Cilt Bakımında ve Vücut Banyosunda Kullanılan Klorheksidinin Etkisi: Sistematik Derleme

Amaç: Bu çalışma, temizleme amaçlı yapılan vücut banyolarında kullanılan klorheksidinin cilt üzerinde temizleyici etkisini anlamak için vücut banyosunda klorheksidinin kullanıldığı çalışmalar sistematik incelemektir. Yöntem: 1 Ocak- 20 Nisan 2022 tarihlerinde ‘Google Scholar’,‘Medline’, ‘Pubmed’, ‘Cochrane’, ‘Wiley Online Library’ tam metnine ulaşılan araştırma çalışmaları kullanıldı. Anahtar kelimeler ‘having bath chlorhexidine’, ‘nursing care with chlorhexidine’, ‘bath with chlorhexidine’ dir. Ulaşılan 2557 araştırmadan dahil edilme kriterlerine göre, 287 incelenen çalışmadan, kriterlere uygun ve tam metnine ulaşılan 27 çalışma alındı. Bulgular: Literatürde yapılan çalışmalarda toplam 972,948 hasta, 26 araştırma makalesi ve çok merkezli toplam 953 yataklı, 325 hemşirenin değerlendirildiği bir araştıma sonucundan elde edilen bulgular ile toplam 27 araştırma makalesinden oluşmaktadır. Örneklem grubu; farklı yaş, yoğun bakım üniteleri ve kliniklerdeki hastalardır. Bu çalışmalarda klorheksidinli banyonun, staphylococcus aureus (S. aureus), methicillin-resistant staphylococcus aureus (MRSA), vakomicine dirençli enterekok (VRE), çoklu ilaca dirençli mikroorganizma yükünün cilt üzerinden uzaklaştırılması amacıyla vücut hijyenin sağlanmasında kullanıldığı görülmektedir. Sonuçlar ve Öneriler: Klorheksidinli banyoların cilt üzerinde temizleyici etkisinin su- sabun, non- antiseptik özellikteki ürünlere göre etkili olduğu anlaşılmaktadır. Bu çalışmalar sonucunda hemşirelere, hijyen uygulamalarında enfeksiyonların önlenmesi için, %2 klorheksidinli temizleme mendilleri, %4 sıvı klorheksidin kullanılması önerilebilir.

Anahtar Kelimeler:

Klorheksidin, Banyo, Hijyen, Özbakım

EFFECT OF CHLORHEXIDE USED IN SKIN CARE AND BODY BATH: SYSTEMATIC REVIEW

Aim: In this study, studies using chlorhexidine in body baths were systematically examined in order to understand the cleasing effect of chlorhexidine used on body baths for cleasing purposes on the skin. Method: Between January 1 st and April 20th, 2022, research studies whose full texts were accessed were used in ‘Google Scholar’, ‘Medline’, ‘Pubmed’, ‘Cochrane’, ‘Wiley Online Library’. Key words are ‘having bath chlorhexidine’, ‘nursing care with chlorhexidine’, ‘bath with chlorhexidine’. According to the inclusion criteria from 2557 studies, 27 studies were included out of 287 studies, which met the criteria and whose full text was reached. Results: A total of 27 studies from the results of a multicenter study with 953 beds and 325 nurses evaluated with 972,948 patients, 26 studies. Sample groups; patients in different age groups, intensive care units, long- term health care services, and long- term hospitalizations in different clinics and units. Removal of chlorhexidine bath, staphylococcus aureus (s. aureus), methicilin- resistant staphylococcus aureus (MRSA), vacomicin- resistant enterococcus (VRE), multi-drug resistant microorganism load from the skin, prevention of medical treatment- related infections (blood- related infections, urinary catheter- related, ventilator- associated, central venous catheter- related infections), prevention of bacteremia, and body hygiene before surgical intervention. Conclusions and Suggestions: It is seen that the cleaning process of chlorhexidine baths on the skin is more effective than soap and non- antiseptic products. As a results of these studies, nurses can be recommended to use 2% chlorhexidine cleaning wipes and 4% liquid chlorhexidine to prevent infections in hygiene practices.

Keywords:

Bath;, Hygien, Chlorhexidine, Self- Care,

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