A committee of musculoskeletal care nurses has been meeting to formulate policy changes regarding the proper method for providing pin site care to best minimize the client's risk for infection
Based on the current research findings, the nurses come to the conclusion that: 1. Chlorhexidine 2 mg/mL solution is the cleanser of choice.
2. The critical period for infection control measures is up to 48 hours out from pin insertion.
3. Pins located in areas of considerable soft tissue are at least risk for infection.
4. Hydrogen peroxide is an acceptable choice of skin cleanser.
Chlorhexidine 2 mg/mL solution is the cleanser of choice.
Rationale: Research supports that chlorhexidine 2 mg/mL solution appears be the most effective cleansing solution for pin site care. Currently, the use of hydrogen peroxide is discouraged because it may cause damage to the healthy tissue surrounding the pin; it has also been associated with increased infection rates and the disruption of the skin's normal flora. The critical period for infection control is after the first 48 to 72 hours when drainage may be heavy; pin site care should be done daily. Pins located in areas with considerable soft tissue should be considered at greater risk for infection.
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