Journals / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 - Sayı: 1

Effects of two different solutions used in pin site care on the development of infection

Pages
80–85
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Use of 2 mg/ml chlorhexidine in pin site care appears to decrease the prevalence of pin tract infection.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to compare the effects of two different solutions used for pin site care in patients with external fixators on the incidence of pin site infection.
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Key Findings & Data:Methods: The study included 133 pins of 18 patients.
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Conclusion & Impact:Conclusion: Use of 2 mg/ml chlorhexidine in pin site care appears to decrease the prevalence of pin tract infection.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to compare the effects of two different solutions used for pin site care in patients with external fixators on the incidence of pin site infection. Methods: The study included 133 pins of 18 patients. The patient identification form, pin site care application form and the pin tract infection assessment form developed by Checketts et al. were used as data collection tools. On the condition that it would be evenly applied on the number of pins available in a patient, a 10% povidone-iodine solution was used in the care of 68 pin sites and 2 mg/ml chlorhexidine was applied at 65 pin sites. Infections developing in the pin sites were graded and recorded. Pin site care was applied routinely on a daily basis until the patient was discharged. Results: Infection was observed in 19 (27.9%) of the 68 pins of patients in the povidone-iodine group. Infection developed in only 6 (9.2%) of 65 pins in the chlorhexidine group. Conclusion: Use of 2 mg/ml chlorhexidine in pin site care appears to decrease the prevalence of pin tract infection.

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Cite This Article

ÇAM, R., DEMİR, F. K., ÖNER, Ş. Ş. (2014). Effects of two different solutions used in pin site care on the development of infection. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 1, 80–85. https://ajindex.com/articles/353607

References (16)

  1. Spiegelberg B, Parratt T, Dheerendra SK, Khan WS, Jennings R, Marsh DR. Ilizarov principles of deformity correction. Ann R Coll Surg Engl 2010;92:101-5
  2. Royal College of Nursing 2011. Guidance on pin site care. Cavendish Square, London W1G 0RN. [Cited 2013 Sep 12] Available from:
  3. MeSH (2011) Medical subject headings (MeSH), National Library of Medicine. [Cited 2013 Sep 12] Available from:
  4. Çelik S, Kanan N. Efficiency of cleaning agents to prevent infection in patients with external fixation. İÜFN Hem Derg 2005;13:37-42
  5. Eren A, Eralp L. Development of Ilizarov system in Turkey and in the world. In: Çakmak M, Kocaoğlu M editors. Ilizarov surgery and principles. Istanbul: Doruk Graphics; 1999. p. 1-4
  6. Santy J. Nursing the patient with an external fixator. Nurs Stand 2000;14:47-55
  7. Santy J, Newton L. A survey of current practices in skeletal pin site management. J Orthop Nurs 2006;10:198- 205
  8. Santy J, Temple J. A critical review of two research papers on skeletal pin site care. J Orthop Nurs 2004;8:132-5
  9. Sims M, Saleh M. External fixation – the incidence of pin site infection: a prospective audit. J Orthop Nurs 2000;4:59-63
  10. Arazi M, Kutlu A, Tarakçıoğlu N, Mutlu M. The applications of Selçuk type pelvic external fixator in the treatment of unstable pelvic ring injuries: clinical and biomechanical study. [Article in Turkish] Acta Orthop Traumatol Turc 1995;29:299-305
  11. Altay T, Karapinar L, Kaya A, Oztürk H. Treatment of two-part proximal humeral fractures with external fixators. Ulus Travma Acil Cerrahi Derg 2005;11:153-6
  12. Holmes SB, Brown SJ; Pin Site Care Expert Panel. Skeletal pin site care: National Association of Orthopaedic Nurses guidelines for orthopaedic nursing. Orthop Nurs 2005;24:99-107
  13. Checketts RG, MacEachern AG, Otterburn M. Pin track infection and principles of pin site care. In: Bastiani GA, Apley G, Goldberg A, editors. Orthofix external fixation in trauma and orthopaedics. London: Springer; 2000. p. 97-103
  14. Sims M. External fixators: Royal College of Nursing Society of Orthopaedic Nursing. London: RCN Publishing; 1999
  15. Grant S, Kerr D, Wallis M, Pitchford D. Comparison of povidone–iodine solution and soft white paraffin ointment in the management of skeletal pin-sites: a pilot study. Orthop Nurs 2005;9:218-25
  16. Aynacı O, Yıldız M, Aydın H, Kerimoğlu S. Our external fixator applications in