Çivi bölgesi bakımında kullanılan iki farklı solüsyonun enfeksiyon gelişimine etkisi

Year 2014, Volume: 48 Issue: 1, 80 - 85, 17.03.2014

Rahsan Cam Fatma Demir Korkmaz Sevki Savk

Abstract

Amaç: Bu araştırmada, eksternal fiksatörlü hastaların çivi bölgesi bakımında kullanılan iki farklı solüsyonun çivi dibi enfeksiyonu gelişimi üzerine olan etkisinin incelemeyi amaçlanmıştır.
Çalışma planı: Araştırmada 18 hastadaki 133 çivi değerlendirildi. Veri toplama araçları olarak hasta tanıtım formu, çivi bölgesi bakımı uygulama formu ve Checketts ve ark. tarafından geliştirilen çivi dibi enfeksiyonu değerlendirme formu kullanıldı. Bir hastada bulunan çivi sayısına denk olacak şekilde 68 çivi dibinin bakımında %10’luk povidon-iyot solüsyonu, 65 çivi dibinin bakımında 2 mg/ml klorheksidin kullanıldı. Oluşan çivi dibi bölgesi enfeksiyonları derecelendirilip kaydedildi. Çivi dibi bölgesi bakımı günlük olarak hasta taburcu oluncaya kadar uygulandı.
Bulgular: Povidon-iyot grubundaki hastaların 68 çivisinden 19’unda (%27.9) çivi dibi enfeksiyonu geliştiği belirlendi. Klorheksidin grubundaki hastaların 65 çivisinden 6’sında (%9.2) çivi dibi enfeksiyonu geliştiği izlendi.
Çıkarımlar: Bu çalışma ile çivi bölgesi bakımında 2 mg/ml klorheksidin kullanımının çivi dibi enfeksiyonu görülme sıklığını azalttığı belirlendi.

Keywords

Bakım; çivi dibi enfeksiyonu; eksternal fiksatör; kırık; solüsyon.

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

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.

Keywords

Care, external fixators, fracture, pin tract infection, solution

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