Reduction of chlorhexidine-induced chemical burns in extremely preterm infants by using 0.2% chlorhexidine-acetate as a skin disinfectant

We read with interest the article by Neri et al in which they present 5 very low birth weight infants in whom serious chemical burns occurred within their first 2 days of life, caused by the use of different chlorhexidine (CHG) skin disinfectants (concentrations ranging from 0.5% to 2.0%).1 The authors strongly discourage the use of alcohol-based disinfectants in extremely preterm infants and suggest using solutions containing the lowest effective CHG concentration possible, preferably <1%, during the first week of life.

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