13.11.2 Chlorhexidine salts - South & West

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13.11 Skin cleansers, antiseptics, and desloughing agents Toggle Pages

13.11.1 Alcohols and saline 13.11.2 Chlorhexidine salts 13.11.3 Octenidine 13.11.4 Iodine 13.11.5 Oxidisers and dyes

Chapter 13: Skin Toggle Parent Pages

Management of eczema Psoriasis management Treatment of seborrhoeic dermatitis Treatment of itching skin (pruritus) Management of urticaria Management 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