Abstract:
BACKGROUND:We performed a meta-analysis of randomized controlled trials (RCTs) to determine if daily bathing with chlorhexidine decreased hospital-acquired BSIs in critically ill patients. METHODS:We searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases to identify randomized controlled trials that compared daily bathing with chlorhexidine and a control in critically ill patients. RESULTS:This meta-analysis included five RCTs. The overall incidence of measured hospital-acquired BSIs was significantly lower in the chlorhexidine group compared to the controls 0.69 (95 % CI 0.55-0.85; P < 0.001; I (2) = 57.7 %). Gram-positive-induced (RR = 0.49, 95 % CI 0.41-0.58; P = 0.000; I (2) = 0.0 %) bacteremias were significantly less common in the chlorhexidine group. The incidence of MRSA bacteremias (RR 0.63; 95 % CI 0.44-0.91; P = 0.006; I (2) = 30.3 %) was significantly lower among patients who received mupirocin in addition to chlorhexidine bathing than among those who did not routinely receive mupirocin. CONCLUSIONS:Daily bathing with chlorhexidine may be effective to reduce the incidence of hospital-acquired BSIs. However, chlorhexidine bathing alone may be of limited utility in reduction of MRSA bacteremia; intranasal mupirocin may also be required. This meta-analysis has several limitations. Future large-scale international multicenter studies are needed.
journal_name
Ann Intensive Carejournal_title
Annals of intensive careauthors
Choi EY,Park DA,Kim HJ,Park Jdoi
10.1186/s13613-015-0073-9subject
Has Abstractpub_date
2015-12-01 00:00:00pages
31issue
1issn
2110-5820pii
10.1186/s13613-015-0073-9journal_volume
5pub_type
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journal_title:Annals of intensive care
pub_type: 杂志文章,评审
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journal_title:Annals of intensive care
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journal_title:Annals of intensive care
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pub_type: 杂志文章
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journal_title:Annals of intensive care
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pub_type: 杂志文章
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journal_title:Annals of intensive care
pub_type: 杂志文章
doi:10.1186/s13613-020-00666-8
更新日期:2020-04-22 00:00:00
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journal_title:Annals of intensive care
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pub_type: 杂志文章
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journal_title:Annals of intensive care
pub_type: 杂志文章
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journal_title:Annals of intensive care
pub_type: 杂志文章
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更新日期:2017-12-19 00:00:00
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journal_title:Annals of intensive care
pub_type: 杂志文章
doi:10.1186/s13613-020-00705-4
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journal_title:Annals of intensive care
pub_type: 杂志文章
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journal_title:Annals of intensive care
pub_type: 杂志文章
doi:10.1186/2110-5820-3-25
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journal_title:Annals of intensive care
pub_type: 杂志文章
doi:10.1186/s13613-018-0430-6
更新日期:2018-08-15 00:00:00
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journal_title:Annals of intensive care
pub_type: 杂志文章
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更新日期:2018-12-07 00:00:00