BNF for Children 2011-2012

BNFC 2011–2012 13.11.2 Chlorhexidine salts 595Steripod c Sodium Chloride (Medlock)Solution (sterile), sodium chloride 0.9%, net price 25 20-mL sachet = £7.5713.11.2 Chlorhexidine saltsCHLORHEXIDINECautions avoid contact with eyes, brain, meninges andmiddle ear; not for use in body cavities; alcoholicsolutions not suitable before diathermy or for use onneonatal skinSide-effects occasional sensitivityIndication and doseSee under preparationsBladder irrigation and catheter patency solutionssection 7.4.4Chlorhexidine 0.05% (Baxter)2000 Solution (sterile), pink, chlorhexidine acetate0.05%, net price 500 mL = 72p, 1000 mL = 77pFor cleansing and disinfecting wounds and burnsCepton c (LPC)Skin wash (= solution), red, chlorhexidine gluconate1%, net price 150 mL = £2.48For use as skin wash in acneLotion, blue, chlorhexidine gluconate 0.1%, net price150 mL = £2.48For skin disinfection in acneChloraPrep c (CareFusion)Cutaneous solution, sterile, chlorhexidine gluconate2% in isopropyl alcohol 70%, net price (all with singleapplicator) 0.67 mL (with SEPP c applicator) = 30p,1.5 mL (with FREPP c applicator) = 55p, 1.5 mL =78p, 3 mL = 85p, 10.5 mL = £2.92, 26 mL = £6.50; (allwith single applicator, with tint) 3 mL = 90p, 10.5 mL= £3.07, 26 mL = £6.83For skin disinfection before invasive procedures; Child under 2months not recommendedNote FlammableCX Antiseptic Dusting Powder c (Ecolab)Dusting powder, sterile, chlorhexidine acetate 1%,net price 15 g = £3.40For skin disinfectionHibiscrub c (Mölnlycke)Cleansing solution, red, chlorhexidine gluconate 4%,perfumed, in a surfactant solution, net price 250 mL =£4.25, 500 mL = £5.25, 5 litres = £24.00Excipients include fragranceUse instead of soap for pre-operative hand and skin preparationand for general hand and skin disinfectionHibi c Liquid Hand Rub+ (Mölnlycke)Solution, chlorhexidine gluconate 0.5%, in isopropylalcohol 70% with emollients, net price 500 mL = £5.25To be used undiluted for hand and skin disinfectionHibitane Obstetric c (Derma UK)Cream, chlorhexidine gluconate solution 5% (: 1%chlorhexidine gluconate), in a pourable water-misciblebasis, net price 250 mL = £4.44For use in obstetrics and gynaecology as an antiseptic andlubricant (for application to skin around vulva and perineum andto hands of midwife or doctor)Hydrex c (Ecolab)Solution, chlorhexidine gluconate solution 2.5% (:chlorhexidine gluconate 0.5%), in an alcoholic solution,net price 600 mL (clear) = £2.72; 600 mL (pink) =£2.72, 200-mL spray = £1.77, 500-mL spray = £3.01;600 mL (blue) = £2.26Note FlammableFor pre-operative skin disinfectionSurgical scrub, chlorhexidine gluconate 4% in a surfactantsolution, net price 250 mL = £2.44, 500 mL =£2.58For pre-operative hand and skin preparation and for general handdisinfectionUnisept c (Medlock)Solution (sterile), pink, chlorhexidine gluconate0.05%, net price 25 25-mL sachet = £5.40; 10 100-mL sachet = £6.67For cleansing and disinfecting wounds and burns and swabbing inobstetricsWith cetrimideTisept c (Medlock)Solution (sterile), yellow, chlorhexidine gluconate0.015%, cetrimide 0.15%, net price 25 25-mLsachet = £5.20; 10 100-mL sachet = £6.68To be used undiluted for general skin disinfection and woundcleansingTravasept 100 c (Baxter)Solution (sterile), yellow, chlorhexidine acetate0.015%, cetrimide 0.15%, net price 500 mL = 72p,1 litre = 77pTo be used undiluted in skin disinfection such as wound cleansingand obstetricsConcentratesHibitane c Plus 5% Concentrate (Mölnlycke)Solution, red, chlorhexidine gluconate 5%, in a perfumedaqueous solution, net price 5 litres = £14.50DosePre-operative skin preparationDilute 1 in 10 (0.5%) with alcohol 70%General skin disinfectionDilute 1 in 100 (0.05%) with waterNote Alcoholic solutions not suitable for use before diathermy(see Alcohol, p. 594) or on neonatal skin13.11.3 Cationic surfactants andsoapsCETRIMIDECautions avoid contact with eyes; avoid use in bodycavitiesSide-effects skin irritation and occasionally sensitisationIndication and doseSkin disinfectionPreparationsIngredient of Tisept c and Travasept c 100, see above13 Skin