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One proposed way to decrease the number of catheter-related bloodstream infections (BSIs) is to reduce skin contamination in patients with these devices. Chlorhexidine reduces both resident and transient bacterial flora on the skin, with a residual effect lasting ≥6 hours. Several previous studies have suggested that bathing with a chlorhexidine solution reduces the rate of BSIs in hospitalized patients.
To further examine this possibility, investigators conducted a prospective, multihospital study in which they assessed the effect of daily cleansing with chlorhexidine on the rate of central venous catheter (CVC)–associated BSIs. During a 6- to 9-month preintervention phase, patients were bathed without chlorhexidine. Then, during an 8-month…