Impact of daily octenidine skin washing on antiseptic tolerance of coagulase-negative staphylococci in two neonatal intensive care units with different bathing practices
Impact of daily octenidine skin washing on antiseptic tolerance of coagulase-negative staphylococci in two neonatal intensive care units with different bathing practices
复制标题
每日奥替尼啶皮肤清洗对两个新生儿重症监护病房不同沐浴方式凝固酶阴性葡萄球菌抗菌耐受性的影响
DOI：
10.1101/2022.06.23.22276813
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Felgate H
中科院分区：
文献类型：
--
作者：
Felgate H
BackgroundCoagulase Negative Staphylococci (CoNS) are responsible for 80-90 % of catheter related sepsis in neonates which can cause life threatening and damaging effects. NICUs within the UK use various practices to decolonise neonates to prevent infection ranging from regular full body bathing to localised skin decontamination before insertion of indwelling devices. There is a disparity in bathing practices for infants admitted onto neonatal units, with some choosing to regularly bathe infants and others not, and some routinely washing with skin antiseptics, and others not.AimTo compare the abundance of CoNS within two UK NICUs with different approaches to skin bathing and to test their tolerances to antiseptics.MethodsA collection of CoNS from two UK based NICUs with differing bathing routines for neonates were collated and tested for susceptibility to the antiseptics in use, octenidine and chlorhexidine.FindingsRegular bathing of neonates in octenidine did not decrease the abundance of organisms on neonatal skin. Isolates from the unit where octenidine was in frequent use did not show any increased antiseptic tolerance. Isolates from the unit where regular bathing was not routine practice were less susceptible to both antiseptics.ConclusionFrequent whole-body skin washing with octenidine does not appear to result in a lasting reduction in numbers of organisms found on the skin but also does not appear to select for antiseptic tolerant CoNS.
