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Anaesthesia · Critical care, resuscitation, and emergency principles: curriculum recognition
Sample itemWhich skin antiseptic is preferred for preparing the site before inserting a central venous catheter, to lower the risk of bloodstream infection?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Chlorhexidine in alcohol
Chlorhexidine in alcohol is preferred and is part of the insertion bundle with maximal barrier precautions. It has a rapid and persistent antimicrobial effect and reduces catheter-related infection more than aqueous povidone-iodine.
Option by option
A. Chlorhexidine in alcohol (correct)
Correct. It acts rapidly and persistently and is the preferred skin preparation.
B. Normal saline
Saline has no antimicrobial action.
C. Hydrogen peroxide
Hydrogen peroxide is not a skin antiseptic for line insertion.
D. Aqueous povidone-iodine
Aqueous povidone-iodine is less effective and acts more slowly.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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