Sixteen published studies and four conference abstracts were included for systematic review. Nine studies reported the impact of CHG on incidence of central-line-associated bloodstream infection (CLABSI); the incidence rate ratio (IRR) was 0.43 [95 confidence interval (CI): 0.26-0.71]. Five studies assessed the impact of CHG washcloths on incidence of surgical site infection (SSI); the RR was 0.29 (95 CI: 0.17-0.49). Four studies reported the impact on vancomycin-resistant enterococci (VRE) colonization; the IRR was 0.43 (95 CI: 0.32-0.59). Three studies reported the impact on meticillin-resistant Staphylococcus aureus (MRSA) colonization rate; the IRR was 0.48 (95 CI: 0.24-0.95). Six studies reported the impact on VRE infection; the IRR was 0.90 (95 CI: 0.42-1.93). Six studies reported the impact on MRSA infection; the IRR was 0.82 (95 CI: 0.51-1.30). There was no reduction in acinetobacter infection rates in the three studies where this was reported. Conclusion: These results suggest that the use of non-rinse CHG application significantly reduces the risk of CLABSI, SSI and colonization with VRE or MRSA, but not infection.
Karki, S., & Cheng, A. C-S. (2012). Impact of non-rinse skin cleansing with chlorhexidine gluconate on prevention of healthcare-associated infections and colonization with multi-resistant organisms: a systematic review. Journal of Hospital Infection, 82(2), 71 - 84. https://doi.org/10.1016/j.jhin.2012.07.005