| Background:Pin site is applied to either skeletal traction, or external fixator device in the management of complicated and open fractures. It penetrated the skin, adjacent muscle and soft tissue, then entered bone and may penetrate through the other side of a limb. So pin site infection is a common complication of pin site application. How to decrease the incidence of pin site infection is a very important issue for the patients with pin sites. Although the pin site is widely used in clinic, there is no enough evidence or guideline to prove that which method is the best one for the patients with pin sites. Meanwhile, we observed that present nursing method of pin site might bring some new problems in clinical practice. Accordingly, it is necessary to explore a better nursing method, and to provide robust basis for clinical practice.Objective:To describe the incidence of pin site infection among patients with pin sites. To evaluate the effects of the pin site nursing method, and provide basis for clinical practice.Method:We sampled220patients with pin sites from Peking Union Medical College Hospital from January1,2012to December31,2013, and these patients were divided into two groups:the control group (100) and the experimental group (120). For the control group, the patients with pin sites crossing sterile gauzes, routine9am,9pm twice a day dropping75%alcohol.75%alcohol would be used as clean solution when the pin site had drainage. Sterile gauzes were changed every3-4days. For the experimental group, the patients with pin sites crossing sterile gauzes, and there was no routine9am,9pm twice a day dropping75%alcohol. Natural saline would be used as clean solution when the pin site had drainage. Sterile gauzes were changed every3-4days.Results:(1) The incidence of pin site infection:Among220patients,52patients got pin site infection, the pin site infection incidence was23.64%, and44patients had minor pin site infection (84.62%),8patients had major pin site infection (15.38%). There were two high incidence time of pin site infection:the first time was2weeks after surgery, the cumulative amount of15cases (28.85%); the second time was6weeks after surgery, the cumulative amount of12cases(23.08%).(2) Comparison of the two groups:The incidence of pin site infection of the experimental group (15.00%) was significantly lower than that of the control group (34.00%)(P<0.01).The level of stent-tract discomfort of the experimental group (2.24±0.18) was significantly lower than that of the control group (4.88±0.32)(P<0.01). For the severity of pin site infection and occurred time of pin site infection, there were no significant difference between two groups (P>0.05). For the results of pin site bacterial culture, there were no significant difference between two groups (P>0.05).Conclusion:Pin site infection is a common complication in the patients with pin sites. For the incidence of pin site infection and the level of stent-tract discomfort of experimental group were significantly lower than those of the control group, we recommend that for patients with pin sites, keeping a clean, dry, smooth drainage of the pin site may be the effective method to reduce pin site infection and the level of stent-tract discomfort.
|
PDF Full Text Request