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The Role of Chlorhexidine in the Prevention of Pin Tract Infection as Compared to Povidone-Iodine in Patients Managed by Ilizarov Circular Fixator
Author(s)
ASADULLAH MAKHDOOM Liaquat University of Medical & Health Sciences (LUMHS),Jamshoro,Pakistan
RAHEEL AKBAR BALOCH Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan
TAHIR AHMED Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan
JAHANZAIB HASSAN Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan
MUHAMMAD FARAZ JOKHIO Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan
LACHMAN DAS MAHESHWARI Liaquat University of Medical and Health Sciences,Jamshoro,Pakistan
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.
Publication Details
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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