Efficacy and safety of a novel skin cleansing formulation versus chlorhexidine gluconate

Am J Infect Control. 2018 Nov;46(11):1262-1265. doi: 10.1016/j.ajic.2018.04.232. Epub 2018 Jun 5.

Abstract

Background: This study evaluated whether a multi-ingredient surfactant colloidal silver technology was noninferior to a 4% chlorhexidine gluconate (CHG) antiseptic on immediate and persistent antimicrobial activity.

Methods: The inguinal regions of 81 healthy adults were demarcated into 4 quadrants, and 3 were used for testing each product at baseline, 10 minutes, and 6 hours postapplication. The log of the number of colony forming units was obtained using a cylinder sampling technique. The 95% confidence interval of the test product to the control product with a margin of 0.65 was established as the upper limit of noninferiority.

Results: A total of 81 individuals were enrolled. The colloidal silver product was found to be noninferior to 4% CHG at both 10 minutes and 6 hours postapplication.

Conclusions: The colloidal silver-based product was noninferior to the 4% CHG product at 10 minutes and 6 hours postapplication.

Keywords: Health care–associated infections; chlorhexidine gluconate; colloidal silver; noninferiority study.

MeSH terms

  • Adult
  • Anti-Infective Agents, Local / adverse effects
  • Anti-Infective Agents, Local / chemistry
  • Anti-Infective Agents, Local / pharmacology*
  • Chlorhexidine / adverse effects
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / pharmacology
  • Dermatologic Agents / adverse effects
  • Dermatologic Agents / chemistry
  • Dermatologic Agents / pharmacology
  • Female
  • Humans
  • Male
  • Silver / adverse effects
  • Silver / chemistry
  • Silver / pharmacology*
  • Skin / drug effects*
  • Surface-Active Agents

Substances

  • Anti-Infective Agents, Local
  • Dermatologic Agents
  • Surface-Active Agents
  • colloidal silver
  • Silver
  • chlorhexidine gluconate
  • Chlorhexidine