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Skin disinfection for central line insertion
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| On Oct 7 2005 12:26PM amanda.kirkham wrote: |
Can I ask what other Trusts use for skin disinfection for central line insertion?
Having recently carried out a CVC audit, it came to light that aqueous betadine is being used here, so we are currently trying to change to alcoholic chlorhexidine.
However, a 2% concentration is generally recommended and that is not available in the UK. We are considering a 0.5% alcoholic solution, but wondered if other areas have managed to obtain a different concentration?
Thanks
Mandy Kirkham |
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| On Oct 7 2005 5:19PM david.charlesworth1 wrote: |
I was at a presentation yesterday by Martin Arrowsmith, the IV lead from 3M,
who presented that the evidence that strongly came down in favour of
chlorhex. He said that as 2% chlorhex was not yet commercially available in
the UK (although pharmacies may be able to make it up), that 0.5% in alcohol
was preferable for CVC insertion and care as it is still has a longer acting
action than povidone iodine (This work purely in relation to CVC issues
rather than pre-cutting skin prep). I think it was some of Maki"s work that
he presented. Haven"t got Martin"s number to hand but a call through your
local 3M rep should source him for the references or a chat.
Take care to allow the alcohol to fully dry before placing new CVC dressing.
Regards
David Charlesworth
Clinical Leader Infection Control
South Tees Hospitals NHS Trust
01642 854800
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 ICNA Community Network MeetingPlease note the next Community ICNA meeting is on the, Wednesday 6th September 2006 and will be held at Eastman Dental Hospital, London.
To download the agenda go to the CICNN page under 'Business and Special Interest Groups' (Member access required)
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The 36th Annual Infection Control ConferenceSeptember 25th to 27th 2006
The Brighton Centre
Brighton, England
This is THE Infection control conference of the year, focusing on prevention and control of infections in all areas of healthcare. The conference will provide a mixture of lectures, debates, concurrent sessions, workshops and networking.
Leading international Speakers who have already confirmed include Dr Seto Wing Hong and Stuart Emslie.
To be kept up to date with br... More
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