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Chapter 13: Skin
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Management of eczema
Psoriasis management
Treatment of seborrhoeic dermatitis
Treatment of itching skin (pruritus)
Management of urticaria
Treatment of acne
Treatment of rosacea
Treatment of actinic keratoses
Management of hyperhidrosis
Management of skin conditions
13.2 Emollient and barrier preparations
13.3 Antipruritics
13.4 Topical corticosteroids
13.5 Preparations for eczema and psoriasis
13.6 Acne and rosacea
13.7 Preparations for warts and calluses
13.8 Sunscreens and camouflagers
13.9 Shampoos and other preparations for scalp and hair conditions
13.10 Anti-infective skin preparations
13.11 Skin cleansers, antiseptics, and desloughing agents
13.12 Antiperspirants
13.13 Miscellaneous skin preparations
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13.11.2 Chlorhexidine salts
First Line
Second Line
Specialist
Hospital Only
Chlorhexidine gluconate 4%
- Antiseptic skin cleanser solution
Notes
- Used for pre-op hand and skin preparation and for general hand disinfection.
- Some brands contain soya lecithin and are contraindicated in patients who have peanut or soya allergies
- A 5-7 day course of mupirocin 2% ointment or cream and 4% chlorhexidine wash is used to decolonise patients with MRSA.
CX Antiseptic Dusting Powder
(Chlorhexidine acetate)
- Sterile dusting powder 1%
Indication
- For use as a dusting powder to perineum, groin and axillae as per MRSA decolonisation policy.
Hibitane Obstetric
(Chlorhexidine gluconate)
- Cream 1% w/w
Indication
- For use post-radiotherapy
Chlorhexidine gluconate
- ChloraPrep 2% in isopropyl alcohol 70% sterile cutaneous solution
- Sterile 1 in 1000 aqueous solution (colourless) 900ml, 1 litre (unlicensed preparation)
- Sterile 0.015% w/v with cetrimide 0.15% (yellow) 25ml sachets, 1 litre
- Sterile 1 in 100 aqueous solution (pink) 100ml (unlicensed preparation)
- 0.5% w/v in 70% denatured ethanol (pink) 600ml and 200ml spray
- 0.5% w/v in 70% denatured alcohol (colourless) 600ml
