Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source control to reduce the bioburden of vancomycin-resistant enterococci.

PubWeight™: 2.71‹?› | Rank: Top 1%

🔗 View Article (PMID 16476870)

Published in Arch Intern Med on February 13, 2006

Authors

Michael O Vernon1, Mary K Hayden, William E Trick, Robert A Hayes, Donald W Blom, Robert A Weinstein, Chicago Antimicrobial Resistance Project (CARP)

Author Affiliations

1: Department of Medicine, Stroger (Cook County) Hospital, Chicago, Ill, USA.

Articles citing this

Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic. Clin Microbiol Rev (2010) 9.82

Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med (2011) 7.07

Chlorhexidine bathing and health care-associated infections: a randomized clinical trial. JAMA (2015) 4.30

Insertion sequence-driven diversification creates a globally dispersed emerging multiresistant subspecies of E. faecium. PLoS Pathog (2007) 2.10

Advance pre-operative chlorhexidine reduces the incidence of surgical site infections in knee arthroplasty. Int Orthop (2010) 1.08

Formulation of a model for automating infection surveillance: algorithmic detection of central-line associated bloodstream infection. J Am Med Inform Assoc (2010) 1.04

Daily bathing with chlorhexidine-based soap and the prevention of Staphylococcus aureus transmission and infection. Infect Control Hosp Epidemiol (2014) 1.02

Trends and significance of VRE colonization in the ICU: a meta-analysis of published studies. PLoS One (2013) 1.00

Beyond the bundle--journey of a tertiary care medical intensive care unit to zero central line-associated bloodstream infections. Crit Care (2013) 0.96

Prevention of bacterial infection in pediatric oncology: what do we know, what can we learn? Pediatr Blood Cancer (2011) 0.94

The prevention and management of infections due to multidrug resistant organisms in haematology patients. Br J Clin Pharmacol (2015) 0.92

Novel strategies for enhanced removal of persistent Bacillus anthracis surrogates and Clostridium difficile spores from skin. PLoS One (2013) 0.89

Universal patient disinfection as a tool for infection control: rub-a-dub-dub, no need for a tub. Arch Intern Med (2006) 0.88

Relationship between chlorhexidine gluconate skin concentration and microbial density on the skin of critically ill patients bathed daily with chlorhexidine gluconate. Infect Control Hosp Epidemiol (2012) 0.86

Decolonization in Prevention of Health Care-Associated Infections. Clin Microbiol Rev (2016) 0.85

Rapid reduction of central line infections in hospitalized pediatric oncology patients through simple quality improvement methods. Pediatr Blood Cancer (2012) 0.85

High-density fecal Enterococcus faecium colonization in hospitalized patients is associated with the presence of the polyclonal subcluster CC17. Eur J Clin Microbiol Infect Dis (2011) 0.83

Does Preadmission Cutaneous Chlorhexidine Preparation Reduce Surgical Site Infections After Total Hip Arthroplasty? Clin Orthop Relat Res (2016) 0.83

Insights into bacterial colonization of intensive care patients' skin: the effect of chlorhexidine daily bathing. Eur J Clin Microbiol Infect Dis (2015) 0.81

Effects of daily bathing with chlorhexidine and acquired infection of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: a meta-analysis. J Thorac Dis (2013) 0.78

Chlorhexidine for the prevention of bloodstream infection associated with totally implantable venous ports in patients with solid cancers. Support Care Cancer (2014) 0.78

Induced sporicidal activity of chlorhexidine against Clostridium difficile spores under altered physical and chemical conditions. PLoS One (2015) 0.78

Using a Systems Engineering Initiative for Patient Safety to Evaluate a Hospital-wide Daily Chlorhexidine Bathing Intervention. J Nurs Care Qual (2015) 0.78

Multidrug-resistant bacterial infections after liver transplantation: an ever-growing challenge. World J Gastroenterol (2014) 0.78

