- a surgical scrub
- a patient pre-operative skin preparation
- a healthcare personnel hand wash
- a skin wound and general skin cleaner.
Additional features of HIBICLENS:
Antiseptic/Antimicrobial Skin Cleanser:
HIBICLENS INFORMATION SHEET
- The active antiseptic agent, 4% chlorhexidine gluconate (CHG), is effective against gram-positive, gram-negative and many other pathogenic microorganisms.
- In a study simulating surgical use, the immediate bactericidal effect of HIBICLENS after a single six-minute scrub resulted in 99.9% reduction in resident bacterial flora, with a reduction of 99.98% after the eleventh scrub.
- With frequent use, HIBICLENS actually maintains its level of protection.
- Can be used many times a day with limited potential to irritate the skin
- Effectiveness is not significantly reduced by the presence of organic matter, such as blood
- Reduces the level of pathogenic microorganisms on the clinician's hands, thereby contributing to the potential to reduce a cross-infection
HIBICLENS® Antiseptic/Antimicrobial Skin Cleanser (chlorhexidine gluconate)
HIBICLENS is an antiseptic antimicrobial skin cleanser possessing bactericidal activities. HIBICLENS contains 4% w/v HIBITANE® (chlorhexidine gluconate), a chemically unique hexamethylenebis biguanide with inactive ingredients: Fragrance, isopropyl alcohol 4%, purified water, Red 40, and other ingredients, in a mild, sudsing base adjusted to pH 5.0-6.5 for optimal activity and stability as well as compatibility with the normal pH of the skin.
HIBICLENS is bactericidal on contact. It has antiseptic activity and a persistent antimicrobial effect with rapid bactericidal activity against a wide range of microorganisms, including grampositive bacteria and gram-negative bacteria such as Pseudomonas aeruginosa. The effectiveness of HIBICLENS is not significantly reduced by the presence of organic matter, such as blood.(1) In a study (2) simulating surgical use, the immediate bactericidal effect of HIBICLENS after a single six-minute scrub resulted in a 99.9% reduction in resident bacterial flora, with a reduction of 99.98% after the eleventh scrub. Reductions on surgically gloved hands were maintained over the six-hour test period. HIBICLENS displays persistent antimicrobial action. In one study (2), 93% of a radiolabeled formulation of HIBICLENS remained present on uncovered skin after five hours. HIBICLENS helps prevent skin infection thereby reducing the risk of cross-infection.
HIBICLENS is indicated for use as a surgical scrub, as a health-care personnel handwash, as a patient pre-operative skin preparation, and as a skin wound cleanser and general skin cleaner.
The extensive use of chlorhexidine gluconate for over 20 years outside the United States has produced no evidence of absorption of the compound through intact skin. The potential for producing skin reactions is extremely low. HIBICLENS can be used many times a day without causing irritation, dryness, or discomfort. Experimental studies indicate that when used for cleaning superficial wounds, HIBICLENS will neither cause additional tissue injury nor delay healing.
FOR EXTERNAL USE ONLY. KEEP OUT OF EYES, EARS AND MOUTH. HIBICLENS SHOULD NOT BE USED AS A PREOPERATIVE SKIN PREPARATION OF THE FACE OR HEAD. MISUSE OF HIBICLENS HAS BEEN REPORTED TO CAUSE SERIOUS AND PERMANENT EYE INJURY WHEN IT HAS BEEN PERMITTED TO ENTER AND REMAIN IN THE EYE DURING SURGICAL PROCEDURES. IF HIBICLENS SHOULD CONTACT THESE AREAS, RINSE OUT PROMPTLY AND THOROUGHLY WITH WATER.
Avoid contact with meninges. HIBICLENS should not be used by persons who have a sensitivity to it or its components. Chlorhexidine gluconate has been reported to cause deafness when instilled in the middle ear through perforated eardrums. Irritation, sensitization, and generalized allergic reactions have been reported with chlorhexidine-containing products, especially in the genital areas. If adverse reactions occur, discontinue use immediately and if severe, contact a physician. Keep this and all drugs out of the reach of children. In case of accidental ingestion, seek professional assistance or contact a Poison Control Center immediately. Accidental ingestion: Chlorhexidine gluconate taken orally is poorly absorbed. Treat with gastric lavage using milk, egg white, gelatin or mild soap. Employ supportive measures as appropriate. Avoid excessive heat (above 104°F).
DIRECTIONS FOR USE
Skin Wound and General Skin Cleansing
Wounds which involve more than the superficial layers of the skin should not be routinely treated with HIBICLENS. HIBICLENS should not be used for repeated general skin cleansing of large body areas except in those patients whose underlying condition makes it necessary to reduce the bacterial population of the skin. To use, thoroughly rinse the area to be cleansed with water. Apply the minimum amount of HIBICLENS necessary to cover the skin or wound area and wash gently. Rinse again thoroughly.
Preoperative Skin Preparation
Apply HIBICLENS liberally to surgical site and swab for at least two minutes. Dry with a sterile towel. Repeat procedure for an additional two minutes and dry with a sterile towel.
HEALTH-CARE PERSONNEL USE
Surgical Hand Scrub
Directions for use of HIBICLENS Antiseptic/Antimicrobial Skin Cleanser: Wet hands and forearms with water. Scrub for 3 minutes with about 5 mL of HIBICLENS and a wet brush, paying particular attention to the nails, cuticles, and interdigital spaces. A separate nail cleaner may be used. Rinse thoroughly. Wash for an additional 3 minutes with 5 mL of HIBICLENS and rinse under running water. Dry thoroughly.
Personnel Hand Wash
Wet hands with warm water. (Avoid using very cold or very hot water.) Dispense about 5 mL of HIBICLENS into cupped hands. Wash for 15 seconds. (Do not use excessive pressure to produce additional lather.) Rinse thoroughly with warm water. Dry thoroughly.
(1) Lowbury, EJL and Lilly, HA: The effect of blood on disinfection of surgeons' hands, Brit. J. Surg. 61:19-21 (Jan.) 1974
(2) Peterson AF, Rosenberg A, Alatary SD: Comparative evaluation of surgical scrub preparations, Obstet, 146:63- 65 (Jan.) 1978.
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Hibiclens is available at MetroMedicalOnline in the 4oz, 32oz, and 1 gallon sizes.
MetroMedicalOnline offers a variety of wound care products. Always contact your physician before starting any wound care treatment. Many of our customers have reported excellent results using Puracyn OTC (formerly named Microcyn OTC). Puracyn OTC is an innovative new approach to wound care promoting faster healing time. It is a non-irritating, pH-balanced wound cleanser for minor cuts, burns, irritations, and superficial abrasions of the skin. After the wound has closed, proven scar treatments such as Cica-Care, Mepiform, or Kelo-Cote will improve the appearance of scars and prevent abnormal or excessive scar formation.