Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Chlorhexidine”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 919 records · Page 51Linked to original sources
PubMed2005

Effect of a second-generation venous catheter impregnated with chlorhexidine and silver sulfadiazine on central catheter-related infections: a randomized, controlled trial.

BACKGROUND: Central venous catheter-related infections are a significant medical problem. Improved preventive measures are needed. OBJECTIVE: To ascertain 1) effectiveness of a second-generation antiseptic-coated catheter in the prevention of microbial colonization and infection; 2) safety and tolerability of this device; 3) microbiology of infected catheters; and 4) propensity for the development of antiseptic resistance. DESIGN: Multicenter, randomized, double-blind, controlled trial. SETTING: 9 university-affiliated medical centers. PATIENTS: 780 patients in intensive care units who required central venous catheterization. INTERVENTION: Patients received either a standard catheter or a catheter coated with chlorhexidine and silver sulfadiazine. MEASUREMENTS: The authors assessed catheter colonization and catheter-related infection, characterized microbes by molecular typing, and determined their susceptibility to antiseptics. Patient tolerance of the catheter was monitored. RESULTS: Patients with the 2 types of catheters had similar demographic features, clinical interventions, laboratory values, and risk factors for infection. Antiseptic catheters were less likely to be colonized at the time of removal compared with control catheters (13.3 vs. 24.1 colonized catheters per 1000 catheter-days; P < 0.01). The center-stratified Cox regression hazard ratio for colonization controlling for sampling design and potentially confounding variables was 0.45 (95% CI, 0.25 to 0.78). The rate of definitive catheter-related bloodstream infection was 1.24 per 1000 catheter-days (CI, 0.26 to 3.62 per 1000 catheter-days) for the control group versus 0.42 per 1000 catheter-days (CI, 0.01 to 2.34 per 1000 catheter-days) for the antiseptic catheter group (P = 0.6). Coagulase-negative staphylococci and other gram-positive organisms were the most frequent microbes to colonize catheters. Noninfectious adverse events were similar in both groups. Antiseptic susceptibility was similar for microbes recovered from either group. LIMITATIONS: The antiseptic catheter was not compared with an antibiotic-coated catheter, and no conclusion can be made regarding its effect on bloodstream infection. CONCLUSIONS: The second-generation chlorhexidine-silver sulfadiazine catheter is well tolerated. Antiseptic coating appears to reduce microbial colonization of the catheter compared with an uncoated catheter.

Aged↗
PubMed1999

Microbiological and clinical effects of a 1% chlorhexidine-gel in untreated periodontal pockets from adult periodontitis patients.

The aim of this study was to report the microbiological and clinical effects of repeated subgingival administration of a 1% Chlorhexidine-gel in periodontal pockets from 10 patients with adult periodontitis. Results showed that the experimental treatment significantly improved clinical parameters (Plaque Index, Gingival Bleeding Index, and Pocket Probing Depth). Direct subgingival administration of Chlorhexidine-gel also produced a remarkable modification in the proportions of putative periodontopathic microorganisms, such as Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Veillonella parvula, Fusobacterium nucleatum, and Peptostreptococcus micros, in subgingival bacterial plaque from periodontitis patients.

Actinobacillus↗
PubMed1999

Mutans streptococci suppression by chlorhexidine gel in toddlers.

PURPOSE: The effect of daily toothbrushing with a chlorhexidine gel on the levels of oral mutants streptococci was evaluated in a group of 37 healthy 1 1/2-year-old children. MATERIALS AND METHODS: The microbial samplings were performed with a modified Strip mutans chair-side technique: a sterile cotton pellet on a wooden pin was rolled along the surfaces of the upper primary incisors and then rolled again on a specially prepared plastic strip. The strips were thereafter incubated and cultivated in a selective media. After baseline registrations, the parents were instructed and trained to brush the teeth of their children with a 1% chlorhexidine gel (Corsodyl), twice daily during 14-days. Follow-up samplings were obtained 1 and 3 months after termination of gel treatment. RESULTS: The results revealed a statistically significant (P < 0.01) reduction of mutans streptococci colonization after 1 month compared with baseline. After 3 months, a certain reduction was still evident although not statistically significant from baseline.

Analysis of Variance↗
PubMed1975

A short-term evaluation of a chlorhexidine gel on plaque deposits and gingival status.

A gel containing 0.5% chlorhexidine gluconate was tested for its ability to affect plaque formation and the gingival status of twelve male dental students in a controlled double-blind cross-over study. The chlorhexidine gel significantly reduced plaque formation when compared with the placebo gel, but the improvement in gingival health was not statistically significant.

Adolescent↗
PubMed1975

An effect of chlorhexidine and two related drugs on glycosaminoglycans in rat skin.