Control of a Clonal Outbreak of Multidrug-Resistant Acinetobacter baumannii in a Hospital of the Basque Country after the Introduction of Environmental Cleaning Led by the Systematic Sampling from Environmental Objects. Interdiscip Perspect Infect Dis (2013) 0.76

Susceptibility of multidrug resistant clinical pathogens to a chlorhexidine formulation. J Prev Med Hyg (2015) 0.75

Impact of daily bathing with chlorhexidine gluconate on ventilator associated pneumonia in intensive care units: a meta-analysis. J Thorac Dis (2015) 0.75

Another look at CHG bathing in a surgical intensive care unit. Ann Transl Med (2017) 0.75

Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran's Hospital by examining nurses' perspectives and experiences. BMC Infect Dis (2017) 0.75

Chlorhexidine bathing for the prevention of colonization and infection with multidrug-resistant microorganisms in a hematopoietic stem cell transplantation unit over a 9-year period: Impact on chlorhexidine susceptibility. Medicine (Baltimore) (2016) 0.75

Another success story for horizontal infection control strategies--which one?*. Crit Care Med (2014) 0.75

Prevention of hospital-acquired bloodstream infections through chlorhexidine gluconate-impregnated washcloth bathing in intensive care units: a systematic review and meta-analysis of randomised crossover trials. Euro Surveill (2016) 0.75

Chlorhexidine gluconate use to prevent hospital acquired infections-a useful tool, not a panacea. Ann Transl Med (2017) 0.75

Outbreaks of vancomycin-resistant Enterococcus faecium in acute care pediatric hospitals. Can J Infect Dis Med Microbiol (2009) 0.75

The efficacy of daily chlorhexidine bathing for preventing healthcare-associated infections in adult intensive care units. Korean J Intern Med (2016) 0.75

Preventing Transmission of Multidrug-Resistant Pathogens in the Intensive Care Unit. Infect Dis Clin North Am (2017) 0.75

The utility of electronic health record-based hygiene notes for chlorhexidine bathing practice evaluation. J Infect Prev (2016) 0.75

Articles by these authors

Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis (2006) 14.63

Targeted versus universal decolonization to prevent ICU infection. N Engl J Med (2013) 13.05

Effect of daily chlorhexidine bathing on hospital-acquired infection. N Engl J Med (2013) 7.75

Clinical epidemiology of the global expansion of Klebsiella pneumoniae carbapenemases. Lancet Infect Dis (2013) 6.60

Acinetobacter infection. N Engl J Med (2008) 6.47

Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm (2013) 5.02

Are community-associated methicillin-resistant Staphylococcus aureus (MRSA) strains replacing traditional nosocomial MRSA strains? Clin Infect Dis (2008) 4.92

Hospital and societal costs of antimicrobial-resistant infections in a Chicago teaching hospital: implications for antibiotic stewardship. Clin Infect Dis (2009) 4.87

Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep (2002) 4.64

Antibiotic resistance among gram-negative bacilli in US intensive care units: implications for fluoroquinolone use. JAMA (2003) 4.09

Strategies to prevent central line-associated bloodstream infections in acute care hospitals. Infect Control Hosp Epidemiol (2008) 3.13

Detecting unsuspected HIV infection with a rapid whole-blood HIV test in an urban emergency department. J Acquir Immune Defic Syndr (2007) 2.48

A compendium of strategies to prevent healthcare-associated infections in acute care hospitals. Infect Control Hosp Epidemiol (2008) 2.32

Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. Infect Control Hosp Epidemiol (2008) 2.30

Guidelines for the prevention of intravascular catheter-related infections. Infect Control Hosp Epidemiol (2002) 2.24

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA (2010) 2.23

Strategies to prevent surgical site infections in acute care hospitals. Infect Control Hosp Epidemiol (2008) 2.22

Reduction in acquisition of vancomycin-resistant enterococcus after enforcement of routine environmental cleaning measures. Clin Infect Dis (2006) 2.14

Why don't they listen? Adherence to recommendations of infectious disease consultations. Clin Infect Dis (2004) 2.13

