Jusino-Leon Gladys N, Matheson Linda, Forsythe Lydia
Gwinnett Medical Center.
Capella University.
Clin J Oncol Nurs. 2019 Apr 1;23(2):E32-E38. doi: 10.1188/19.CJON.E32-E38.
Chlorhexidine gluconate (CHG) has a broad-spectrum antimicrobial property that has proven to be effective in prolonging skin antisepsis and decreasing pathogens often seen in oncology units.
The aim was to reduce the incidence of central line-associated bloodstream infections in a hematology-oncology unit through the staff's continued adherence to the institution's protocol for CHG baths with wipes, and to identify barriers and the degree to which they interfered with optimal use of the CHG wipes.
The project focused on supporting staff and nurses by providing education and training on current practices to staff and patients, and identifying barriers. Direct observation and chart audits were the approach chosen to implement the project.
For the project study period, the unit had three nonpreventable bloodstream infections and zero preventable bloodstream infections.
葡萄糖酸氯己定（CHG）具有广谱抗菌特性，已被证明在延长皮肤消毒时间和减少肿瘤科室常见病原体方面有效。
通过工作人员持续遵守机构使用CHG擦拭巾沐浴的方案，降低血液科 - 肿瘤科中心静脉导管相关血流感染的发生率，并识别障碍及其对CHG擦拭巾最佳使用的干扰程度。
该项目通过向工作人员和患者提供关于当前做法的教育和培训以及识别障碍来支持工作人员和护士。直接观察和图表审核是实施该项目所选择的方法。
在项目研究期间，该科室发生了3例不可预防的血流感染，可预防的血流感染为零。
