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benzalkonium chloride for skin preparation

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  • #68483
    Criddle, Angie
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    Criddle, Angie

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    Good morning,
    Our hospital pharmacy recently had a request from one of our visiting
    surgeons to get a product called benzalkonium chloride for use as a skin
    prep. They were unable to source a supplier so I would like to know if
    this product is still in use.
    Many thanks,

    Angie

    Angie Criddle | Regional Clinical Nurse Specialist |

    Infection Control | WACHS Midwest |

    (08) 9956 2437 | angela.criddle@health.wa.gov.au

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    #68484
    Matthias.Maiwald@KKH.COM.SG Subject: Re: benzalkonium chloride for skin preparation In-Reply-To:
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    Matthias.Maiwald@KKH.COM.SG Subject: Re: benzalkonium chloride for skin preparation In-Reply-To:

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    Dear Angie,

    If this is for true surgical skin prep or for presurgical preparation of
    mucous membranes (one might want to check what exactly he/she is proposing
    it for, and in what formulation), then benzalkonium chloride is genuinely
    unsuitable for that purpose. Its characteristics are more those of a
    preservative (e.g. eye drops against bacterial contamination), and the
    microbial killing is just too weak for presurgical skin or mucous membrane
    preparation.

    For superficial skin, the agents of choice are alcoholic formulations, such
    as 70% isopropanol supplemented with either chlorhexidine or
    povidone-iodine. For mucous membranes, aqueous (water-based) povidone
    iodine or chlorhexidine are suitable. In Europe, there is also octenidine
    for the latter purpose, but that is not available in Australia.

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 1389
    Fax +65 6394 1387

    “Criddle, Angie”
    To
    Sent by: AICA AICALIST@AICALIST.ORG.AU
    Infexion cc
    Connexion
    benzalkonium chloride for skin
    preparation

    10/11/2010 10:56
    AM

    Please respond to
    AICA Infexion
    Connexion

    Good morning,
    Our hospital pharmacy recently had a request from one of our visiting
    surgeons to get a product called benzalkonium chloride for use as a skin
    prep. They were unable to source a supplier so I would like to know if
    this product is still in use.
    Many thanks,

    Angie
    Angie Criddle | Regional Clinical Nurse Specialist |
    Infection Control | WACHS Midwest |
    (08) 9956 2437 | angela.criddle@health.wa.gov.au

    Messages posted to this list are solely the opinion of the authors, and do
    not represent the opinion of AICA.

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    registration and login required.

    Replies to this message will be directed back to the list. To create a new
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