Re: Swabs – Alcohol and Alcohol+Chlorhex

[Anonymous]

Hi Annie,
Alcohol on its own need longer contact/wet times to effetely kill. Chlorhex has bactericidal and bacteriostatic mechanisms.

This may help:
Chlorhexidine/Povidone Iodine/Sodium Hypochlorite
Chlorhexidine is an antiseptic solution used since 1954 with a good record of safety and efficacy on adults and children with an incidence of contact dermatitis 2.5% to 5.4% (Lim & Kam, 2008; Milstone, Passaretti, & Perl, 2008). A meta-analysis of randomized, controlled trials showed no statistically significant difference in erythema from chlorhexidine to povidone iodine (Chaiyakunapruk, Veenstra, Lipsky, & Saint, 2002). Chlorhexidine is considered A-1 evidence for skin cleaning to prevent the spread of pathogens (Marschall et al., 2008). It is a broad-spectrum antiseptic and has persistent antimicrobial effect with a reduction in bacterial counts from 24 to 48 hours (Lim & Kam, 2008; NKF, 2006). A scrubbing motion of 30 seconds for routine skin cleansing is needed. Chlorhexidine works better in combination with alcohol and is superior to povidone iodine because it is not deactivated with body fluids, such as blood, serum, and protein (Chaiyakunapruk et al., 2002; Lim & Kam, 2008; Valles et al., 2008). Povidone iodine needs three to five minutes to reach maximum effect to reduce bacteria counts and has minimal persistent antimicrobial effect (Durani & Leaper, 2008).
Clinical and cost effectiveness of guidelines to prevent intravascular catheter-related infections in patients on hemodialysis
Christine K. Bakke
Nephrology Nursing Journal. 37.6 (November-December 2010): p601+.

Cheers,

Kelly

[cid:image001.png@01D3593E.B14EC410]

Kelly Barton
Infection Prevention & Control Officer
Email: kelly.barton@alpinehealth.org.au
Office: 03 5751 9364
Mobile: 0409 885 002
Fax: 03 5751 9396
Address: 30 ODonnell Ave, Myrtleford VIC 3737
Website: http://www.alpinehealth.org.au
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Annie Hartland
Sent: Wednesday, 27 March 2019 11:33 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Swabs – Alcohol and Alcohol+Chlorhex

Good morning,

Just looking for evidence on why we use different swabs.
Does anybody have anything on this at all?

Thanks
Annie

Annie Hartland

Nursing Chief Of Modality

P (08) 8402 4401 | M 0410 877 800 | F (08) 8402 4430

Dr Jones & Partners Medical Imaging

St. Andrews Hospital, 350 South Terrace, Adelaide SA 5000

drjones.com.au

[Dr Jones & Partners Logo]

This email and any attachments are confidential between us and the intended recipient. If it has been sent to you in error, please notify us immediately and delete it. If you are not the intended recipient you must not retain, use, disclose, copy or distribute it or its attachments.

Message received at 11:32:34 AM 27/03/2019 from Annie.Hartland@drjones.com.au was secured using TLS
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (wi

[Author]

Posts