Cargando…
The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients
Pin track sepsis is a common complication of circular external fixation. HIV status has been implicated as an independent risk factor for the development of pin track infection and has been cited as a reason not to attempt complex limb reconstruction in HIV-positive patients. This retrospective revi...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122680/ https://www.ncbi.nlm.nih.gov/pubmed/25056512 http://dx.doi.org/10.1007/s11751-014-0194-y |
_version_ | 1782329378467741696 |
---|---|
author | Ferreira, Nando Marais, Leonard Charles |
author_facet | Ferreira, Nando Marais, Leonard Charles |
author_sort | Ferreira, Nando |
collection | PubMed |
description | Pin track sepsis is a common complication of circular external fixation. HIV status has been implicated as an independent risk factor for the development of pin track infection and has been cited as a reason not to attempt complex limb reconstruction in HIV-positive patients. This retrospective review of patients treated with circular external fixators looked at the incidence of pin track sepsis in HIV-positive, HIV-negative and patients whose HIV status was unknown. The records of 229 patients, 40 of whom were HIV-positive, were reviewed. The overall incidence of pin track sepsis was 22.7 %. HIV infection did not affect the incidence of pin track sepsis (p = 0.9). The severity of pin track sepsis was not influenced by HIV status (p = 0.9) or CD(4) count (p = 0.2). With the employment of meticulous pin insertion techniques and an effective postoperative pin track care protocol, circular external fixation can be used safely in HIV-positive individuals. |
format | Online Article Text |
id | pubmed-4122680 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-41226802014-08-18 The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients Ferreira, Nando Marais, Leonard Charles Strategies Trauma Limb Reconstr Original Article Pin track sepsis is a common complication of circular external fixation. HIV status has been implicated as an independent risk factor for the development of pin track infection and has been cited as a reason not to attempt complex limb reconstruction in HIV-positive patients. This retrospective review of patients treated with circular external fixators looked at the incidence of pin track sepsis in HIV-positive, HIV-negative and patients whose HIV status was unknown. The records of 229 patients, 40 of whom were HIV-positive, were reviewed. The overall incidence of pin track sepsis was 22.7 %. HIV infection did not affect the incidence of pin track sepsis (p = 0.9). The severity of pin track sepsis was not influenced by HIV status (p = 0.9) or CD(4) count (p = 0.2). With the employment of meticulous pin insertion techniques and an effective postoperative pin track care protocol, circular external fixation can be used safely in HIV-positive individuals. Springer Milan 2014-07-24 2014-08 /pmc/articles/PMC4122680/ /pubmed/25056512 http://dx.doi.org/10.1007/s11751-014-0194-y Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Ferreira, Nando Marais, Leonard Charles The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title | The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title_full | The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title_fullStr | The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title_full_unstemmed | The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title_short | The effect of HIV infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
title_sort | effect of hiv infection on the incidence and severity of circular external fixator pin track sepsis: a retrospective comparative study of 229 patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122680/ https://www.ncbi.nlm.nih.gov/pubmed/25056512 http://dx.doi.org/10.1007/s11751-014-0194-y |
work_keys_str_mv | AT ferreiranando theeffectofhivinfectionontheincidenceandseverityofcircularexternalfixatorpintracksepsisaretrospectivecomparativestudyof229patients AT maraisleonardcharles theeffectofhivinfectionontheincidenceandseverityofcircularexternalfixatorpintracksepsisaretrospectivecomparativestudyof229patients AT ferreiranando effectofhivinfectionontheincidenceandseverityofcircularexternalfixatorpintracksepsisaretrospectivecomparativestudyof229patients AT maraisleonardcharles effectofhivinfectionontheincidenceandseverityofcircularexternalfixatorpintracksepsisaretrospectivecomparativestudyof229patients |