hiroyoshi Okubo, Takashi Katsuhiro, Yokota Kajiura, Takumi
AuthorAffiliation	Yoshida Pharmaceutical Co, Ltd, Tokyo, Japan (Drs Nishihara and Kajiura, Mr Yokota); and Tokyo Healthcare University Postgraduate School, Tokyo, Japan (Drs Kobayashi and Okubo)
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Cites_doi	10.1016/j.jhin.2009.06.024 10.1097/00129804-200207000-00007 10.1056/NEJMoa0810988 10.1016/0140-6736(91)90479-9 10.4058/jsei.25.281 10.1086/318145 10.1016/S0001-2092(06)60560-7 10.1017/S002217240002550X 10.1086/605926 10.1086/501572 10.7326/0003-4819-136-11-200206040-00007 10.1086/590259 10.1016/S0196-6553(05)80148-8 10.1128/CMR.17.4.863-893.2004 10.1016/j.cpen.2006.05.003 10.2307/30144163 10.2309/108300801775777450 10.1128/AEM.02746-05
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References	Darouiche (R20-6-20210208) 2010; 362 Holtz (R15-6-20210208) 1992; 20 Kampf (R22-6-20210208) 2006; 72 (R3-6-20210208) 1994; 59 Crosby (R2-6-20210208) 2001; 6 Valles (R5-6-20210208) 2008; 29 Chaiyakunapruk (R10-6-20210208) 2002; 136 Rotter (R24-6-20210208) 2009; 73 Kirkland (R14-6-20210208) 1999; 20 Tanimura (R26-6-20210208) 2010; 25 Humar (R17-6-20210208) 2000; 31 Hibbard (R7-6-20210208) 2002; 25 Maki (R9-6-20210208) 1991; 338 Swenson (R21-6-20210208) 2009; 30 Garibaldi (R1-6-20210208) 1988; 9 Lilly (R18-6-20210208) 1979; 82 Pottinger (R19-6-20210208) 2006; 1 Kampf (R16-6-20210208) 2004; 17 Paulson (R23-6-20210208) 2004; 80
References_xml	– volume: 73 start-page: 191 year: 2009 ident: R24-6-20210208 article-title: Methods to evaluate the microbial activities of hand-rub and hand-wash agents. publication-title: J Hosp Infect doi: 10.1016/j.jhin.2009.06.024 contributor: fullname: Rotter – volume: 25 start-page: 244 year: 2002 ident: R7-6-20210208 article-title: A clinical study comparing the skin antisepsis and safety of ChloraPrep, 70 isopropyl alcohol, and 2 aqueous chlorhexidine. publication-title: J Infus Nurs doi: 10.1097/00129804-200207000-00007 contributor: fullname: Hibbard – volume: 362 start-page: 18 year: 2010 ident: R20-6-20210208 article-title: Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. publication-title: N Engl J Med doi: 10.1056/NEJMoa0810988 contributor: fullname: Darouiche – volume: 338 start-page: 339 year: 1991 ident: R9-6-20210208 article-title: Prospective, randomized trial of povidone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. publication-title: Lancet doi: 10.1016/0140-6736(91)90479-9 contributor: fullname: Maki – volume: 25 start-page: 281 year: 2010 ident: R26-6-20210208 article-title: Antisepsis effect of insertion site of central venous catheter in Japanese. publication-title: Jpn J Environ Infect doi: 10.4058/jsei.25.281 contributor: fullname: Tanimura – volume: 59 start-page: 31401 year: 1994 ident: R3-6-20210208 article-title: Tentative final monograph for OTC healthcare antiseptic drug products; proposed rules. publication-title: Fed Regist – volume: 31 start-page: 1001 year: 2000 ident: R17-6-20210208 article-title: Prospective randomized trial of 10 povidone-iodine versus 0.5 tincture of chlorhexidine as cutaneous antisepsis for prevention of central venous catheter infection. publication-title: Clin Infect Dis doi: 10.1086/318145 contributor: fullname: Humar – volume: 80 start-page: 225 year: 2004 ident: R23-6-20210208 article-title: Hand scrub productsperformance requirements versus clinical relevance. publication-title: AORN J doi: 10.1016/S0001-2092(06)60560-7 contributor: fullname: