Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors
Background Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess...
Gespeichert in:
| Veröffentlicht in: | Indian journal of gastroenterology 2018-03, Vol.37 (2), p.103-107 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 107 |
|---|---|
| container_issue | 2 |
| container_start_page | 103 |
| container_title | Indian journal of gastroenterology |
| container_volume | 37 |
| creator | Vizhi, Kayal Rao, Harshavardhan B. Venu, Rama P. |
| description | Background
Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies.
Methods
A retrospective study of 781 patients who underwent PEG placement (Cook PEG-Pull-S-20Fr/24Fr) from 2010 to 2015 at our tertiary care center were included. Relevant data were collected from the hospital electronic medical records. The incidence of PI was computed and potential risk factors were assessed using univariate analysis. The microbiological profile was created along with sensitivity patterns after reviewing the culture reports. Statistical analysis was performed using SPSS version 20.0.
Results
PEG tube placement was performed in 781 patients (mean age 55.9 ± 36.1; M:F = 2:75). The major indication was oropharyngeal malignancies. PI was seen in 171 patients (21.9%). Diabetes mellitus, duration of hospital stay more than 7 days, and hypoalbuminemia were found to be significant risk factors for the development of PI (
p
|
| doi_str_mv | 10.1007/s12664-018-0822-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2007984451</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2007984451</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-eb87db4398e8357d220ce80817c7b0e2bca335cc536a3fdf733317057a2aad163</originalsourceid><addsrcrecordid>eNp9kL1OwzAUhS0EoqXwACwoI0vAf4mdEVX8SZXoALPlODeVS2MXOxm68RA8IU-CqxRGpnuv7jlHOh9ClwTfEIzFbSS0LHmOicyxpDTnR2iKK1HkWBBynHZa8FzKEk_QWYxrvL8rdoomtOKCEYanaLmEYIZeO_BDzMA1Phq_tSZb6dgHH3vf7bJoe8isa8H01rv4_fn17IxtwBnItGuyYON71mrT-xDP0UmrNxEuDnOG3h7uX-dP-eLl8Xl-t8gN47zPoZaiqTmrJEhWiIZSbEBiSYQRNQZaG81YYUzBSs3aphWMMSJwITTVuiElm6HrMXcb_McAsVedjQY2m7GKoglQJTkvSJKSUWpSoRigVdtgOx12imC1B6lGkCqBVHuQiifP1SF-qDto_hy_5JKAjoKYXm4FQa39EFyq_E_qD126f-A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007984451</pqid></control><display><type>article</type><title>Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Vizhi, Kayal ; Rao, Harshavardhan B. ; Venu, Rama P.</creator><creatorcontrib>Vizhi, Kayal ; Rao, Harshavardhan B. ; Venu, Rama P.</creatorcontrib><description>Background
Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies.
Methods
A retrospective study of 781 patients who underwent PEG placement (Cook PEG-Pull-S-20Fr/24Fr) from 2010 to 2015 at our tertiary care center were included. Relevant data were collected from the hospital electronic medical records. The incidence of PI was computed and potential risk factors were assessed using univariate analysis. The microbiological profile was created along with sensitivity patterns after reviewing the culture reports. Statistical analysis was performed using SPSS version 20.0.
Results
PEG tube placement was performed in 781 patients (mean age 55.9 ± 36.1; M:F = 2:75). The major indication was oropharyngeal malignancies. PI was seen in 171 patients (21.9%). Diabetes mellitus, duration of hospital stay more than 7 days, and hypoalbuminemia were found to be significant risk factors for the development of PI (
p
< 0.05). Patients who had chemotherapy or radiotherapy before PEG placement had a higher incidence of peristomal infections (
p
0.00). Pseudomonas and Klebsiella were the most common organisms causing infection.
