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Crosby - Skin antisepsis in neonates and children

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Choice of skin antisepsis in

Neonates and Children

Cynthia T Crosby, PhD

05Dec2017

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Disclosure

I have the following financial relationships to disclose:

• 

Employee of BD

• 

Distinguished Fellow, Infection Prevention

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Neonate and skin development

The epidermis develops in the second trimester and is complete by 32-34 weeks gestation

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Structural & functional differences of Adult,

Term, and Preterm Infant Skin

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Characteristics of Common Antiseptics

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Multifactorial bundles in the NICU –

Quality care initiatives

Curry S, et al. Infections in the NICU: Getting to Zero. Neonatal Network. 2009; 29(3).

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Chlorhexidine use in USA –

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Antiseptic Application

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Guidelines

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AWHONN – Association of Women’s Health, Obstetric and Neonatal

Nurses (2013)

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Labeling change in USA

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Pharmacovigilance and use of ChloraPrep (AND ALL CHG PRODUCTS)

in the neonatal population led to a label change

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Do not use on infants < 2 months of age

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