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• W2966633354 abstract "●HAIs are reduced with improvement in chlorhexidine bathing. ●Spending money on chlorhexidine wipes results in savings. ●More money is saved as the efficiency of chlorhexidine bathing is increased. Background Multiple studies have shown that bathing with chlorhexidine gluconate (CHG) wipes reduces hospital-acquired infections (HAIs). We employed a mathematical model to assess the impact of CHG patient bathing on central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), and hospital-onset Clostridium difficile (C diff) infections and the associated costs. Methods Using a Markov chain, we examined the effect of CHG bathing compliance on HAI outcomes and the associated costs. Using estimates from 2 different studies on CHG bathing effectiveness for CLABSI, CAUTI, and C diff, the number of HAIs per year were estimated along with associated costs. The simulations were conducted, assuming CHG bathing at varying compliance rates. Results At 32% reduction in HAI incidence, increasing CHG bathing compliance from 60% to 90% results in 20 averted infections and $815,301.75 saved cost. Conclusions As CHG bathing compliance increases, yearly HAIs decrease, and the overall cost associated with the HAIs also decreases. Multiple studies have shown that bathing with chlorhexidine gluconate (CHG) wipes reduces hospital-acquired infections (HAIs). We employed a mathematical model to assess the impact of CHG patient bathing on central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), and hospital-onset Clostridium difficile (C diff) infections and the associated costs. Using a Markov chain, we examined the effect of CHG bathing compliance on HAI outcomes and the associated costs. Using estimates from 2 different studies on CHG bathing effectiveness for CLABSI, CAUTI, and C diff, the number of HAIs per year were estimated along with associated costs. The simulations were conducted, assuming CHG bathing at varying compliance rates. At 32% reduction in HAI incidence, increasing CHG bathing compliance from 60% to 90% results in 20 averted infections and $815,301.75 saved cost. As CHG bathing compliance increases, yearly HAIs decrease, and the overall cost associated with the HAIs also decreases." @default.
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• W2966633354 date "2019-12-01" @default.
• W2966633354 modified "2023-10-14" @default.
• W2966633354 title "You get back what you give: Decreased hospital infections with improvement in CHG bathing, a mathematical modeling and cost analysis" @default.
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• W2966633354 doi "https://doi.org/10.1016/j.ajic.2019.07.003" @default.
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