Which chlorhexidine preparations are suitable to use?

Hundreds of patients have suffered from the accidental administration of indistinct pourable chlorhexidine (see here). Please lend your support to ban it (click here)

Distinct chlorhexidine or versions which cannot be inadvertently drawn into a syringe are already used in many hospitals – they should replace their hazardous alternatives.

We have compiled a list which is by no means exhaustive – please feel free to suggest others. The particular form chosen depends on given circumstances.

From our understanding there’s no evidence of increased benefit of 2% over 0.5% chlorhexidine preparations.

The AAGBI, OAA, RAUK, and APAGBI all recommend use of 0.5% chlorhexidine in alcohol for neuraxial blockade (see here).

That 2% chlorhexidine appears in many policy recommendations (see here) is a reflection of corruption (see here). Still, we have included 2% chlorhexidine applicators as similar 0.5% applicators are currently not supplied in some countries – we encourage manufacturers to develop applicators with 0.5% chlorhexidine in alcohol.

Pourable distinct 0.5%chlorhexidine in alcohol 70%: (click on image)

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Non-pourable 0.5%chlorhexidine in alcohol 70%: (click on image)

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Non-pourable 2% chlorhexidine in alcohol 70%: (click image)

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