A randomized controlled trial of 1% aqueous chlorhexidine gluconate compared with 10% povidone-iodine for topical antiseptic in neonates: effects on blood culture contamination rates

Infect Control Hosp Epidemiol. 2013 Apr;34(4):430-2. doi: 10.1086/669863. Epub 2013 Feb 14.

Abstract

We conducted a randomized controlled trial in neonates with birth weight greater than or equal to 1,500 g that compared 1% aqueous chlorhexidine gluconate (CHG) with 10% povidone-iodine (PI) as a topical antiseptic. We found 1% CHG to be more effective than 1% PI in reducing blood culture contamination rates, and no contact dermatitis was observed.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Cutaneous
  • Anti-Infective Agents, Local* / administration & dosage
  • Anti-Infective Agents, Local* / adverse effects
  • Antisepsis / methods*
  • Blood / microbiology*
  • Blood Specimen Collection / methods*
  • Chlorhexidine / administration & dosage
  • Chlorhexidine / adverse effects
  • Chlorhexidine / analogs & derivatives*
  • Humans
  • Infant, Newborn
  • Outcome Assessment, Health Care
  • Povidone-Iodine* / administration & dosage
  • Povidone-Iodine* / adverse effects
  • Skin / drug effects
  • Skin / microbiology*
  • Staphylococcus epidermidis / isolation & purification

Substances

  • Anti-Infective Agents, Local
  • Povidone-Iodine
  • chlorhexidine gluconate
  • Chlorhexidine