Paulson – volume: 82 start-page: 89 year: 1979 ident: R18-6-20210208 article-title: Detergents compared with each other and with antiseptics as skin degerming agents. publication-title: J Hyg (Lond) doi: 10.1017/S002217240002550X contributor: fullname: Lilly – volume: 30 start-page: 964 year: 2009 ident: R21-6-20210208 article-title: Effects of preoperative skin preparation on postoperative wound infection rates: a prospective study of 3 skin preparation protocols. publication-title: Infect Control Hosp Epidemiol doi: 10.1086/605926 contributor: fullname: Swenson – volume: 20 start-page: 725 year: 1999 ident: R14-6-20210208 article-title: The impact of surgical site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. publication-title: Infect Control Hosp Epidemiol doi: 10.1086/501572 contributor: fullname: Kirkland – volume: 136 start-page: 792 year: 2002 ident: R10-6-20210208 article-title: Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis. publication-title: Ann Intern Med doi: 10.7326/0003-4819-136-11-200206040-00007 contributor: fullname: Chaiyakunapruk – volume: 29 start-page: 847 year: 2008 ident: R5-6-20210208 article-title: Prospective randomized trial of 3 antiseptic solutions for prevention of catheter colonization in an intensive care unit for adult patients. publication-title: Infect Control Hosp Epidemiol doi: 10.1086/590259 contributor: fullname: Valles – volume: 20 start-page: 206 year: 1992 ident: R15-6-20210208 article-title: Post discharge surveillance for nosocomial wound infection: a brief review and commentary. publication-title: Am J Infect Control Hosp doi: 10.1016/S0196-6553(05)80148-8 contributor: fullname: Holtz – volume: 17 start-page: 863 year: 2004 ident: R16-6-20210208 article-title: Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. publication-title: Clin Microbiol Rev doi: 10.1128/CMR.17.4.863-893.2004 contributor: fullname: Kampf – volume: 1 start-page: 203 year: 2006 ident: R19-6-20210208 article-title: Skin preparation. publication-title: Periop Nurs Clin doi: 10.1016/j.cpen.2006.05.003 contributor: fullname: Pottinger – volume: 9 start-page: 109 year: 1988 ident: R1-6-20210208 article-title: The impact of preoperative skin disinfection on preventing intraoperative wound contamination. publication-title: Infect Control Hosp Epidemiol doi: 10.2307/30144163 contributor: fullname: Garibaldi – volume: 6 start-page: 26 year: 2001 ident: R2-6-20210208 article-title: Skin antisepsis: past, present and future. publication-title: J Vasc Access Devices doi: 10.2309/108300801775777450 contributor: fullname: Crosby – volume: 72 start-page: 3856 year: 2006 ident: R22-6-20210208 article-title: Evaluation of two methods of determining the efficacies of two alcohol-based hand rubs for surgical hand antisepsis. publication-title: Appl Environ Microbiol doi: 10.1128/AEM.02746-05 contributor: fullname: Kampf
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SubjectTerms	Analysis of Variance Anti-Infective Agents - therapeutic use Anti-Infective Agents, Local - therapeutic use Chlorhexidine - analogs & derivatives Chlorhexidine - therapeutic use Colony Count, Microbial Humans Japan Methicillin-Resistant Staphylococcus aureus Nursing Patient Care Skin - drug effects Skin - microbiology Statistics as Topic Statistics, Nonparametric
Title	A Comparative Clinical Study Focusing on the Antimicrobial Efficacies of Chlorhexidine Gluconate Alcohol for Patient Skin Preparations
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