A Single Dose of Ceftriaxone Administered 30 Minutes Before Percutaneous Endoscopic Gastrostomy Significantly Reduces Local and Systemic Infective Complications

Dormann, Arno J.; Wigginghaus, Bernd; Risius, Heiko; Kleimann, Friedhelm; Kloppenborg, Axel; Grünewald, Thomas; Huchzermeyer, H.

doi:10.1111/j.1572-0241.1999.01523.x

Cited by 75 publications

(28 citation statements)

References 15 publications

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“…Katheterarten liegen randomisierte klinische Studien zum Einfluss einer Antibiotikaprophylaxe vor. Der Effekt einer Singleshot-Antibiotikaprophylaxe wurde für die Anlage perkutaner endoskopischer Gastro stomien (PEG) untersucht [52,53,54,55]. Die Studien bestätigten ausnahmslos einen signifikanten Effekt im Hinblick auf Infektionen des Stichkanals; eine Single -shot-Antibiotikaprophylaxe wird daher in der Literatur empfohlen [56,57].…”

Section: Bezug Zu Anderen Empfehlungenunclassified

Anforderungen an die Hygiene bei Punktionen und Injektionen

2012

Krankenhaus-Hygiene + Infektionsverhütung

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Section: Bezug Zu Anderen Empfehlungenunclassified

Anforderungen an die Hygiene bei Punktionen und Injektionen

2012

Krankenhaus-Hygiene + Infektionsverhütung

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“…Ascites can be drained perinterventionally and should not be a contraindication per se [18]. In cases with underlying infections, leukopenia, or chemotherapy, the PEG should be placed under antibiotic therapy or scheduled for a later date [19,20]. The same protocol is essential in patients with ventriculoperitoneal shunting and peritoneal dialysis catheters in whom PEG placement is also possible [21][22][23].…”

Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%

Endoscopic Techniques for Enteral Nutrition: Standards and Innovations

Dormann

Huchzermeyer²

2002

Dig Dis

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Enteral nutrition has been increasingly used in clinical practice during the past decades. Today, nasogastric, nasoenteric, and transcutaneous gastric or enteral feeding tubes are well established as a routine endoscopic intervention. After clinical introduction of percutaneous endoscopic gastrostomy (PEG) in 1980, the sutureless ‘pull’ PEG has become a widespread endoscopic technique for transcutaneous gastric long-term nutrition. Multiple new techniques have been introduced since then, and today even long-term jejunal nutrition can be achieved with modified techniques. The introducer PEG (first reported in 1984) has not become an established procedure, but new techniques with an endoscopic gastropexy might be a more effective approach. To increase the qualitiy of life of the patients, skin-level devices were designed and successfully introduced in 1984. A new development has been the one-step feeding tubes which provide the patients with a permanent tube. The standard techniques for long-term enteral feeding, new developments of feeding tubes, and future concepts are discussed in this review.

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“…The most common complication is wound infection. Antimicrobial prophylaxis is recommended because it may reduce the frequency of peristomal wound infection (23)(24)(25)(26)(27) and is cost-effective (28). A mature fistulous tract is required to safely replace a percutaneous gastrostomy tube/button.…”

Section: Introductionmentioning

confidence: 99%