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)
Non-pourable 0.5%chlorhexidine in alcohol 70%: (click on image)
Non-pourable 2% chlorhexidine in alcohol 70%: (click image)