The Effect of Needle Tract Nursing Methods to Reduce Needle Tract Infection in Patients with Indwelling Percutaneous Bone Puncture.

Weichao Li,Qiongshan Liu

doi:10.1155/2021/5812562

Abstract

Percutaneous bone piercing needles are used in orthopedics, which play the role of needle fixation. Needle tract infection is a common complication during the use of percutaneous bone needles. How to prevent needle tract infection is an important topic, so it is necessary to explore better needle tract care methods during percutaneous bone needle indwelling, to provide a basis for clinical work. Based on this, the purpose of this article is to study the effects of needle tract nursing methods for patients with indwelling percutaneous bone puncture needle infections. In this article, through an overview of percutaneous bone needle tract infection, on this basis, a detailed analysis of its occurrence, causes, and main influencing factors are carried out. Experimental studies have shown that the incidence of needle tract infections is 23.64%, mainly mild needle tract infections. Mild needle tract infections account for 84.62% of all needle tract infections, of which grade 1 needle tract infections account for 50.00 of mild needle tract infections. Severe needle tract infections accounted for 15.38% of all needle tract infections. All severe needle tract infections were grade 4 needle tract infections. No patients had bone infections or osteomyelitis.

Highlights

Percutaneous orthopedic needles are metal rods or needles used for external fixation and bone dispersion devices. ey have been used to treat fractures for a century and are still widely used in orthopedics [1, 2]. e percutaneous bone needle passes through the skin, close to the muscle and soft tissue, and enters the bone tissue, or stays in the bone tissue, and passes through the other end of the bone [3, 4]
Due to the destruction of the integrity of the skin, the natural barrier of infection, needle tract infection has become a common postoperative complication of external fixation, which will lead to loosening of fixation, osteomyelitis, and failure of fixation
Studies by Patterson et al have shown that there is no significant difference in the infection rate of the needle tract between patients with conventional and unconventional disinfection of the needle tract; that is, there is insufficient evidence to prove that disinfecting the needle tract has an effect on the prevention of needle tract infection [7]. e correct diagnosis of soft tissue or bone tissue infection depends on tissue specimen culture, but it should be noted that the specimen culture results collected on gauze or emergency treatment of open fracture are meaningless for the diagnosis of infection

Summary

Introduction

Percutaneous orthopedic needles are metal rods or needles used for external fixation and bone dispersion devices. ey have been used to treat fractures for a century and are still widely used in orthopedics [1, 2]. e percutaneous bone needle passes through the skin, close to the muscle and soft tissue, and enters the bone tissue, or stays in the bone tissue, and passes through the other end of the bone [3, 4]. Percutaneous orthopedic needles are metal rods or needles used for external fixation and bone dispersion devices. Needle tract infection is a common complication when using percutaneous bone puncture needles. Due to the destruction of the integrity of the skin, the natural barrier of infection, needle tract infection has become a common postoperative complication of external fixation, which will lead to loosening of fixation, osteomyelitis, and failure of fixation. Ere is no unified standard for clinical diagnosis of needle tract infection. At present, it is largely based on clinical experience, with low reliability, and there is a lack of consensus in early diagnosis

Objectives

Results

Conclusion