HiBi Scrub prescribing information
Trade name: HiBi Scrub
Qualitative and quantitative composition: Chlorhexidine Gluconate 4.0% w/v (incorporated as Chlorhexidine Gluconate Solution Ph. Eur.)
Pharmaceutical form: Liquid
Hibiscrub is an antimicrobial preparation for pre-operative surgical hand disinfection, antiseptic handwashing on the ward and pre-operative and post-operative skin antisepsis for patients undergoing elective surgery.
Posology and method of administration
For external use only
Pre-operative surgical hand disinfection
Wet the hands and forearms, apply 5ml of Hibiscrub and wash for one minute cleaning the fingernails
with a brush or scraper. Rinse, apply a further 5ml of Hibiscrub and continue washing for a further 2 minutes. Rinse thoroughly and dry.
Antiseptic handwash on the ward
Wet the hands and forearms, apply 5ml of Hibiscrub and wash for 1 minute. Rinse thoroughly and dry.
Pre-operative skin antisepsis for the patient
The patient washes his whole body in the bath or shower on at least 2 occasions, usually the day before and the day of operation as follows:
The day before operation the patient washes with 25ml of Hibiscrub beginning with the face and working downwards paying particular attention to areas around the nose, axillae, umbilicus, groin and perineum. The body is then rinsed and the wash repeated with a further 25ml, this time including the hair. Finally the patient rinses his entire body thoroughly and dries on a clean towel. This procedure should be repeated the following day. Patients confined to bed can be washed with Hibiscrub using a standard bed-bath technique.
Conventional disinfection of the operation site will then be performed when the patient is in theatre.
Post-operative skin antisepsis for the patients
The patient washes his whole body, excluding the operation wound, in the bath or shower usually onthe third day after operation using the procedure described above.
Contraindications, warnings etc.
Known hypersensitivity to the product or any of its components, especially in those with a history of possible chlorhexidine-related allergic reactions.
Special warnings and precautions for use:
Hibiscrub contains chlorhexidine. Chlorhexidine is known to induce hypersensitivity, including generalised allergic reactions and anaphylactic shock. The prevalence of chlorhexidine hypersensitivity is not known, but available literature suggests this is likely to be very rare. Hibiscrub should not be administered to anyone with a potential history of an allergic reaction to a chlorhexidine-containing compound.
For external use only. Keep out of the eyes and avoid contact with the brain, meninges and middle ear. In patients with head or spinal injuries or perforated ear drum, the benefit of use in pre-operative preparation should be evaluated against the risk of contact. If chlorhexidine solutions come into contact with the eyes, wash out promptly and thoroughly with water. Do not inject or use in body cavities.
Interaction with other medicaments and other forms of interaction:
Chlorhexidine is incompatible with soap and other anionic agents. Hypochlorite bleaches may cause brown stains to develop in fabrics, which have previously been in contact with preparations containing chlorhexidine.
Use in pregnancy and lactation:
There is no evidence of any adverse effects on the foetus arising from the use of Hibiscrub as a handwash during pregnancy and lactation. Therefore no special precautions are recommended.
Shelf life: 36 months.
Special storage precautions: Do not store above 25ºC
Product licence holder: Regent Medical Overseas Ltd
Product licence number: PL 21855/0002
Basic NHS Price: HiBiScrub 500ml: £5,25; HiBiScrub 250ml: £4.25
Information last updated: February 2013.