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. Author manuscript; available in PMC: 2011 Aug 1.
Published in final edited form as: Infect Control Hosp Epidemiol. 2010 Aug;31(8):846–849. doi: 10.1086/655017

Table 1.

Survey questions regarding chlorhexidine use in the neonatal intensive Care unit

With which institution are you primarily affiliated?
Please select the level that best describes the functional capacity of the NICU you primarily work at
How many very low birth weight infants (less than or equal to 1500 grams) does your primary NICU admit each year?
How long have you been in the neonatology field?
Have you ever used hexachlorophene (Phisohex) in the neonatal population in the past?
Who primarily determines if chlorhexidine is used for select patients and for select indications in the NICU?
For what purposes do you use chlorhexidine in your NICU?
If you use chlorhexidine for any indication, do you use it on neonates of a minimum chronological age?
Do you limit which neonates are exposed to chlorhexidine by birth weight or gestational age?
Which antiseptic agent do you primarily use to prepare the skin for central vascular catheters inserted in your NICU?
Have you experienced any adverse events using chlorhexidine in the NICU?
Do you have concerns about using chlorhexidine in the NICU?