Use of chlorhexidine-impregnated patch at pin site to reduce local morbidity: the ChIPPS Pilot Trial.

International Wound Journal
Stephanie C WuDavid G Armstrong

Abstract

Pin tract infection is one of the most common complications associated with the use of external fixation. While some studies have identified the potential benefit of chlorhexidine gluconate-impregnated polyurethane dressings to reduce the incidence of catheter-related bloodstream infections, we are unaware of any published studies that evaluate the effectiveness of similar technologies in reducing the risk for external-fixation-related pin tract infections. Therefore, the purpose of this study was to evaluate the effectiveness of chlorhexidine gluconate-impregnated polyurethane dressing in reducing percutaneous-device-related skin colonisation and local infections. In this initial retrospective cohort, data were abstracted for two groups of consecutive patients undergoing surgery involving external fixation at an interdisciplinary foot and ankle surgical unit. All patients received surgical treatment of their foot/ankle pathology along with application of a hybrid external fixator. Twenty patients (45% male, age 54.5 +/- 3.69 years) received chlorhexidine gluconate-impregnated polyurethane dressing and twenty (55% male, age 55.8 +/- 3.22 years) received standard pin care. There was a significantly higher rate of pin tract infec...Continue Reading

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Citations

Jul 17, 2013·The Journal of Nursing Education·Marion E BroomeEman S Allam
Mar 18, 2009·Journal of Biomedical Materials Research. Part a·Teri G Rosenbaum ChouRoy D Bloebaum
Feb 14, 2014·Advanced Healthcare Materials·Maggie HerronNicholas L Abbott
Apr 12, 2016·Injury·Leonid N SolominHiroyuki Tsuchiya
Aug 16, 2015·Strategies in Trauma and Limb Reconstruction·Alfred O OgbemudiaEdwin Edomwonyi
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May 14, 2016·Strategies in Trauma and Limb Reconstruction·Nikolas H KazmersS Robert Rozbruch
May 23, 2017·Journal of Bone and Joint Infection·Jaiben GeorgeCarlos A Higuera
May 16, 2020·Journal of Wound Care·George J Holinga, James E McGuire
Aug 28, 2019·International Journal of Orthopaedic and Trauma Nursing·Fergus Campbell, Elizabeth Watt
Aug 2, 2021·International Journal of Pharmaceutics·Matteo MaraldiDavide Moscatelli

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