Universal ICU Decolonization: An Enhanced Protocol

Universal ICU Decolonization

Do:

• Use chlorhexidine (CHG) baths in place of daily bathing with soap and water.
• Massage firmly into skin to bind skin proteins and prevent bacteria for 24 hours.
• Give CHG baths every day for entire ICU stay.
• Use nasal mupirocin twice a day for 5 days of ICU stay.
• Only use CHG-compatible lotions.
• Restart entire protocol for readmitted ICU patients.
• Clean 6 inches of tubing closest to body.
• Use over superficial wounds, including stages 1 and 2 decubitus ulcers.

Don't:

• Do NOT use above jawline.
• Do NOT rinse or wipe off CHG. Let air dry.
• Do NOT flush CHG cloths (discard in trash, not toilet or commode).
• Do NOT continue protocol after ICU discharge.
• Do NOT include patients who are allergic to mupirocin and/or CHG.