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Good morning,
Just looking for evidence on why we use different swabs.
Does anybody have anything on this at all?Thanks
AnnieAnnie Hartland
Nursing Chief Of Modality
P (08) 8402 4401 | M 0410 877 800 | F (08) 8402 4430
Dr Jones & Partners Medical Imaging
St. Andrews Hospital, 350 South Terrace, Adelaide SA 5000
drjones.com.au
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Hi Annie
I presume you are talking about skin antisepsis? There is little hard evidence, but quite a few recommendations on the topic of the best skin antisepsis for intravascular access.
The main argument in favour of alcoholic chlorhexidine products (most commonly 2% chlorhexidine with 70% alcohol) is the potential residual effect that chlorhexidine has, thus potentially inhibiting growth around insertion sites. Alcohol itself has good initial bactericidal activity, but no residual effect.
This, if you are using a very short term peripheral IV catheter (removed immediately after a procedure, for example), then an alcohol-only swab would potentially provide appropriate disinfection of the skin surrounding the insertion site, and residual effect on the skin is not really that relevant.
But if you are inserting a longer dwelling device, say a PICC or a CVC, which will remain in-situ for a number of days or weeks, then the residual; effect of chlorhexidine on minimising bacteria around the insertion site in quite beneficial.
There have been a number of meta-analyses concerning skin disinfection prior to IV access which have not been particularly conclusive, such as https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010140.pub2/epdf/full
That is my understanding, anyway, so hope that is helpful.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion On Behalf Of Annie Hartland
Sent: Wednesday, 27 March 2019 10:33 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Swabs – Alcohol and Alcohol+ChlorhexGood morning,
Just looking for evidence on why we use different swabs.
Does anybody have anything on this at all?Thanks
AnnieAnnie Hartland
Nursing Chief Of Modality
P (08) 8402 4401 | M 0410 877 800 | F (08) 8402 4430
Dr Jones & Partners Medical Imaging
St. Andrews Hospital, 350 South Terrace, Adelaide SA 5000
drjones.com.au
[Dr Jones & Partners Logo]
This email and any attachments are confidential between us and the intended recipient. If it has been sent to you in error, please notify us immediately and delete it. If you are not the intended recipient you must not retain, use, disclose, copy or distribute it or its attachments.
Message received at 11:32:34 AM 27/03/2019 from Annie.Hartland@drjones.com.au was secured using TLS
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