Updated Recommendations on Chlorhexidine-Impregnated (C-I) Dressings
Updated Recommendations on the Use of Chlorhexidine-Impregnated Dressings for Prevention of Intravascular Catheter-Related Infections (2017)
These recommendations supersede the chlorhexidine-impregnated dressing recommendations in Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Summary of Recommendations
These recommendations supersede only the two statements about C-I dressings in the section on Catheter Site Dressing Regimens (Recommendations 12 and 13) in the 2011 Guidelines.
|1.a||For patients aged 18 years and older:
Chlorhexidine-impregnated dressings with an FDA-cleared label that specifies a clinical indication for reducing catheter-related bloodstream infection (CRBSI) or catheter-associated blood stream infection (CABSI) are recommended to protect the insertion site of short-term, non-tunneled central venous catheters. (See Section 5.0 Implementation Considerations for Patients Aged 18 Years and Older).
|2.a||For patients younger than 18 years:
Chlorhexidine-impregnated dressings are NOT recommended to protect the site of short-term, non-tunneled central venous catheters for premature neonates due to risk of serious adverse skin reactions.
|2.b||For patients younger than 18 years:
Replace catheter site dressing if the dressing becomes damp, loosened, or visibly soiled. No recommendation can be made about the use of chlorhexidine-impregnated dressings to protect the site of short-term, non-tunneled central venous catheters for pediatric patients less than 18 years old and non-premature neonates due to the lack of sufficient evidence from published, high-quality studies about efficacy and safety in this age group.
- Page last reviewed: October 2, 2017
- Page last updated: December 14, 2017
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