Comparison of chlorhexidine and tincture of iodine for skin antisepsis in preparation for blood sample collection
- PMID: 15131193
- PMCID: PMC404630
- DOI: 10.1128/JCM.42.5.2216-2217.2004
Comparison of chlorhexidine and tincture of iodine for skin antisepsis in preparation for blood sample collection
Abstract
Rates of contamination of blood cultures obtained when skin was prepared with iodine tincture versus chlorhexidine were compared. For iodine tincture, the contamination rate was 2.7%; for chlorhexidine, it was 3.1%. The 0.41% difference is not statistically significant. Chlorhexidine has comparable effectiveness and is safer, cheaper, and preferred by staff, so it is an alternative to iodine tincture.
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References
-
- Cobett, S., and A. LeBlanc. 1999. IV site infection: a prospective, randomized clinical trial comparing the efficacy of three methods of skin antisepsis; CINA conference ′99. Off. J. Can. Intravenous Nurs. Assoc. 15:48-49.
-
- Darmstadt, G. L. 2000. Neonatal skin care. Pediatr. Clin. N. Am. 47:757-782. - PubMed
-
- Garland, J. S., C. P. Alex, C. D. Mueller, D. Otten, C. Shivpuri, et al. 2001. A randomized trial comparing povidone-iodine to a chlorhexidine gluconate-impregnated dressing for prevention of central venous catheter infections in neonates. Pediatrics 107:1431-1436. - PubMed
-
- Garland, J. S., R. K. Buck, P. Maloney, D. M. Durkin, S. Toth-Lloyd, M. Duffy; P. Szocik, T. L. McAuliffe, and D. Goldmann. 1995. Comparison of 10% povidone-iodine and 0.5% chlorhexidine gluconate for the prevention of peripheral intravenous catheter colonization in neonates: a prospective trial. Pediatr. Infect. Dis. 14:510-516. - PubMed
-
- Kinirons, B., O. Mimoz, L. Lafendi, T. Naas, et al. 2001. Chlorhexidine versus povidone iodine in preventing colonization of continuous epidural catheters in children. Anesthesiology 94:239-244. - PubMed
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