The importance of long-term acute care hospitals in the regional epidemiology of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae. Clin Infect Dis (2013) 2.12

Comparison of a novel, rapid chromogenic biochemical assay, the Carba NP test, with the modified Hodge test for detection of carbapenemase-producing Gram-negative bacilli. J Clin Microbiol (2013) 2.09

Community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections at a public hospital: do public housing and incarceration amplify transmission? Arch Intern Med (2007) 2.07

Development of a clinical data warehouse for hospital infection control. J Am Med Inform Assoc (2003) 2.02

Emergence and rapid regional spread of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae. Clin Infect Dis (2011) 2.01

Q fever: a biological weapon in your backyard. Lancet Infect Dis (2003) 1.97

Community-associated methicillin-resistant Staphylococcus aureus colonization burden in HIV-infected patients. Clin Infect Dis (2013) 1.92

Rectal screening for Klebsiella pneumoniae carbapenemases: comparison of real-time PCR and culture using two selective screening agar plates. J Clin Microbiol (2012) 1.84

Strategies to prevent clostridium difficile infections in acute care hospitals. Infect Control Hosp Epidemiol (2008) 1.84

Strategies to prevent ventilator-associated pneumonia in acute care hospitals. Infect Control Hosp Epidemiol (2008) 1.81

Successful control of an outbreak of Klebsiella pneumoniae carbapenemase-producing K. pneumoniae at a long-term acute care hospital. Infect Control Hosp Epidemiol (2010) 1.81

Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med (2007) 1.77

Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients' environment. Infect Control Hosp Epidemiol (2008) 1.74

Recommendations for metrics for multidrug-resistant organisms in healthcare settings: SHEA/HICPAC Position paper . Infect Control Hosp Epidemiol (2008) 1.73

Influence of role models and hospital design on hand hygiene of healthcare workers. Emerg Infect Dis (2003) 1.67

Preventing transmission of multidrug-resistant bacteria in health care settings: a tale of 2 guidelines. Clin Infect Dis (2006) 1.66

Electronic interpretation of chest radiograph reports to detect central venous catheters. Infect Control Hosp Epidemiol (2003) 1.66

Strategies to prevent transmission of methicillin-resistant Staphylococcus aureus in acute care hospitals. Infect Control Hosp Epidemiol (2008) 1.66

Prevention of bloodstream infections by use of daily chlorhexidine baths for patients at a long-term acute care hospital. Infect Control Hosp Epidemiol (2009) 1.64

The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative. Am J Respir Crit Care Med (2015) 1.64

Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt) (2013) 1.60

Homicide during psychotic illness in New South Wales between 1993 and 2002. Med J Aust (2007) 1.59

Transfer of vancomycin-resistant enterococci via health care worker hands. Arch Intern Med (2005) 1.58

Outcomes of offering rapid point-of-care HIV testing in a sexually transmitted disease clinic. J Acquir Immune Defic Syndr (2005) 1.56

Direct ertapenem disk screening method for identification of KPC-producing Klebsiella pneumoniae and Escherichia coli in surveillance swab specimens. J Clin Microbiol (2010) 1.54

Data requirements for electronic surveillance of healthcare-associated infections. Infect Control Hosp Epidemiol (2014) 1.53

Costs attributable to healthcare-acquired infection in hospitalized adults and a comparison of economic methods. Med Care (2010) 1.51

Clinical outcomes of carbapenem-resistant Acinetobacter baumannii bloodstream infections: study of a 2-state monoclonal outbreak. Infect Control Hosp Epidemiol (2010) 1.49

Computer algorithms to detect bloodstream infections. Emerg Infect Dis (2004) 1.48

Comparison of point-of-care rapid HIV testing in three clinical venues. AIDS (2004) 1.45

Guidelines for the prevention of intravascular catheter-related infections. The Hospital Infection Control Practices Advisory Committee, Center for Disease Control and Prevention, U.S. Pediatrics (2002) 1.44

Effectiveness of routine patient cleansing with chlorhexidine gluconate for infection prevention in the medical intensive care unit. Infect Control Hosp Epidemiol (2009) 1.40

