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Clinell Alcoholic 2% Chlorhexidine CA2C200 - Green Medical Device Wipe

More Information:

EPIC2 is the Evidence-based Guidelines for Preventing Healthcare Associated Infections in NHS Hospitals in England 2007. It can be downloaded in full at the website: http://www.epic.tvu.ac.uk/epicphase/2.html

It states 2 guidelines which apply to CA2C200:

CVAD 33 A single patient use application of alcoholic chlorhexidine gluconate solution (preferably 2% chlorhexidine gluconate in 70% isopropyl alcohol) should be used and allowed to dry when decontaminating the injection port or catheter hub before and after it has been used to access the system.Unless contrainidicated by the manufacturer’s recommendations, in which care either aqueous chlorhexidine gluconate or aqueous povidone iodine should be used.

CVAD 44 When needle-free devices are used, the risk of contamination should be minimised by decontaminating the access port before and after use with a single patient use application of alcoholic chlorhexidine gluconate solution (preferably 2% chlorhexidine gluconate in 70% isopropyl alcohol). Unless contraindicated by the manufacturer’s recommendations, in which care either aqueous chlorhexidine gluconate or aqueous povidone iodine should be used.

Summary of Saving Lives guidelines:

Saving Lives: reducing infection, delivering clean and safe care

High Impact Intervention No 1 - Central venous catheter care bundle

Catheter access

• Use aseptic technique and swab ports or hub with 2% chlorhexidine gluconate in 70% isopropyl alcohol prior to accessing the line for administering fluids or injections.

High Impact Intervention No 2 - Peripheral intravenous cannula care bundle

Cannula access

• Use 2% chlorhexidine gluconate in 70% isopropyl alcohol, and allow to dry prior to accessing the cannula for administering fluid or injections.

High Impact Intervention No 3 - Renal dialysis catheter care bundle

Catheter access

• Use aseptic technique and swab ports or hub with 2% chlorhexidine gluconate in 70% isopropyl alcohol prior to accessing the line.

Taking blood cultures - A summary of best practice

Disinfect the culture bottle cap before transferring the sample. Ideally, remove the plastic cover immediately before collecting the sample; the top of the bottle will be clean but not sterile. Disinfect the tops of the culture bottles with a 2% chlorhexidine in 70% isopropyl alcohol impregnated swab. Allow the alcohol to fully evaporate before proceeding with bottle inoculation.

Clinical advantages of Clinell alcoholic 2% chlorhexidine:

• Complies with the epic2 (1), National Institute for Clinical Excellence (2), HICPAC (3), Institute for Healthcare Improvement (4) and Infectious Diseases Society of America (5) guidelines for preventing infections associated with the insertion and maintenance of central venous catheters.
• Class IIa CE product
• Provides benefit of rapid antimicrobial action and excellent residual activity.
• Proven to decrease catheter related bacteraemia by 68%(6)
• Proven to be effective at disinfecting central venous catheter hubs and sampling ports. (7,8)
• Proven to be superior to both 70% alcohol and 10% povidone-iodine for preventing central venous and arterial catheter related infections. (9-12)
• Chlorhexidine based antiseptics reduce the incidence of catheter related blood stream infections by 50%. (12)

For more information please contact the Clinell alcoholic 2% chlorhexidine distributors

Fannin (UK) Limited
Pincents Kiln Industrial Park
Calcot, Reading
RG31 7SB

Tel: 0118 930 5333
Fax: 0118 930 5111
Freephone: 0800 212827
Web: http://www.fanninuk.com
Email enquiries@fanninuk.com

REFERENCES

1. Pratt RJ, Pellowe CM, Wilson JA, Loveday HP, Harper P, Jones SRLJ, McDougall C, Wilcox MH. epic2 - National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. Journal of Hospital Infection 2007 Feb;65(1):supplement 1.
2. National Institute for Clinical Excellence. Clinical Guideline 2. Infection control. Prevention of healthcare-associated infection. in primary and community care. June 2003. http://www.nice.org.uk/pdf/CG2fullguidelineinfectioncontrol.pdf
3. Centers for Disease Control and Prevention. (2002) Guidelines for the prevention of intravascular-catheter-related infections. MMWR 51(RR-10): 1-29. www.cdc.gov/mmwr/PDF/rr/rr5110.pdf
4. Institute for Healthcare Improvement. Putting Safety on the (Central) Line page. Available at http://www.ihi.org.
5. O’Grady NP, Alexander M, Dellinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2002;35:1281-307.
6. Use of chlorhexidine wipes (Clinell Alcoholic 2% Chlorhexidine) on central venous catheter ports. The 5th World Congress of Pediatric Critical Care, Geneva 2007. James Soothill. Microbiology Department, Great Ormond Street Hospital, London.
7. Salzman MB, Isenberg HD, Rubin LG. Use of disinfectants to reduce microbial contamination of hubs of vascular catheters. Journal of Clinical Microbiology 1993; 31: 475—479.
8. Rushman KL, Fulton JS. Effectiveness of disinfectant techniques on intravenous tubing latex injection ports. Journal of Intravenous Nursing 1993; 16: 304—308.
9. Maki DG, Ringer M, Alvarado CJ. Prospective randomized trial of povidone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet 1991; 338: 339—343.
10. Mimoz O, Pieroni L, Lawrence C, Edouard A, Costa Y, Samii K, Brun-Buisson C. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Critical Care Medicine 1996; 24(11): 1818—1823.
11. O'Grady NP, Alexander M, Dellinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm. 2002;51:1 —29.
12. Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis. Ann Intern Med.2002; 136:792 —801

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