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bloodstream infections (Climo et al., 2013). It has been known that chlorhexidine was effective against gram-positive cocci, but the findings with fungal isolates being reduced was not expected. The authors reported that topical use of chlorhexidine had not been suggested in the past as systemic antifungal prophylaxis was typically relied on by healthcare personnel (Climo etal., 2013). If the results from this study are confirmed that topical usage of chlorhexidine can prevent fungal infections, then the authors reported it could be added to the strategies (Climo et al., 2013). Based on the findings from this study, it would be beneficial for nurses to incorporate chlorhexidine bathing in many unit settings, especially for patients that have extended ICU stays (Climo et al., 2013).
QUANTITATIVE RESEARCH CRITIQUE 6ConclusionAs evidenced by the study, daily bathing with chlorhexidine-impregnated cloths reduced the rates of hospital-acquired bloodstream infections and resistant organisms among patients in the ICU and bone marrow transplant units. The researchers of this study successfully supported previous research that was performed at a single-center by using a multicenter design. This approach allowed them to have a vigorous examination of the effectiveness with chlorhexidine bathing and the type of unit. As a result, the authors stated that “the participation of facilities from different geographic regions in the United States supports the generalizability of these results to other academic medical centers” (Climo et al., 2013, para. 28). The results attained from data analysis were clearly noted and the authors confirmed their findings with the research purpose and its underlying assumptions. Fortunately, there were no major adverse effects of chlorhexidine daily bathing and any reported allergic reactions were noted to be rare (Climo et al., 2013). Incorporation of chlorhexidine daily bathing does not require a substantial change to the current bathing practices, therefore nurses can provide an essential, safe and cost-effective strategy to prevent HAIs for all hospitalized patients.
QUANTITATIVE RESEARCH CRITIQUE 7ReferencesClimo, M. W., Yokoe, D. S., Warren, D. K., Perl, T. M., Bolon, M., Herwaldt, L. A., Weinstein, R. A., Sepkowitz, K. A., Jernigan, J. A., Sanogo, K., & Wong, E. S. (2013). Daily Chlorhexidine Bathing-Effect on Healthcare-associated BSI and MDRO Acquisition. TheNew England Journal of Medicine, 368(6), 533-542. doi:10.1056/NEJMoa1113849