Chlorhexidine Sensitivity Information

As with all drugs and chemicals, there may be a chance of allergic reaction. The prevalence of this is low, and the benefits of chlorhexidine use for CLABSI prevention significantly outweigh its risks.1,2

The risk is low.

<1%
The estimated incidence of chlorhexidine-induced anaphylaxis was 0.78 per 100,000 exposures.1*
*According to the Royal College of Anaesthetists' allergen survey conducted in 2018.

What is Chlorhexidine?

Understand the properties of chlorhexidine to support strategies to reduce central line-associated bloodstream infections (CLABSI).

The risks of CLABSIs are growing.

Power of Chlorhexidine

67-100%
CLABSI reduction
with Arrowg+ard Blue Plus™ Catheters3-6

CLABSI Risks

7% increase
in CLABSIs in acute care hospitals from 2020 to 20212
12%-15% expected increase
in hospital stay, morbidity, and mortality2

Have a patient with a suspected chlorhexidine allergy?

Below are suggestions for how to manage patients with this type of condition.

  • Emphasize taking patient history and reviewing anesthesia records
  • Perform proactive chlorhexidine allergy tests
  • For patients with a confirmed allergy, provide an allergy card or bracelet for easy identification and avoid chlorhexidine-containing drugs or medical devices

Determined Commitment

Determined Commitment

Teleflex strives to be your trusted vascular access partner, working with you to provide accurate and relevant data to support your clinical decisions.

The choice to use an antimicrobial-protected catheter should be made with patients in mind—to protect and defend against CLABSI-causing pathogens.7

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References:

  1. Cook TM, Harper NJN, Farmer L, et al. Anaesthesia, surgery, and life-threatening allergic reactions: protocol and methods of the 6th National Audit Project (NAP6) of the Royal College of Anaesthetists. Br J Anaesth. 2018;121(1):124-133. doi:10.1016/j.bja.2018.04.001
  2. Toor H, Farr S, Savla P, Kashyap S, Wang S, Miulli DE. Prevalence of central line-associated bloodstream infections (CLABSI) in intensive care and medical-surgical units. Cureus. 2022;14(3):e22809. doi:10.7759/cureus.22809
  3. Rupp ME, Lisco SJ, Lipsett PA, et al. Effect of a second-generation venous catheter impregnated with chlorhexidine and silver sulfadiazine on central catheter-related infections: a randomized, controlled trial. Ann Intern Med. 2005;143(8):570-580. doi:10.7326/0003-4819-143-8-200510180-00007
  4. Lorente L, Lecuona M, Jiménez A, et al. Chlorhexidine-silver sulfadiazine-impregnated venous catheters save costs. Am J Infect Control. 2014;42(3):321-324. doi:10.1016/j.ajic.2013.09.022
  5. Lorente L, Lecuona M, Jiménez A, et al. Cost/benefit analysis of chlorhexidine-silver sulfadiazine-impregnated venous catheters for femoral access. Am J Infect Control. 2014;42(10):1130-1132. doi:10.1016/j.ajic.2014.06.027
  6. Lorente L, Lecuona M, Jiménez A, et al. Chlorhexidine-silver sulfadiazine-impregnated venous catheters are efficient even at subclavian sites without tracheostomy. Am J Infect Control. 2016;44(12):1526-1529. doi:10.1016/j.ajic.2016.04.236
  7. Ryder MA, et al. Reduction of Extraluminal Bacterial Colonization Using Chlorhexidine Antimicrobial-coated PICC Catheters in a Clinically Simulated Ovine Model. Infusion Nurses Society Annual Convention and Industrial Exhibition; 2012.

Contraindications:

The Arrowg+ard Blue™ and Arrowg+ard Blue Plus™ Catheters are contraindicated for patients with known hypersensitivity to chlorhexidine, silver sulfadiazine and/or sulfa drugs.

Clinical assessment of the patient must be completed to ensure no contraindications exist. Arrowg+ard Blue Advance™ Catheters are contraindicated in the following areas:

No correlation between in vitro/in vivo testing methods and clinical outcomes have currently been ascertained.

Teleflex, the Teleflex logo, Arrow, Arrowg+ard Blue, Arrowg+ard Blue Advance, and Arrowg+ard Blue Plus are trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries. All other trademarks are trademarks of their respective owners. MCI-102066

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