Patient perceptions of chlorhexidine bathing: A pilot study using the health belief model

American Journal of Infection Control
Teresa CayaNasia Safdar

Abstract

Many studies investigating daily chlorhexidine gluconate (CHG) bathing as an infection control intervention to decrease health care-associated infections have focused on reduction of infection and colonization; few studies have assessed CHG bathing compliance, work system factors, facilitators, and barriers to implementation. This is a combination retrospective/prospective pilot study conducted at a large academic teaching hospital that implemented daily CHG bathing across all inpatient units. CHG compliance and patient refusal were calculated on the basis of documentation in the electronic medical record. We used the health belief model to guide semistructured interviews with patients about knowledge and barriers related to CHG bathing. Of the 31 patients interviewed, 74% reported using CHG soap during their stay. Average compliance documented in the electronic medical record was 78% with a range of 57%-91% among all hospital units. Sixteen percent of patients declined CHG bathing, and refusal ranged from 3%-29% among all units. Major themes about CHG bathing from patient interviews include low perceived susceptibility to infection, high degree of trust in medical professionals, low knowledge of benefits of CHG, and low percei...Continue Reading

References

Jan 1, 1984·Health Education Quarterly·N K Janz, M H Becker
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Steven Z KassakianJason T Machan
Jan 1, 2010·Risk Management and Healthcare Policy·Robert John Adams
Feb 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John C O'HoroNasia Safdar
Apr 10, 2012·The American Journal of Medicine·Marisa A MontecalvoGary P Wormser
Oct 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mark E RuppTrevor C VanSchooneveld
Feb 8, 2013·The New England Journal of Medicine·Michael W ClimoEdward S Wong
May 31, 2013·The New England Journal of Medicine·Susan S HuangUNKNOWN AHRQ DECIDE Network and Healthcare-Associated Infections Program
May 20, 2014·American Journal of Infection Control·Michel Fernando Martínez-ReséndezAdrián Camacho-Ortiz
Oct 11, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Andrea C BishopNeil J MacKinnon
Jan 21, 2015·JAMA : the Journal of the American Medical Association·Michael J NotoArthur P Wheeler
Apr 23, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Andrea Green HinesAngela Hewlett
Jun 16, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Laura SuppleCurtis J Donskey
Jan 27, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Cydney HeidNasia Safdar
Feb 20, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Adhiratha BoonyasiriVisanu Thamlikitkul
Nov 24, 2016·Critical Care : the Official Journal of the Critical Care Forum·Steven A FrostKenneth M Hillman

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