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. 2012 Apr 12;38(6):931–939. doi: 10.1007/s00134-012-2542-z

Table 1.

Characteristics of included studies

Study Design Patients included (n) Duration (months) Setting Domaina CHG intervention Co-interventions or control group Primary outcome Secondary outcome(s)
Batra [13] ITS 4,570 51 Single center, mixed ICU Patients colonized or infected with MRSA 1 % CHG in nostrils/mouth/tracheotomy site QID Educational campaign (reinforcing HH and barrier nursing, covert HH and barrier nursing audit and monthly MRSA infection rate feedback) Transmission of MRSA colonization
1 % CHA in groin/axillae/skin folds daily MRSA colonized nursed in side rooms or pairs
4 % CHG body wash daily
Bleasdale [10] RCT 836 12 Single center, medical ICU All patients 2 % CHG body wash daily with impregnated cloths Daily bathing with soap and water All-cause primary BSIs All-cause UTI, VAP, and secondary BSIs.
Camus [14] RCT 256b 30 Multi-center, medical ICUs Patients with expected duration of ventilation > 48 h 15 ml of 4 % CHG body wash every 12 h for 5 days with or without SDD SDD plus “body wash placebo” or placebo only All-cause infections acquired until 48 h after termination of study treatments All-cause total and device-related infections
Climo [15] ITS 5,043 12 Multi-center, medical, surgical, cardiac surgery; and coronary/medical ICUs All patients 4 % CHG body wash daily Daily bathing with non-medicated soap and water Acquisition of MRSA and VRE colonization and BSIs
Gould [16] ITS 2,653 48 Single center, mixed ICU All patients 4 % CHG body and hair wash daily Nasal ointment QID (a) 2 % fusidic acid; (b) 3 % oxytetracycline (only available first 6 months) or (c) 0.5 % neomycin sulphate w 0.1 % chlorhexidine hydrochloride Acquisition of MRSA colonization and infection S. aureus bacteremia
Popovich [17] ITS 3,048c 24 Single center, surgical ICU All patients 2 % CHG body wash daily Daily bathing with bar soap, warm water and cotton washcloths Acquisition of all-cause CLABSIs Acquisition of other nosocomial infections
Raineri [18] ITS 3,978 120 Single center, mixed ICU All patients 4 % CHG body wash daily for 5 days Post-intervention education session for new HCWs, monthly infection control meetings, strict isolation, and cohorting Acquisition of MRSA colonization and infection
CHG shampoo on day 1 and 5

BSI bloodstream infection, CHA chlorhexidine acetate, CHG chlorhexidine gluconate, CLABSI catheter-related bloodstream infections, ICU intensive care unit, ITS interrupted time series, MRSA methicillin-resistant Staphylococcus aureus, RCT randomized controlled trial, S. aureus Staphylococcus aureus, SDD selective digestive decontamination, UTI urinary tract infection, VAP ventilator-associated pneumonia, VRE vancomycin-resistant Enterococci

aThe domain for the CHG intervention is stated. The domain for co-interventions can differ

bOnly taking into account the “neither” and the “CHG” regimen patients

cCalculated from mean monthly admission rate of 138 during 12 months at baseline and 116 during 12 months at intervention phase