The aim of the present investigation was to estimate the local effect of three plaque-inhibiting drugs on some glycosaminoglycans in rat skin. The drugs comprised chlorhexidine, dichlorhexidine, and trichlorhexidine; and the glycosaminoglycans examined were hyaluronic acid, chondroitin sulfate, and heparin. Glycosaminoglycans were measured by the carbazole method. Upon subcutaneous injections in rats, chlorhexidine, dichlorhexidine, and trichlorhexidine caused marked reductions in the surrounding skin's content of total hexosamine as well as of the three types of glycosaminoglycans. No significant difference could be demonstrated between the different types of glycosaminoglycans in this respect.

Animals↗
PubMed1999

Local delivery of chlorhexidine.

Clinicians are always looking for new ways to enhance patient care and expand their practices. When evaluating the value of new products on the market, it is important for clinicians to look at what is available, carefully evaluate what is necessary for their patient, and then determine what is best for the practice, the clinician, and the patient. This article discusses the use of chlorhexidine for gaining new attachment and reducing pocket depth. More specifically, the article describes the usefulness, efficacy, and safety of the PerioChip, a chlorhexidine chip that is placed in the periodontal pocket.

Anti-Infective Agents, Local↗
PubMed1976

[Treatment of gingivitis with the cavitron under water and chlorhexidine cooling].

This article deals with the question whether the success of gingivitis treatment is enhanced by Cavitron therapy employing a 0.2% Chlorhexidine solution as a cooling agent with the Cavitron instead of water. It was shown that the symptoms of gingivitis disappear after removal of plaque and calculus deposits. Addition of a 0.2% Chlorhexidine solution in the cooling system of the Cavitron however does not significantly influence the success of the treatment.

Chlorhexidine↗
PubMed2000

[Clinical and bacteriologic response to irrigation with a chlorhexidine solution in the treatment of periodontal pockets].

Most of parodontal diseases have a bacterial aetiology. Their episodic and asynchronic evolution differs from site to site. The "in situs" antimicrobian used in the parodontal bags reduces the systemic administration. Various antibiotics or antiseptics slow liberation systems were experimented. Two patients suffering from advanced parodontitis were treated after radicular scraping by subgingival irrigation with a syringe filled with chlorhexidine. Each patient presented at last four parodontal bags more or less six millimetres (6 mm) deep. The following clinical parameters were noted: Patch index, bleeding index, bag depth. A bacteriological analysis was realized at the beginning and of the treatment. Controls were made at D60. Results showed a significant improvement of clinical parameters. It seems that the chlorhexidine irrigation improves the parodontal treatment efficiency.

Adult↗
PubMed1975

Cytotoxicity of chlorhexidine.

We evaluated chlorhexidine, a commonly used ophthalmic preservative for sterilization of soft hydrophilic contact lenses. Light microscopy and flat preparations of the endothelium were used. Our studies indicate that chlorhexidine is safe, even when used in higher concentrations than commercially available or required for bactericidal effect. Except for its mucous binding capacity, limiting its use for hydrophilic contact lenses, it is considered to be one of the best preservatives available for ophthalmic solutions.

Animals↗
PubMed2001

[The efficacy of the chlorhexidine chip following scaling and root planing (SRP) and compared to SRP alone].

OBJECTIVE: To evaluate the clinical efficacy and safety of the adjunctive use of Chlorhexidine Chip (CHX; commercial name, Perio Chip) following scaling and root planing (SRP) in periodontitis. METHODS: One center, blinded, randomized, split-mouth and active control study was designed. Sixty-five adult periodontitis patients were enrolled into the baseline after SRP. Each subject had at least one tooth with pocket depth of 5 mm or more and bleeding on probing (BOP) in each side of the mouth. Then the tooth was selected as a target and its parameters of probing depth (PD), attachment loss (AL), BOP, gingival index (GI), plaque index (PI) and staining index (SI) were recorded. Each side of mouth was randomly assigned to one of two treatments--drug placement after SRP or SRP alone. All the adverse events and parameters were recorded at time of 3-month, 6-month and meanwhile the patients received oral hygiene instruction and scaling. The same was conducted at 6-week, 4.5-month except for recording of parameters and scaling of the target teeth. RESULTS: Reduction of PD and gain of attachment at 6-month in group of SRP plus CHX (1.32 mm, 0.94 mm) were significantly higher than those in group of SRP alone (0.77 mm, 0.40 mm) (P < 0.001). Forty-four point six percent (44.6%) of patients reflected adverse reactions related to drug placement. Toothaches, the main reactions, were mild to moderate in nature and spontaneously resolved within 2-4 days. CONCLUSIONS: The chlorhexidine chip is indeed a safe and effective control-delivered drug for topical use when patient in his supportive periodontal therapy.

