Antibacterial gauzes are effective in preventing infections after percutaneous endoscopic gastrostomy placement

Strijbos, Denise; Schoon, Erik J.; Curvers, Wouter L.; Friederich, Pieter; