Hautantiseptik

Die antiseptische Behandlung der Haut von Patienten ist ein Standardverfahren zur Prävention postoperativer Wundinfektionen sowie Katheter-assoziierter Septikämien. Die Zusammensetzung der Hautantiseptika variiert erheblich, der erwartbare gesundheitliche Patientennutzen ist unterschiedlich gut belegt.

Kernaussagen

• Die Kombination aus Alkohol und CHG ist mit der niedrigsten Inzidenz postoperativer Wundinfektionen assoziiert, wässriges PVP-Iod hingegen mit der höchsten.

• Durch die Hautantiseptik mit Alkohol und CHG kann im Vergleich zu PVP-Iod die Rate Katheter-assoziierter Blutstrominfektionen reduziert werden.

• Alternativ kann die farblose Kombination aus Alkohol und 0,1 % OCT in Betracht gezogen werden. Der mögliche gesundheitliche Nutzen für den Patienten ist jedoch nicht belegt.

• Nicht alle Hersteller bieten die jeweils gleichen Rezepturen als farblose und gefärbte Lösungen an, sodass die Auswahl von gefärbten Präparaten auf Basis von Alkohol und CHG sehr begrenzt ist.

• Reine alkoholische Hautantiseptika oder solche mit sehr geringen Konzentrationen weiterer biozider Wirkstoffe wie Benzalkoniumchlorid sind zur Prävention Katheter-assoziierter Septikämien keine erste Wahl.

Publikationsverlauf

Artikel online veröffentlicht:
22. Februar 2022

• Literatur

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