Community-associated methicillin-resistant Staphylococcus aureus and HIV: intersecting epidemics. Clin Infect Dis (2010) 1.37

Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis (2003) 1.34

Association between the presence of enterococcal virulence factors gelatinase, hemolysin, and enterococcal surface protein and mortality among patients with bacteremia due to Enterococcus faecalis. Clin Infect Dis (2002) 1.33

The use of economic modeling to determine the hospital costs associated with nosocomial infections. Clin Infect Dis (2003) 1.32

Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control (2002) 1.28

Evaluation of real-time PCR laboratory-developed tests using analyte-specific reagents for cytomegalovirus quantification. J Clin Microbiol (2007) 1.26

Anatomic sites of patient colonization and environmental contamination with Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae at long-term acute care hospitals. Infect Control Hosp Epidemiol (2012) 1.26

Predictors of clinical virulence in community-onset methicillin-resistant Staphylococcus aureus infections: the importance of USA300 and pneumonia. Clin Infect Dis (2011) 1.24

Agreement in classifying bloodstream infections among multiple reviewers conducting surveillance. Clin Infect Dis (2012) 1.24

Possible overestimation of penicillin resistant Streptococcus pneumoniae colonization rates due to misidentification of oropharyngeal streptococci. Diagn Microbiol Infect Dis (2002) 1.22

Delay of active antimicrobial therapy and mortality among patients with bacteremia: impact of severe neutropenia. Antimicrob Agents Chemother (2008) 1.22

Staphylococcus aureus bacteriuria as a prognosticator for outcome of Staphylococcus aureus bacteremia: a case-control study. BMC Infect Dis (2010) 1.18

Public reporting of health care-associated surveillance data: recommendations from the healthcare infection control practices advisory committee. Ann Intern Med (2013) 1.16

Difference in the incidence of Clostridium difficile among patients infected with human immunodeficiency virus admitted to a public hospital and a private hospital. Infect Control Hosp Epidemiol (2002) 1.15

Comparison of PCR assay to culture for surveillance detection of vancomycin-resistant enterococci. J Clin Microbiol (2003) 1.14

Firm-based trial to improve central venous catheter insertion practices. J Hosp Med (2007) 1.13

Use of Medicare claims to rank hospitals by surgical site infection risk following coronary artery bypass graft surgery. Infect Control Hosp Epidemiol (2011) 1.11

Phenotypic prediction rule for community-associated methicillin-resistant Staphylococcus aureus. J Clin Microbiol (2007) 1.10

Cycling empirical antimicrobial agents to prevent emergence of antimicrobial-resistant Gram-negative bacteria among intensive care unit patients. Crit Care Med (2004) 1.09

An educational intervention to improve antimicrobial use in a hospital-based long-term care facility. J Am Geriatr Soc (2007) 1.09

Commentary: The graying of methicillin-resistant Staphylococcus aureus. Infect Control Hosp Epidemiol (2009) 1.08

Concordance in the measurement of quality of life and health indicators between two methods of computer-assisted interviews: self-administered and by telephone. Qual Life Res (2011) 1.08

Transfer from high-acuity long-term care facilities is associated with carriage of Klebsiella pneumoniae carbapenemase-producing Enterobacteriaceae: a multihospital study. Infect Control Hosp Epidemiol (2012) 1.07

Chlorhexidine and mupirocin susceptibilities of methicillin-resistant staphylococcus aureus from colonized nursing home residents. Antimicrob Agents Chemother (2012) 1.06

Hand hygiene--of reason and ritual. Ann Intern Med (2004) 1.06

Antibiotic combinations with redundant antimicrobial spectra: clinical epidemiology and pilot intervention of computer-assisted surveillance. Clin Infect Dis (2003) 1.05

Multicenter intervention program to increase adherence to hand hygiene recommendations and glove use and to reduce the incidence of antimicrobial resistance. Infect Control Hosp Epidemiol (2007) 1.05