{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:40:47Z","timestamp":1791618047504,"version":"4.3.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and aim:<\/jats:title>\n                    <jats:p>2% Chlorhexidine gluconate in 70% isopropyl alcohol (2% CHG in 70% IPA) is the recommended skin antiseptic for adult and children during central venous catheter (CVC) insertion but neonatal data are limited. We assessed skin toxicity of 2% CHG in 70% IPA for vascular catheter site preparation in preterm neonates using sterile disposable pre-measured devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design:<\/jats:title>\n                    <jats:p>Monocentric, retrospective, observational study conducted in tertiary level NICU on 146 neonates less than 32\u2009weeks gestational age (GA) and younger than 15\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Infants were stratified in Group I (GA\u2009\u2a7d\u200928\u2009weeks) and Group II (GA\u2009=\u200929\u201332\u2009weeks) and received skin disinfection with 2% CHG in 70% IPA for either umbilical venous catheters or epicutaneous caval catheters. We evaluated the incidence of skin lesions in preterm neonates who received skin disinfection 2% CHG in 70% IPA with the Neonatal Skin Condition Score. Numeric thresholds \u2a7d5, 5\u20137, and &gt;7 were used to define mild, moderate, and severe skin infection respectively. The rate of central line associated bloodstream infection (CLABSI) was also calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two hundred implanted catheters (100\u2009per group) from 146 neonates were reviewed. While two cases of severe skin lesions occurred locally on the abdomen of two 24\u2009weeks babies, no lesion was reported in Group II infants. We found a CLABSI rate of 16% with a rate of 17 infections per 1000 catheter days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of 2% CHG in 70% IPA for skin disinfection during CVC implantation in preterm infants over 24\u2009weeks GA does not lead to severe skin lesions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251330941","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T01:58:06Z","timestamp":1744336686000},"page":"290-295","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Use of 2% chlorhexidine gluconate in 70% isopropyl alcohol for skin disinfection during central catheter insertion in premature neonates"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8367-8440","authenticated-orcid":false,"given":"Antonella","family":"Capasso","sequence":"first","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Paonessa","sequence":"additional","affiliation":[{"name":"Division of Neonatology Sant Anna and San Sebastiano Hospital, Caserta, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiorentino","family":"Grasso","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Letizia","family":"Capasso","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiorella","family":"Migliaro","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achille","family":"Illiano","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Salome","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Zollo","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annapaola","family":"Amitrano","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melania","family":"Rachiglia","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Raimondi","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Translational Medical Sciences, Federico II University, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2012.250084"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2141"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/neo.4-3-e81"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241239699"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241236220"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2012.11.008"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2014.12.003"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-303799"},{"key":"e_1_3_2_10_2","unstructured":"European Policy Recommendations. Optimising skin antisepsis: for an enhanced prevention of healthcare-associated infections in the EU. 2013. https:\/\/gavecelt.it\/nuovo\/sites\/default\/files\/uploads\/SKIN%20ANTISEPSIS%20-%20EU%20Recommendations.pdf"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000532"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.5409\/wjcp.v5.i2.159"},{"key":"e_1_3_2_13_2","unstructured":"AIFA\u2013Note 12 11 November 2014: Important new safety information about chlorhexidine."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1086\/655017"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199610000-00018"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2009.161"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2016.10.007"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241239998"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0884217504265174"},{"key":"e_1_3_2_20_2","unstructured":"National Healthcare Safety Network. Bloodstream infection event (central line-associated bloodstream infection and non-central line associated bloodstream infection). 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