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Note Open Access May 13, 2024

Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit

Fumitaka Kamoshita 1, Masafumi Seki 1,*, Makoto Ono 1, Chie Kubosawa 1, Haruka Karaushi 1, Noriyuki Watanabe 2 and Kotaro Mitsutake 1
1
Division of Infectious Diseases and Infection Control, Saitama Medical University International Medical Center, Hidaka City, Saitama, Japan
2
Division of Laboratory Medicine, Saitama Medical University International Medical Center, Hidaka City, Saitama, Japan
Publihed in: Current Research in Public Health (Volume 4, Issue 1, 2024)
Page(s): 6-9
DOI: 10.31586/ojms.2024.941
Received
April 01, 2024
Revised
April 30, 2024
Accepted
May 12, 2024
Published
May 13, 2024
Keywords
Case-Control Study; Central Line-Associated Bloodstream Infection; Chlorhexidine Patch; Early Catheter Exchange; Emergency Operation; Intensive Care Unit
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2024. Published by Scientific Publications
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Cite This Article

APA Style
Kamoshita, F. , Kamoshita, F. Seki, M. , Seki, M. Ono, M. , Ono, M. Kubosawa, C. , Kubosawa, C. Karaushi, H. , Karaushi, H. Watanabe, N. , & Watanabe, N. (2024). Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit. Current Research in Public Health, 4(1), 6-9. https://doi.org/10.31586/ojms.2024.941
ACS Style
Kamoshita, F. ; Kamoshita, F. Seki, M. ; Seki, M. Ono, M. ; Ono, M. Kubosawa, C. ; Kubosawa, C. Karaushi, H. ; Karaushi, H. Watanabe, N. ; Watanabe, N. Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit. Current Research in Public Health 2024 4(1), 6-9. https://doi.org/10.31586/ojms.2024.941
Chicago/Turabian Style
Kamoshita, Fumitaka, Fumitaka Kamoshita. Masafumi Seki, Masafumi Seki. Makoto Ono, Makoto Ono. Chie Kubosawa, Chie Kubosawa. Haruka Karaushi, Haruka Karaushi. Noriyuki Watanabe, and Noriyuki Watanabe. 2024. "Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit". Current Research in Public Health 4, no. 1: 6-9. https://doi.org/10.31586/ojms.2024.941
AMA Style
Kamoshita F, Kamoshita FSeki M, Seki MOno M, Ono MKubosawa C, Kubosawa CKaraushi H, Karaushi HWatanabe N, Watanabe N. Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit. Current Research in Public Health. 2024; 4(1):6-9. https://doi.org/10.31586/ojms.2024.941 
@Article{crph941,
AUTHOR = {Kamoshita, Fumitaka and Seki, Masafumi and Ono, Makoto and Kubosawa, Chie and Karaushi, Haruka and Watanabe, Noriyuki and Mitsutake, Kotaro},
TITLE = {Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit},
JOURNAL = {Current Research in Public Health},
VOLUME = {4},
YEAR = {2024},
NUMBER = {1},
PAGES = {6-9},
URL = {https://www.scipublications.com/journal/index.php/OJMS/article/view/941},
ISSN = {2831-5162},
DOI = {10.31586/ojms.2024.941},
ABSTRACT = {Central line-associated bloodstream infections (CLABSIs) are important hospital-acquired infections that are related to increased mortality in cardiac intensive care units (CICUs). To determine the risk factors for CLABSIs, a case-control study was conducted in the CICU of our hospital. Emergency surgery (odds ratio: 9.6, 95% confidence interval: 1.633-56.926) was the strongest risk factor comparing the case group (n=11) to the control group (n=22). In addition, the indwelling period was significantly longer in the case group than in the control group (median 9 days versus 7 days, p=0.004). An intervention for the insertion of central lines was then started, with 1) thorough use of chlorhexidine-impregnated dressings (also known as chlorhexidine patches, CHG patches) in the insertion of central lines before emergency surgery, and 2) exchange of the central line 7 days after emergency surgery. After the intervention, the CLABSI incidence rate decreased from 6.8 to 0.8/1,000 device-days. These data suggest the usefulness of CHG patches and the importance of the early exchange of central lines in the CICU in patients following emergency surgery.},
}
%0 Journal Article
%A Kamoshita, Fumitaka
%A Seki, Masafumi
%A Ono, Makoto
%A Kubosawa, Chie
%A Karaushi, Haruka
%A Watanabe, Noriyuki
%A Mitsutake, Kotaro
%D 2024
%J Current Research in Public Health

%@ 2831-5162
%V 4
%N 1
%P 6-9

%T Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit
%M doi:10.31586/ojms.2024.941
%U https://www.scipublications.com/journal/index.php/OJMS/article/view/941

TY  - JOUR
AU  - Kamoshita, Fumitaka
AU  - Seki, Masafumi
AU  - Ono, Makoto
AU  - Kubosawa, Chie
AU  - Karaushi, Haruka
AU  - Watanabe, Noriyuki
AU  - Mitsutake, Kotaro
TI  - Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit
T2  - Current Research in Public Health
PY  - 2024
VL  - 4
IS  - 1
SN  - 2831-5162
SP  - 6
EP  - 9
UR  - https://www.scipublications.com/journal/index.php/OJMS/article/view/941
AB  - Central line-associated bloodstream infections (CLABSIs) are important hospital-acquired infections that are related to increased mortality in cardiac intensive care units (CICUs). To determine the risk factors for CLABSIs, a case-control study was conducted in the CICU of our hospital. Emergency surgery (odds ratio: 9.6, 95% confidence interval: 1.633-56.926) was the strongest risk factor comparing the case group (n=11) to the control group (n=22). In addition, the indwelling period was significantly longer in the case group than in the control group (median 9 days versus 7 days, p=0.004). An intervention for the insertion of central lines was then started, with 1) thorough use of chlorhexidine-impregnated dressings (also known as chlorhexidine patches, CHG patches) in the insertion of central lines before emergency surgery, and 2) exchange of the central line 7 days after emergency surgery. After the intervention, the CLABSI incidence rate decreased from 6.8 to 0.8/1,000 device-days. These data suggest the usefulness of CHG patches and the importance of the early exchange of central lines in the CICU in patients following emergency surgery.
DO  - Use of chlorhexidine-impregnated dressings and early catheter exchange to reduce the onset of central line-associated bloodstream infections: A case-control study in a cardiac intensive care unit
TI  - 10.31586/ojms.2024.941
ER  -