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141. Staff Huddle Reminder: How To Address Chlorhexidine Bath or Shower Refusals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-refusals.pdf
     March 01, 2022 - bath/shower will protect them from infection during their hospital stay o Chlorhexidine gluconate (CHG … ) is more protective than soap and water o CHG is used on millions of patients in hospitals across … bath/shower will protect them from infection during their hospital stay o Chlorhexidine gluconate (CHG … ) is more protective than soap and water o CHG is used on millions of patients in hospitals across

142. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/010-ss-evidence-decolonization.pptx
     April 01, 2025 - Services The Evidence for Decolonization 3 MRSA and SSI Prevention Phases: Decolonization (Nasal and CHG … Bathing Has Been Studied CHG bathing by itself (i.e., night before and morning of surgery) As part … of decolonization program combining CHG bathing and nasal decolonization (for 5 days) Common CHG preparations … Preferred method: Preoperative skin antisepsis with CHG bathing for 5 days, as part of decolonization … CHG bathing as part of decolonization decreases SSIs.

143. Gap Analysis for MRSA Prevention (Unit-Level) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
     June 02, 2025 - Is chlorhexidine gluconate (CHG) treatment (bathing) utilized for all patients? … At what frequency is CHG treatment (bathing) utilized for all patients? … Estimate the percentage of patients who receive CHG treatment (bathing) as intended. … Is CHG treatment (bathing) used for patients with central lines or epidural catheters? …  CHG bathing for patients with central lines.

144. Staff Huddle Reminder: Wound Cleaning With Chlorhexidine (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-wound-cleaning.pdf
     March 01, 2022 -  CHG should be applied over any semipermeable or occlusive dressing. …  Staff: Use a clean CHG cloth to clean patient’s wounds after showering. AHRQ Pub. …  CHG should be applied over any semipermeable or occlusive dressing. …  Staff: Use a clean CHG cloth to clean patient’s wounds after showering. AHRQ Pub.

145. 011-Ss-Decolonization-Strategies-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
     April 01, 2025 - These include nasal decolonization, preoperative skin antisepsis with chlorhexidine (CHG), antimicrobial … Slide 3 MRSA and SSI Prevention Phases: Nasal and CHG Skin Antisepsis Decolonization SAY: There are … Mupirocin has also been shown to have added benefit to concomitant skin antisepsis (e.g., CHG) in terms … Carriers were treated for 5 days with twice daily intra-nasal mupirocin and daily CHG bathing. … However, even among people who only received 1 day of the mupirocin and CHG, 69 percent were negative

146. Decision Making and Readiness for Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
     March 01, 2022 - product for both bed bathing and showering and ensuring a process for providing and documenting CHG … cloths for bed baths and 4% rinse of CHG for the shower plus nasal mupirocin. … • What is the added benefit of mupirocin over the daily CHG baths? … o It is important to ensure that CHG and mupirocin are applied properly. … to iodophor/CHG in ICU patients.27 • Aren’t some bacteria good for us?

147. Central Venous Catheter Maintenance Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
     April 01, 2022 - These strategies include daily bathing with a CHG preparation and following essential CVC maintenance … Key points include: The CHG bath is an actual bath rather than a topical application. … Application with cotton materials should be avoided since the CHG can bind with the cotton rather than … Several lotions and creams in the hospital can negate the benefits of CHG. … Practitioners are often skeptical about washing clean wounds with CHG if not dressed.

148. 035-Ss-Pre-Launch-Activities (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/035-ss-pre-launch-activities.docx
     April 01, 2025 - · Stocking the products: Preparations for adequate stocks of CHG and nasal decolonization products … · An important consideration is how patients will receive their CHG. … You may decide to provide patients with instructions on how to purchase CHG on their own—or you may decide … to provide the CHG to them directly at the last clinic visit prior to the surgery. … For example, track whether patients have taken their CHG baths or performed nasal decolonization while

149. 067-Dec-Staff-Sample-Adherence-Report (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/067-dec-staff-sample-adherence-report.docx
     October 01, 2024 - Type of soap (chlorhexidine gluconate [CHG], non-CHG) e. … Reason(s) why CHG bath/shower not given/not taken 2. … The numerator represents the sum of calendar days where those same patients received CHG baths.

150. Sample Adherence Report (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/sample-adherence-report.docx
     March 01, 2022 - Type of soap (chlorhexidine [CHG], non-CHG) f. Reason(s) why CHG bath/shower not given/not taken 2. … The numerator represents the sum of calendar days where those same patients received CHG baths.

151. Sample Adherence Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/sample-adherence-report.pdf
     March 01, 2022 - Type of soap (chlorhexidine [CHG], non-CHG) f. … Reason(s) why CHG bath/shower not given/not taken 2. … The numerator represents the sum of calendar days where those same patients received CHG baths.

