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骨科外固定装置的针道感染

Pin site infection in orthopaedic external fixation devices.

作者信息

Walker Jennie

机构信息

Department of Orthopaedic and Accident Surgery, Queens Medical Centre, Nottingham, UK.

出版信息

Br J Nurs. 2012;21(3):148, 150-1. doi: 10.12968/bjon.2012.21.3.148.

DOI:10.12968/bjon.2012.21.3.148
PMID:22584652
Abstract

External fixation is a well-established mode of treatment within orthopaedics; however, despite continued research, pin site infection is still a problem. Pin site infection may cause pain and discomfort to the patient, and result in osteomyelitis or sepsis if minor infection is not managed in a timely and appropriate manner. Fundamental issues such as the assessment and reporting of infection are important in dealing with pin site infection, as is the ongoing management of the pin site itself. Many types of care are evident, with varying evidence to support their use in clinical practice. This article will discuss the identification and classification of pin site infection and the methods of care.

摘要

外固定是骨科领域一种成熟的治疗方式;然而,尽管一直在进行研究,针道感染仍是一个问题。针道感染可能给患者带来疼痛和不适,如果轻微感染未得到及时、恰当的处理,还可能导致骨髓炎或败血症。诸如感染的评估和报告等基本问题在处理针道感染时很重要,针道本身的持续管理也是如此。有多种护理方式,但其在临床实践中应用的支持证据各不相同。本文将讨论针道感染的识别、分类及护理方法。

相似文献

1
Pin site infection in orthopaedic external fixation devices.骨科外固定装置的针道感染
Br J Nurs. 2012;21(3):148, 150-1. doi: 10.12968/bjon.2012.21.3.148.
2
Skeletal pin site care: National Association of Orthopaedic Nurses guidelines for orthopaedic nursing.骨骼钢针固定部位护理:美国骨科护士协会骨科护理指南
Orthop Nurs. 2005 Mar-Apr;24(2):99-107. doi: 10.1097/00006416-200503000-00003.
3
Care of skeletal pins: a literature review.
Nurs Stand. 1998;12(39):34-8. doi: 10.7748/ns1998.06.12.39.34.c2514.
4
In search of a standard for pin site care.
Orthop Nurs. 1999 Mar-Apr;18(2):73-8.
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The effectiveness of pin site care for patients with external fixators.外固定器患者针道护理的有效性。
Br J Community Nurs. 2004 May;9(5):206-10. doi: 10.12968/bjcn.2004.9.5.12889.
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Pin site care: guidance and key recommendations.针道护理:指南与关键建议
Nurs Stand. 2012;27(1):50-5; quiz 56. doi: 10.7748/ns2012.09.27.1.50.c9271.
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Skeletal pin traction: guidelines on postoperative care and support.骨牵引:术后护理与支持指南
Nurs Times. 2003;99(21):46-8.
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Protocols for the care of external fixator pin sites.外固定针部位护理方案。
Prof Nurse. 1996 Jan;11(4):261-4.
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Care of pin sites.针孔护理。
Nurs Stand. 2008;22(33):44-8. doi: 10.7748/ns2008.04.22.33.44.c6466.
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The PINS Trial: a prospective randomized clinical trial comparing a traditional versus an emollient skincare regimen for the care of pin-sites in patients with circular frames.PINS 试验:一项前瞻性随机临床试验,比较传统与保湿护肤品方案在圆形眼眶患者眶周穿刺部位护理中的应用。
Bone Joint J. 2021 Feb;103-B(2):279-285. doi: 10.1302/0301-620X.103B2.BJJ-2020-0680.R1.

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