Journal Club - Recent Additions

January - 2012

Previous Next    

Showing Journal 14 of 18


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

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.


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