Conclusions
PI remains a significant complication of PEG placement. Pseudomonas and Klebsiella are the most common organisms and prophylactic antibiotic protocols should be tailored accordingly. Elective PEG before the institution of chemotherapy/radiotherapy in patients with oropharyngeal malignancies is recommended.</description><identifier>ISSN: 0254-8860</identifier><identifier>EISSN: 0975-0711</identifier><identifier>DOI: 10.1007/s12664-018-0822-4</identifier><identifier>PMID: 29473130</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - administration & dosage ; Antibiotic Prophylaxis ; Endoscopy, Gastrointestinal - adverse effects ; Enteral Nutrition - methods ; Female ; Follow-Up Studies ; Gastroenterology ; Gastrostomy - adverse effects ; Hepatology ; Humans ; Incidence ; Klebsiella ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pseudomonas ; Retrospective Studies ; Risk Factors ; Surgical Stomas - microbiology ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology ; Surgical Wound Infection - microbiology ; Surgical Wound Infection - prevention & control</subject><ispartof>Indian journal of gastroenterology, 2018-03, Vol.37 (2), p.103-107</ispartof><rights>Indian Society of Gastroenterology 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-eb87db4398e8357d220ce80817c7b0e2bca335cc536a3fdf733317057a2aad163</citedby><cites>FETCH-LOGICAL-c344t-eb87db4398e8357d220ce80817c7b0e2bca335cc536a3fdf733317057a2aad163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12664-018-0822-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12664-018-0822-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29473130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vizhi, Kayal</creatorcontrib><creatorcontrib>Rao, Harshavardhan B.</creatorcontrib><creatorcontrib>Venu, Rama P.</creatorcontrib><title>Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors</title><title>Indian journal of gastroenterology</title><addtitle>Indian J Gastroenterol</addtitle><addtitle>Indian J Gastroenterol</addtitle><description>Background
Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies.
Methods
A retrospective study of 781 patients who underwent PEG placement (Cook PEG-Pull-S-20Fr/24Fr) from 2010 to 2015 at our tertiary care center were included. Relevant data were collected from the hospital electronic medical records. The incidence of PI was computed and potential risk factors were assessed using univariate analysis. The microbiological profile was created along with sensitivity patterns after reviewing the culture reports. Statistical analysis was performed using SPSS version 20.0.
Results
PEG tube placement was performed in 781 patients (mean age 55.9 ± 36.1; M:F = 2:75). The major indication was oropharyngeal malignancies. PI was seen in 171 patients (21.9%). Diabetes mellitus, duration of hospital stay more than 7 days, and hypoalbuminemia were found to be significant risk factors for the development of PI (
p
< 0.05). Patients who had chemotherapy or radiotherapy before PEG placement had a higher incidence of peristomal infections (
p
0.00). Pseudomonas and Klebsiella were the most common organisms causing infection.
Conclusions
PI remains a significant complication of PEG placement. Pseudomonas and Klebsiella are the most common organisms and prophylactic antibiotic protocols should be tailored accordingly. Elective PEG before the institution of chemotherapy/radiotherapy in patients with oropharyngeal malignancies is recommended.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Antibiotic Prophylaxis</subject><subject>Endoscopy, Gastrointestinal - adverse effects</subject><subject>Enteral Nutrition - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology</subject><subject>Gastrostomy - adverse effects</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Klebsiella</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pseudomonas</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgical Stomas - microbiology</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Surgical Wound Infection - prevention & control</subject><issn>0254-8860</issn><issn>0975-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAUhS0EoqXwACwoI0vAf4mdEVX8SZXoALPlODeVS2MXOxm68RA8IU-CqxRGpnuv7jlHOh9ClwTfEIzFbSS0LHmOicyxpDTnR2iKK1HkWBBynHZa8FzKEk_QWYxrvL8rdoomtOKCEYanaLmEYIZeO_BDzMA1Phq_tSZb6dgHH3vf7bJoe8isa8H01rv4_fn17IxtwBnItGuyYON71mrT-xDP0UmrNxEuDnOG3h7uX-dP-eLl8Xl-t8gN47zPoZaiqTmrJEhWiIZSbEBiSYQRNQZaG81YYUzBSs3aphWMMSJwITTVuiElm6HrMXcb_McAsVedjQY2m7GKoglQJTkvSJKSUWpSoRigVdtgOx12imC1B6lGkCqBVHuQiifP1SF-qDto_hy_5JKAjoKYXm4FQa39EFyq_E_qD126f-A</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Vizhi, Kayal</creator><creator>Rao, Harshavardhan B.