January - 2012
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Economic evaluation of chlorhexidine-impregnated sponges for preventing catheter-related infections in critically ill adults in the Dressing Study*Schwebel, Carole MD, PhD; Lucet, Jean-Christophe MD, PhD; Vesin, Aurélien MSc; Arrault, Xavier PD; Calvino-Gunther, Silvia RN; Bouadma, Lila MD, PhD; Timsit, Jean-François MD, PhD Critical Care Medicine, 2012, 40(1):11-17 This page is only available to Crit-IQ subscribers. To view the rest of this review and gain access to our vast array of critical care teaching tools including podcasts, vodcasts, modules, exam preparation tools, teaching aids and much more, login here, or Become a Member to register |
January |
Previous Comments
This paper is based on previous work, referred to in the discussion. In that paper, the skin prep used was iodine based, not Chlorhexidine. The latter has been shown to be superior. As far as I'm aware, this is the sum total of research into these sponges in clinical practice. I'm not convinced they'd be of any benefit if they used Chlorhex to clean the skin. | |
James O'Connor-23 Jan, 2012 08:54:53 PM | |
Another example of a gimmicky intervention that has taken off with almost no supportive evidence. | |
Darren Cable-29 Jan, 2012 04:24:53 PM | |
Comment
The economic burden of central access device infections is well recognised. This paper describes the cost implications of implementing a relatively cheap and straight-forward intervention - Chlorhexidine impregnated sponges.