Our hospital is considering switching from Enturia "Chloraprep" to PDI "Chlorascrub.Â The CHG is 3% in the PDI product.Â Does anyone have any experience with this product?
Sorry I haven't replied sooner...and hope I can get my thoughts across in this forum. If not, please feel free to email me at [email protected].
In '08, the hospital I work for was talking of changing to the "chlorascrub" product. I had worked with a Dr. over Micro to bring Chloraprep to the hospital in 2003. I feel it is an extremely good product. When we heard of this potential change, we gathered our 'ammo' and I am glad to report, the team chose to stay with Chloraprep, despite a slightly higher cost.
For one thing, I did a 'wear test' on some of my co-workers. It was a 'blinded' study of only 3, but one had increased itching from CS (Chlorascrub) after 36 hours and took it off, and the other 2 had irritation from the CS product after 6 hrs and 25 hrs.
Gayle (the PhD) & I both felt the 'alcohol' type swabs to be used for prepping were too chancy for contamination as you cleanse. At that time, they did not have larger sizes (beyond the swab sticks) and did not have tinted.
We also had some questions about some of their statements, and got some interesting answers from phone calls of users that I really don't want to say here. Switching to CP in '03 greatly reduced false positive blood cultures and Gayle did not want to change the product. We explained the expense of false blood cultures and a variety of other issues that go along with these. We also demonstrated issues I had in using them with PICC placements. And sited some other things.
I am very happy to say the team was very quick to stay with the CP. Oh, and one other factor that sure didn't help matters....the weather had turned snowy and the rep and his PhD were late arriving. When we finally contacted the rep, we learned that the PhD couldn't make it, so the rep wasn't coming either. Nice time to let the committee know, but helped Gayle and I as we were prepared to argue our point with them and didn't have to.
I will say that this may be a localized case and the product may serve others well, but I really love the Chloraprep product and am glad we are continuing with it, at least for the time being. As I said, if you would like to hear more, that I don't want to say to the world, please email me.
Hope this at least gives you something to take to your team.
Alright, I will be the one who speaks to the other side of this. We recently trialed the PDI product.
90 days in both ED and phlebotomy areas. IV team trialed it for central line dressings and IV starts.
We saw no increase in blood culture contamination rates, no increase in central line and PIV issues. We did in the beginning see some skin irritation at dressing sites. When we spoke to the staff and the rep we found that the staff were not allowing adequate drying time. The prep from PDI does require less scrub time but a great deal more drying time.....
Cost and acceptablilty mean we are going to end up using it. So far so good though!
Jose Delp RN BSN
CliClinical Nurse Manager IV Team
Upper Chesapeake Health