</creator><creator>Venu, Rama P.</creator><general>Springer India</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors</title><author>Vizhi, Kayal ; Rao, Harshavardhan B. ; Venu, Rama P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-eb87db4398e8357d220ce80817c7b0e2bca335cc536a3fdf733317057a2aad163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - administration & dosage</topic><topic>Antibiotic Prophylaxis</topic><topic>Endoscopy, Gastrointestinal - adverse effects</topic><topic>Enteral Nutrition - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology</topic><topic>Gastrostomy - adverse effects</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Klebsiella</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pseudomonas</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgical Stomas - microbiology</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Surgical Wound Infection - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vizhi, Kayal</creatorcontrib><creatorcontrib>Rao, Harshavardhan B.</creatorcontrib><creatorcontrib>Venu, Rama P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vizhi, Kayal</au><au>Rao, Harshavardhan B.</au><au>Venu, Rama P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors</atitle><jtitle>Indian journal of gastroenterology</jtitle><stitle>Indian J Gastroenterol</stitle><addtitle>Indian J Gastroenterol</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>37</volume><issue>2</issue><spage>103</spage><epage>107</epage><pages>103-107</pages><issn>0254-8860</issn><eissn>0975-0711</eissn><abstract>Background
Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies.
Methods
A retrospective study of 781 patients who underwent PEG placement (Cook PEG-Pull-S-20Fr/24Fr) from 2010 to 2015 at our tertiary care center were included. Relevant data were collected from the hospital electronic medical records. The incidence of PI was computed and potential risk factors were assessed using univariate analysis. The microbiological profile was created along with sensitivity patterns after reviewing the culture reports. Statistical analysis was performed using SPSS version 20.0.
Results
PEG tube placement was performed in 781 patients (mean age 55.9 ± 36.1; M:F = 2:75). The major indication was oropharyngeal malignancies. PI was seen in 171 patients (21.9%). Diabetes mellitus, duration of hospital stay more than 7 days, and hypoalbuminemia were found to be significant risk factors for the development of PI (
p
< 0.05). Patients who had chemotherapy or radiotherapy before PEG placement had a higher incidence of peristomal infections (
p
0.00). Pseudomonas and Klebsiella were the most common organisms causing infection.
Conclusions
PI remains a significant complication of PEG placement. Pseudomonas and Klebsiella are the most common organisms and prophylactic antibiotic protocols should be tailored accordingly. Elective PEG before the institution of chemotherapy/radiotherapy in patients with oropharyngeal malignancies is recommended.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>29473130</pmid><doi>10.1007/s12664-018-0822-4</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0254-8860 |
| ispartof | Indian journal of gastroenterology, 2018-03, Vol.37 (2), p.103-107 |
| issn | 0254-8860 0975-0711 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2007984451 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Aged, 80 and over Anti-Bacterial Agents - administration & dosage Antibiotic Prophylaxis Endoscopy, Gastrointestinal - adverse effects Enteral Nutrition - methods Female Follow-Up Studies Gastroenterology Gastrostomy - adverse effects Hepatology Humans Incidence Klebsiella Male Medicine Medicine & Public Health Middle Aged Original Article Pseudomonas Retrospective Studies Risk Factors Surgical Stomas - microbiology Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology Surgical Wound Infection - microbiology Surgical Wound Infection - prevention & control |
| title | Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T01%3A49%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Percutaneous%20endoscopic%20gastrostomy%20site%20infections%E2%80%94Incidence%20and%20risk%20factors&rft.jtitle=Indian%20journal%20of%20gastroenterology&rft.au=Vizhi,%20Kayal&rft.date=2018-03-01&rft.volume=37&rft.issue=2&rft.spage=103&rft.epage=107&rft.pages=103-107&rft.issn=0254-8860&rft.eissn=0975-0711&rft_id=info:doi/10.1007/s12664-018-0822-4&rft_dat=%3Cproquest_cross%3E2007984451%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2007984451&rft_id=info:pmid/29473130&rfr_iscdi=true |