Adult↗
PubMed2002

Effectiveness of 0.12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery.

BACKGROUND: Decreasing the levels of bacteria in the oropharynx should reduce the prevalence of nosocomial pneumonia. OBJECTIVES: To test the effectiveness of 0.12% chlorhexidine gluconate oral rinse in decreasing microbial colonization of the respiratory tract and nosocomial pneumonia in patients undergoing open heart surgery. METHODS: A prospective, randomized, case-controlled clinical trial design was used. Peridex (0.12% chlorhexidine gluconate) was the experimental drug, and Listerine (phenolic mixture) was the control drug. A total of 561 patients undergoing aortocoronary bypass or valve surgery requiring cardiopulmonary bypass were randomized to an experimental (n = 270) or a control (n = 291) group. Nosocomial pneumonia was diagnosed by using the criteria established by the Centers for Disease Control and Prevention. RESULTS: The overall rate of nosocomial pneumonia was reduced by 52% (4/270 vs 9/291; P = .21) in the Peridex-treated patients. Among patients intubated for more than 24 hours who had cultures that showed microbial growth (all pneumonias occurred in this group), the pneumonia rate was reduced by 58% (4/19 vs 9/18; P = .06) in patients treated with Peridex. In patients at highest risk for pneumonia (intubated > 24 hours, with cultures showing the most growth), the rate was 71% lower in the Peridex group than in the Listerine group (2/10 vs 7/10; P = .02). CONCLUSIONS: Although rates of nosocomial pneumonia were lower in patients treated with Peridex than in patients treated with Listerine, the difference was significant only in those patients intubated more than 24 hours who had the highest degree of bacterial colonization.

Anti-Bacterial Agents↗
PubMed2002

Effectiveness of Sonicare power toothbrush to remove chlorhexidine stains.

PURPOSE: To describe the effect of Sonicare power toothbrush on removing chlorhexidine stains from human teeth. MATERIALS AND METHODS: Two cases with chlorhexidine staining were treated with Sonicare power toothbrush for a 4-week period. Clinical evaluations occurred at baseline, 2 weeks from baseline and 4 weeks from baseline. Stain level was assessed with the Lobene Tooth Stain Index. The labial surface of each stained incisor or canine was divided into two regions: margin and body. RESULTS: Sonicare reduced the average area of stain score by 58.5-63.3% after 2 weeks and 68.3-76.7% after 4 weeks. The average intensity of stain scores was reduced by 50.0-56.5% and 58.9-69.6% after 2 and 4 weeks, respectively.

Adult↗
PubMed2003

[Delmopinol--an alternative to chlorhexidine?].

The prevention of caries and gingivitis is mainly based upon modalities aiming to reduce supra- and subgingival dental plaque. Certain antibacterial agents may compensate for non-adequately self-performed mechanical plaque removal. While such prophylactic agents exhibit an antibacterial effect against oral microorganisms, the new agent delmopinol possesses the property of inhibiting the adhesion of oral microorganisms to the tooth surface. In numerous studies, delmopinol showed a plaque inhibitory potential. However, due to the lower efficacy and side effects similar to those of chlorhexidine, at present, delmopinol cannot be considered as an alternative to chlorhexidine. A long-term utilization of delmopinol in addition to the regular mechanical plaque control might be possible. For the time being there is a lack of studies comparing the efficacy of delmopinol to that of other antibacterial substances such as amine fluoride/stannous fluoride, triclosan/copolymer or cetylpyridinium chloride.

Anti-Infective Agents, Local↗
PubMed2003

A review of the efficacy of chlorhexidine on dental caries and the caries infection.

Chlorhexidine has been used for the past 35 years in the treatment of the two primary diseases of dentistry with varying degrees of success. The purpose of this paper is to review the literature for both the caries reduction potential and the microbiologic reduction of the pathogens associated with dental caries. The literature remains mixed on the success of chlorhexidine for the reduction of dental caries. Its performance as an antimicrobial against Streptococcus mutans is more consistent and favorable.

Anti-Infective Agents, Local↗
PubMed1992

Chlorhexidine solutions, gels and varnishes in caries prevention.

