The Role of Chlorhexidine in the Prevention of Pin Tract Infection as Compared to Povidone-Iodine in Patients Managed by Ilizarov Circular Fixator | [Pakistan Journal of Medical and Health Sciences • 2021]

Author(s):

1. ASADULLAH MAKHDOOM: Liaquat University of Medical & Health Sciences (LUMHS),Jamshoro,Pakistan

2. RAHEEL AKBAR BALOCH: Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan

3. TAHIR AHMED: Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan

4. JAHANZAIB HASSAN: Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan

5. MUHAMMAD FARAZ JOKHIO: Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan

6. LACHMAN DAS MAHESHWARI: Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan

7. MOIZ AHMED: Jinnah Postgraduate Medical Center, KarachiPakistan

Abstract:

Objective: To compare the efficacy of Chlorhexidine in the prevention of pin tract infection as compared to Povidone-iodine antiseptic. Study Design: Prospective, single blinded randomized trial. Study Setting and Duration: Liaquat University of Health Science (LUMHS), Jamshoro between July 2018 to November 2020. Methodology: All patients who underwent Ilizarov external fixation as per indications were eligible for the study. Individuals with a previous history of osteomyelitis were excluded from the study. Pin sites were cleansed with normal saline using clean applicators. In the group chlorhexidine, the antiseptic was applied on the pin skin interphases (1% chlorhexidine). Similarly, 10% povidone iodine was applied to patients in group C. The control group was cleansed with normal saline. Pin sites were either dressed daily or weekly. The primary outcome was the rate of pin site infection days. Results: Chlorhexidine group had significantly lesser pin-site infections as compared to the povidone-iodine group with a frequency of 13 (39.39%) and 19 (63.33%), p=0.04, respectively. The mean pin tract infection rate days ± SD were significantly lower in the chlorhexidine group as compared to the povidone-iodine group (1.35 ± 2.26 vs 3.54 ± 4.30, p=0.041). Similarly, the mean duration to onset of pin site infection was also significantly higher in the chlorhexidine group compared to povidone-iodine and control groups. Conclusion: Patients who used Chlorhexidine as the cleansing agent had significantly fewer pin-site infections as compared to the povidone-iodine group.

Page(s): 1751-1754

DOI: 10.53350/pjmhs211551751

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 15, Issue: 5, Year: 2021

Keywords:

chlorhexidine , Ilizarov fixator , Povidoneiodine , Fracture

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