Comparison of povidone-iodine solution and soft white paraffin ointment in the management of skeletal pin-sites: A pilot study

Grant, Sheila; Kerr, David; Wallis, Marianne; Pitchford, Don

doi:10.1016/j.joon.2005.09.005

Cited by 23 publications

(14 citation statements)

References 25 publications

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“…Similarly, in Grant et al . 's study, it has been found that the relationship between the mean pin number and occurrence of complications was not statistically significant. Our finding is in parallel with the results of Grant et al .…”

Section: Discussionmentioning

confidence: 86%

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The effect of long‐term care and follow‐up on complications in patients with external fixators

Çam

Korkmaz

2013

Int J of Nursing Practice

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The present study aimed to determine the effect of long-term care and follow-up on complications in patients with external fixators. This study was conducted as a study research. The study sample included a total of 60 patients treated with external fixators for fractures, of whom 30 were in the control and 30 were in the study group. No intervention was made on the control group patients. The patients in the study group received external fixator pin site wound care, pin site massage and neurovascular follow-up. The study group patients were also given discharge training about external fixator pin site care two days before their discharge and were also provided with training manuals to guide their home care. Both groups were visited weekly at their homes to record their complications. Nine complications developed in eight patients (26.7%) in the study group, and 19 complications developed in 19 patients (63.3%) in the control group. Pin site infections were 11.6% of the total sample. The percentage for pin loosening, stiff joint, nerve and vessel injury and pain and swelling was 5%, 25%, 1.7% and 3.3%, respectively.

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Section: Discussionmentioning

confidence: 86%

“…Pin site infection incidence rates were reported as follows in the following studies: 24.1% by Grant et al . , 28.4% by Ocguder et al . , 37.5% by Altay et al .…”

Section: Discussionmentioning

confidence: 89%

The effect of long‐term care and follow‐up on complications in patients with external fixators

Çam

Korkmaz

2013

Int J of Nursing Practice

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“…19 The increasing number of trials investigating the effects of different dressings on PSI is encouraging, although small study populations and heterogeneous designs make comparison of data challenging. 23,24,[30][31][32][33][34] Current results highlight a clear lack of consensus regarding dressing of pin sites.…”

Section: Discussionmentioning

confidence: 99%

A web‐based survey to identify current practice in skeletal pin site management

Walker

Scammell

Bayston

2017

International Wound Journal

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Infections associated with percutaneous pins and wires are common complications which can have a significant impact on patient outcomes. A survey was undertaken to identify current practice and gain insight into variations of clinical practice. Invitations were sent by email to complete an electronic questionnaire using SurveyMonkey. The survey was left open for 100 days. The single largest group of respondents (37.4%, n = 120) cleansed pin sites daily, with significant differences identified between medical and nursing professions (P = 0.02), and country of practice (P < 0.001). Significant differences were also identified in the use of different cleansing solutions between medical and nursing professions (P < 0.001) and country (P < 0.001). The majority group preferences were saline 30% (n = 96) and alcoholic chlorhexidine 29.6% (n = 95). Pin site crusts were routinely removed by 57.9% (n = 186). Pin sites were left exposed by 50.3% (n = 160). Dry gauze was identified as the most common dressing used to dress pin sites, however, substantial variation was identified in the types of dressings used. Compression was not routinely applied to pin sites by 51.6% (n = 165). There remains considerable diversity of practice when caring for pin sites. Further research is required to identify the most effective methods in preventing pin site infection.

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“…These heterogeneous comparisons and somewhat different samples make conclusions difficult. Fewer infections were reported for povidone-iodine (vs paraffin), 8 as well as chlorhexidine (vs normal saline), which also resulted in less pain/antibiotic use. 5 Although results of the latter study 5 indicated that chlorhexidine was more beneficial than normal saline in preventing Staphylococcus aureus infections, comparisons with half-strength H 2 O 2 were not examined.…”

Section: Solutions For Pin-site Carementioning

confidence: 97%