Cam Rahşan, Demir Korkmaz Fatma, Oner Şavk Sevki
Department of Surgical Nursing, Aydin School of Health, Adnan Menderes University, Aydın, Turkey.
Department of Surgical Nursing, School of Nursing, Ege University, İzmir, Turkey.
Acta Orthop Traumatol Turc. 2014;48(1):80-5. doi: 10.3944/AOTT.2014.2983.
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.
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.
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.
Use of 2 mg/ml chlorhexidine in pin site care appears to decrease the prevalence of pin tract infection.
本研究旨在比较两种不同溶液用于外固定器患者针道护理时对针道感染发生率的影响。
该研究纳入了18例患者的133根针。使用患者识别表、针道护理申请表以及由Checketts等人制定的针道感染评估表作为数据收集工具。在确保均匀应用于患者可用针数的条件下，68个针道的护理使用10%聚维酮碘溶液，65个针道使用2mg/ml氯己定。对针道发生的感染进行分级并记录。在患者出院前，每天常规进行针道护理。
聚维酮碘组患者的68根针中有19根（27.9%）发生感染。氯己定组65根针中仅6根（9.2%）发生感染。
在针道护理中使用2mg/ml氯己定似乎可降低针道感染的发生率。