152. 017-Ss-Importance-Ssi-Mrsa-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
     April 01, 2025 - MRSA and target surgical site infections: nasal decolonization, preoperative chlorhexidine gluconate (CHG … the toolkit includes the following topics associated with the phases: · Office/home: Decolonization, CHG … bathing · Preoperative: Decolonization, CHG bathing, hand hygiene, hair removal, antimicrobial prophylaxis … Immediate postoperative: Optimize tissue oxygenation, contact precautions (if appropriate), ongoing CHG … to preoperative CHG bathing or skin antisepsis in preparation for surgery.

153. 134-Clabsi-Prevention-Central-Line-Maintenance (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/134-clabsi-prevention-central-line-maintenance.docx
     October 01, 2024 - Dressing Change5,7 The preferred choice of dressing is a transparent dressing that contains chlorhexidine (CHG … dressings should be changed every 5 to 7 days or sooner if they become loose, damp, or soiled. · A CHG-based … Daily CHG Bathing (unless contraindicated)8-13 All areas of the skin should be cleaned every day, with … Six inches of every line, tube, or drain nearest to the body should also be cleaned with CHG. … For more on CHG bathing, refer to the Decolonization section of the ICU & Non-ICU toolkit.

154. Decolonization Strategies
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
     April 01, 2025 - Prevention | Surgical Services Decolonization Implementation MRSA and SSI Prevention Phases: Nasal and CHG … causes of SSIs S. aureus is frequently found in nares and on skin Nasal decolonization decreases SSIs CHG … decreases SSIs Other decolonization resources The Evidence for MRSA Decolonization Use of Preoperative CHG … led to 45 percent reduction in nosocomial MRSA infections2 Mupirocin contributes additive benefit to CHG … MRSA/MSSA Targeted decolonization for positive screenings 5-day course of mupirocin twice daily and CHG

155. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
     October 01, 2024 - One Pager: Top 10 Pearls for Successful CHG and Nasal Decolonization One-Pager (.docx) · A practical … tip sheet offering top 10 pearls of wisdom for CHG and nasal MRSA decolonization. … application. · Bed Bathing With 2% CHG Pre-Impregnated Cloths (.docx) · Basin Bed Bathing With 4% CHG … Bed Bath Using Impregnated Cloths 2:38–4:26 Instructions for CHG Bed Bath Using Diluted CHG Liquid … about CHG Decolonization 5:38–7:37 Scenario: Teaching a Patient How to Self-Shower with CHG 7:38

156. 021-Ss-Mrsa-Surveillance-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
     April 01, 2025 - and SSIs include the following: decolonize patients, perform preoperative chlorhexidine gluconate (CHG … The second point is that while mupirocin and CHG greatly reduce colonization and SSIs, this and other … the patient should use Mupirocin and CHG for 5 days prior to surgery and the morning of surgery. … This calendar shows how the patient would check off the use of CHG cloths or wipes with mupirocin. … The other, 5-day CHG Shower +Mupirocin Surgery Prep Calendar shows the use of CHG soap or shower and

157. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
     April 01, 2025 - site infections include the following: nasal decolonization, preoperative chlorhexidine gluconate (CHG … CHG and povidone-iodine do provide residual activity on the skin. … Combining alcohol with either CHG or povidone-iodine can result in rapid, persistent, and cumulative … Slide 9 CHG-Alcohol vs. … PI-Alcohol for Skin Antisepsis SAY: Several recent studies suggest that CHG-alcohol may be superior

158. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
     April 01, 2025 - site infections include the following: nasal decolonization, preoperative chlorhexidine gluconate (CHG … CHG and povidone-iodine do provide residual activity on the skin. … Combining alcohol with either CHG or povidone-iodine can result in rapid, persistent, and cumulative … Slide 9 CHG-Alcohol vs. … PI-Alcohol for Skin Antisepsis SAY: Several recent studies suggest that CHG-alcohol may be superior

159. 168-Central-Line-Maintenance-Infographic (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/168-central-line-maintenance-infographic.docx
     October 01, 2024 - adherent on all borders) · Use a standardized dressing kit to replace dressings Chlorhexidine Gluconate (CHG … ) Treatment · Perform CHG treatment (bath) daily · Change the bed linens at the time of the CHG treatment

160. Central Venous Catheter Maintenance
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
     April 01, 2022 - Basics of Maintenance: Hardwiring Practice4 Discussion of daily need Dressing integrity/site securement/CHG … dressing CHG baths Accessing the site Administration and tubing set changes AHRQ Safety Program for … port or hub with appropriate antiseptic and use only sterile devices to access Daily bathing with CHG … Bathing8-12 Consider incorporating CHG bathing to reduce CLABSIs Application and training sessions for … a daily assessment of CVC necessity Standardize processes for accessing the CVC, dressing changes, CHG