Effectiveness of Chg Baths in Mrsa

Chlorhexidine Gluconate Bathing to Reduce MRSA Infection Spread
Jack Athenas
BCTC

Chlorhexidine Gluconate Bathing to Reduce MRSA Infection Spread
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium responsible for several difficult-to-treat infections in humans. There are over 3.62 deaths per 100,000 people in the US alone. (Petlin, Schallom, Prentice, Sona, Mantia, McMullen, & Landholt, 2014) MRSA infections per year in the US alone and this paper will discuss one very promising nursing intervention found to be effective in MRSA acquisition inhibition through the use of a chlorhexidine gluconate bath. This article’s goals were to determine if there was a difference in MRSA acquisition between soap-and-water baths and CHG baths and to examine the cost differences between CHG bathing using bath-basin method versus using prepackaged CHG-impregnated washcloths (Petlin et al, 2014) and the results were very obvious.
Staphylococcus aureus bacteria are normally found in the nasal mucous membranes, on the skin, and in the respiratory and gastrointestinal tracts. Approximately one-third of the people the in the US are colonized with “staph” which means the organism is present in these locations but the individual is otherwise healthy and uninfected. (Taylor, Lillis, LeMone, & Lynn, 2011) The research conducted by two ICUs at Barnes-Jewish teaching hospital was to determine the effectiveness of CHG bathing versus regular soap and water in mitigating MRSA infection spread throughout the unit. After the study was completed, these two ICUs returned to regular soap and water baths as opposed to the CHG baths method and with that saw a return to higher MRSA acquisition rates in patients. The question of whether or not regular soap-and-water baths or CHG baths work better in MRSA prevention is answered and evidenced by the number of infections in 5 different ICUs studied. Three of the five hospitals performed active MRSA surveillance, including...