To combat dental caries, a chemical has been sought that possesses stronger antimicrobial properties than fluoride in support of its physicochemical tooth-protecting properties. These searches have led to several agents, of which chlorhexidine (CH) appears most effective. To reduce local side effects of the well-known 0.2% CH mouthwash, a 0.05% CH gluconate + 0.04% NaF solution, pH 5.9, has been developed. Use of this combination over a 2-year period resulted in a 53% reduction in caries increment and a 75% reduction in gingival bleeding, i.e. a clear duality of prevention of oral disease (Luoma et al. 1978). Staining of teeth was minimal and easily removable in about one third of the subjects. To lessen the contribution of patients, chlorhexidine gels, without but more especially with fluoride have been professionally administered. Reductions in salivary mutans streptococci after short periods of gel applications have been found to persist longer than reductions after brief periods of mouthwashing. Reductions of approximal caries increment by about 50% in children, and root surface caries in adults have been obtained through use of CH gels. The effect on root surface caries in adults was equal to that obtained through use of local fluoride applications. Dental CH varnish seems promising, especially because a very short contact time with a tooth may be sufficient to reduce mutans streptococci. No simultaneous effects against caries and gingivitis of CH gels or varnishes has been reported. Comparisons of CH solutions, gels and varnishes, with or without fluoride, in relation to their potentials for preventing oral disease in subjects at risk remain to be accomplished.

Chlorhexidine↗
PubMed2003

Treatment of root caries lesions with chlorhexidine-containing varnishes and dentin sealants.

PURPOSE: To evaluate the effects of chlorhexidine-containing varnishes and dentin sealants on the progress of demineralization, cariogenic bacteria and clinical appearance of root caries lesions. METHODS: 68 lesions in 22 adult patients, with a mean age of 51.3 +/- 13.8 years were enrolled in this study. After the removal of soft, infected dentin, all lesions were randomly sealed with (1.) Cervitec, used as control (CE), (2.) EC 40 (EC), (3.) Prime and Bond NT (PB) or (4.) Seal & Protect (SP). Clinical appearance, laser fluorescence diagnosis (DIAGNOdent) and bacteriological status were recorded at intervals of 1 and 3 months. RESULTS: Regarding alteration of surface texture and color of the lesions, differences between the groups were not detected. Application of EC resulted in suppressed MS counts after 3 months (P < 0.05). Initial lower MS counts were observed in the CE group (P = 0.053). Laser fluorescence values increased in the chlorhexidine groups (CE = 27.9 +/- 17.5, EC = 28.3 +/- 26.0) but remained stable in the sealant groups (PB = 15.1 +/- 22.0, SP = 10.2 +/- 7.3), (P < 0.05).

Adult↗
PubMed2003

Comparative evaluation of efficacy of sodium fluoride, chlorhexidine and triclosan mouth rinses in reducing the mutans streptococci count in saliva : an in vivo study.

The primary objective of this study was to compare the efficacy of sodium fluoride (0.05%), chlorhexidine (0.12%) and triclosan (0.3%) mouth rinses in reducing the mutans streptococci count in saliva. 60 subjects in the age group of 12 to 14 years were selected from the schools of Mumbai and were equally divided into 4 groups. First 3 groups were test groups and the 4th group was control group. The subjects were instructed to rinse one full marked measure of mouth rinse for 1 minute, twice daily. Salivary samples were collected at baseline and after 2 weeks and cultured on M.S.B.agar. The number of mutans streptococci colonies were counted on agar medium. The results of the study confirmed that chlorhexidine mouth rinses are more efficient in reducing mutans streptococci count in saliva as compared to other mouth rinses.

Administration, Topical↗
PubMed2005

Use of laser fluorescence in monitoring the durability and cariostatic effects of fluoride and chlorhexidine varnishes on occlusal caries: a clinical study.

OBJECTIVE: The aim of this study was to compare the effectiveness and caries-preventive effects of a fluoride varnish (Fluor Protector; 0.1% fluoride) and a chlorhexidine varnish (Cervitec; 1% chlorhexidine and 1% thymol) on initial caries of occlusal fissures and to monitor the durability of the varnishes by the use of a fluorescence system, DIAGNOdent (Dd). METHOD AND MATERIALS: Nineteen subjects underwent professional tooth cleaning at the beginning of the study. Afterward, fluorescence measurements (baseline) were obtained from 56 test sites and 28 control sites on the central fossae of molars. Each subject had Fluor Protector and Cervitec application on randomly assigned experimental teeth, and applications were followed by Dd measurements. Measurements were repeated after 1 and 6 months. RESULTS: There was an increase in fluorescence values immediately after application of varnish in the two test groups. One month after varnish application, Dd scores for group Fluor Protector were not significantly different from Dd scores obtained immediately after application (P = .108), whereas Dd scores for group Cervitec decreased significantly (P = .007). For both test groups, there was a significant decrease between the values obtained immediately after application and those acquired after 6 months. There was also a significant decrease between 1 month and 6 months for test groups and a slight but significant increase for the control group (P = .011). No significant difference was found between the Fluor Protector and Cervitec groups after 6 months. CONCLUSION: It was concluded that the Dd system may be used to monitor the existence of these two varnishes.

Adolescent↗