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Dear Lynley
Given operating suites use 70% alcohol and 0.5% chlorhexidine as a routine
skin preparation for all types of surgery there is sufficient cover.
I am not surprised the patients are suffering – 2% chlorhexidine would be
creating a very sore foot as it is too strong and damaging to the skin –
tearing shreds off it in fact.
Can I suggest you speak to the manager of the operating suite and the
pharmacy for advice.
Regards
Michele Cullen
Infection Control Consultant | Communicable Disease Prevention and Control
| Health Protection Branch
Department of Health & Human Services | 50 Lonsdale Street, Melbourne,
Victoria, 3000
p. 03 9096 5094 | f. 1300 651 170 | e. michele.cullen@health.vic.gov.au
MDU Public Health Laboratory
p. 03 8344 4575 | e. mccullen@unimelb.edu.au
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|Lynley King |
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|AICALIST@AICALIST.ORG.AU, |
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| Date: |
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|03/03/2015 07:07 AM |
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| Subject: |
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|2% Chlorhexidine & 70% alcohol |
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|ACIPC Infexion Connexion |
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Hello All,
The Podiatory Department has approached me to find an alternative to the
current use of 2% Chlorhexidine & 70% alcohol as a skin cleansing solution
prior to invasive (albeit minor) Podiatory procedures due to the number of
adverse incidents their patients’ have experienced following the use of
this antiseptic.
Does anyone know if the use of 1% or 0.5% chlorhexidine with alcohol
provides sufficient antiseptic cover for minor podiatory procedures (ie
procedures that do not require any anaesethic of any kind to carry out,
similar to removal of a large splinter)? Or if there is an alternative
that provides the same protective measure but is less damaging to the
surrounding skin?
Thank you for your help.
Kind regards,
Lynley
Lynley King
WACHS GS Infection Prevention & Control Coordinator
Albany Health Campus
Albany WA 6330
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