• Emerg Med Australas · Apr 2022

    Chlorhexidine skin cleaning to reduce clean-catch urine contamination in infants: A pilot study.

    • Jared Gursanscky, Sharon Klim, David Krieser, Andrew Tagg, and Jonathan Kaufman.
    • Department of Paediatric Emergency Medicine, Sunshine Hospital, Western Health, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2022 Apr 1; 34 (2): 282-284.

    ObjectiveClean-catch urine (CCU) samples are frequently contaminated. Our aim was to determine if cleaning with 0.1% chlorhexidine before CCU is a safe and feasible method to reduce contamination.MethodsProspective interventional pilot study. Children 1-24 months underwent perigenital skin cleaning with 0.1% chlorhexidine. Primary outcome was contamination rate, and secondary outcomes were parent and clinician satisfaction with the procedure.ResultsTwelve of 54 urine samples were contaminated (22%, 95% CI 13-35). Over 90% of parents and clinicians were either 'satisfied' or 'very satisfied'. No adverse events were recorded.ConclusionCleaning with chlorhexidine solution before CCU is safe and feasible.© 2022 Australasian College for Emergency Medicine.

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