Chlorhexidine‐methanol burns in two extreme preterm newborns

X Bringue Espuny, X Soria, E Sole, J Garcia… - Pediatric …, 2010 - Wiley Online Library
X Bringue Espuny, X Soria, E Sole, J Garcia, JJ Marco, J Ortega, M Ortiz, A Pueyo
Pediatric dermatology, 2010Wiley Online Library
Safe and effective antiseptic use in neonatal intensive care units is mandatory. High efficacy
and a low number of side‐effects from chlorhexidine have permitted avoidance of the use of
mercurials and iodine derivatives, but methanol use can be unsafe in extreme preterm
newborns. We report two cases of chemical burn after skin cleansing, due to alcoholic
chlorhexidine (0.5%) use in extremely premature infants used for umbilical catheter
insertion. Although this formulation is less concerning for use in full‐term newborns …
Abstract
Safe and effective antiseptic use in neonatal intensive care units is mandatory. High efficacy and a low number of side‐effects from chlorhexidine have permitted avoidance of the use of mercurials and iodine derivatives, but methanol use can be unsafe in extreme preterm newborns. We report two cases of chemical burn after skin cleansing, due to alcoholic chlorhexidine (0.5%) use in extremely premature infants used for umbilical catheter insertion. Although this formulation is less concerning for use in full‐term newborns, nonalcoholic preparations are preferable for use in preterm newborns.
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