Pin Site Infection (PSI) has been described as so common that âit seems reasonable to consider it unavoidableâ. Infection can range from local soft tissue infection and cellulitis to osteomyelitis, bacterial endocarditis and septic arthritis, in severe cases this may progress to septicaemia. In many cases minor infection can be remedied with increased pin site care and antibiotic therapy, whereas major infection requires prolonged treatment with systemic antibiotics and often the removal of pins. Recognising infection of the pin site or surrounding tissues is essential to enable effective early management of infection. Classification of PSI varies within the literature, with some studies using clinical judgement of infection and others preferring to use microbiological diagnosis of infection. Many pin site grading tools are complex and time consuming for clinicians to use with varying inter-rater reliability when classifying or grading the extent of erythema, tenderness and swelling of an infected pin site. Clint et al system offers a simplistic approach, which classifies pin sites as âGoodâ, âBadâ or âUglyâ, based on factors such as erythema and pain. Similarly, Santy J criteria describes pin sites as âcalmâ, âirritatedâ or âinfectedâ and takes into account patient and clinician observations.
The Problem with Pin Site Infection
Last date updated on November, 2020