J Korean Orthop Assoc.  2022 Jun;57(3):254-259. 10.4055/jkoa.2022.57.3.254.

Anaphylaxis to Chlorhexidine-Impregnated Central Venous Catheters in Spine Surgery

Affiliations
  • 1Departments of Orthopedic Surgery, Inje University Haeundae Paik Hospital, Busan, Korea
  • 2Departments of Allergology, Inje University Haeundae Paik Hospital, Busan, Korea

Abstract

Attempts to lower rates of catheter-related bloodstream infection have led to the adoption of chlorhexidine-coated central venous catheters (CVCs) in several orthopedic surgeries. On the other hand, there is still some controversy regarding the advantage of reducing catheterrelated infections. This paper reports a case of severe anaphylaxis to chlorhexidine-coated CVCs when used in spine surgery. Before exposing the patients to chlorhexidine-coated CVCs, the risk of complications including anaphylaxis should be considered.

Keyword

chlorhexidine; anaphylaxis; central venous catheter; orthopedic surgery
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