Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: Dr Segers and colleagues1 presented a randomized controlled trial that studied the prevention of nosocomial infections in patients undergoing cardiac surgery by using chlorhexidine gluconate to decontaminate the nasopharynx and oropharynx. This study was conducted in a community hospital in the Netherlands, and we are concerned that the results may not be generalizable to hospitals in the United States.
Scheckler WE. Chlorhexidine Gluconate for Prevention of Nosocomial Infection in Cardiac Surgery. JAMA. 2007;297(10):1059-1060. doi:10.1001/jama.297.10.1059-b