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. 2016 Jul 13;2016(7):CD010140. doi: 10.1002/14651858.CD010140.pub2

Comparison 4. Chlorhexidine versus povidone‐iodine.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Catheter‐related BSI 4 1436 Risk Ratio (M‐H, Fixed, 95% CI) 0.64 [0.41, 0.99]
1.1 Chlorhexidine in aqueous solution versus povidone‐iodine in aqueous solution 2 452 Risk Ratio (M‐H, Fixed, 95% CI) 0.64 [0.32, 1.28]
1.2 Chlorhexidine in alcohol versus povidone‐iodine in aqueous solution 2 503 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.39, 1.53]
1.3 Chlorhexidine in alcohol versus povidone‐iodine in alcohol 1 481 Risk Ratio (M‐H, Fixed, 95% CI) 0.40 [0.13, 1.24]
2 Catheter‐related BSI per 1000 catheter‐days 4 1450 Risk Ratio (Fixed, 95% CI) 0.53 [0.30, 0.94]
2.1 Chlorhexidine in aqueous solution versus povidone‐iodine in aqueous solution 1 308 Risk Ratio (Fixed, 95% CI) 0.82 [0.23, 2.93]
2.2 Chlorhexidine in alcohol versus povidone‐iodine in aqueous solution 3 661 Risk Ratio (Fixed, 95% CI) 0.49 [0.25, 0.95]
2.3 Chlorhexidine in alcohol versus povidone‐iodine in alcohol 1 481 Risk Ratio (Fixed, 95% CI) 0.41 [0.06, 2.92]
3 All‐cause mortality 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Chlorhexidine in aqueous solution versus povidone‐iodine in aqueous solution 1 213 Risk Ratio (M‐H, Fixed, 95% CI) 1.15 [0.72, 1.83]
3.2 Chlorhexidine in alcohol versus povidone‐iodine in aqueous solution 1 222 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.48, 1.34]
4 Catheter colonisation 5 1533 Risk Difference (M‐H, Fixed, 95% CI) ‐0.08 [‐0.12, ‐0.03]
4.1 Chlorhexidine in aqueous solution versus povidone‐iodine in aqueous solution 2 452 Risk Difference (M‐H, Fixed, 95% CI) ‐0.09 [‐0.17, ‐0.02]
4.2 Chlorhexidine in alcohol versus povidone‐iodine in aqueous solution 3 600 Risk Difference (M‐H, Fixed, 95% CI) ‐0.04 [‐0.11, 0.03]
4.3 Chlorhexidine in alcohol versus povidone‐iodine in alcohol 1 481 Risk Difference (M‐H, Fixed, 95% CI) ‐0.11 [‐0.17, ‐0.04]
5 Catheter colonisation per 1000 catheter‐days 5 1547 Risk Ratio (Fixed, 95% CI) 0.64 [0.50, 0.81]
5.1 Chlorhexidine in aqueous solution versus povidone‐iodine in aqueous solution 1 308 Risk Ratio (Fixed, 95% CI) 0.69 [0.40, 1.20]
5.2 Chlorhexidine in alcohol versus povidone‐iodine in aqueous solution 4 758 Risk Ratio (Fixed, 95% CI) 0.64 [0.48, 0.85]
5.3 Chlorhexidine in alcohol versus povidone‐iodine in alcohol 1 481 Risk Ratio (Fixed, 95% CI) 0.53 [0.24, 1.17]
6 Insertion site infection 1 242 Mean Difference (IV, Fixed, 95% CI) ‐2.80 [‐9.10, 3.50]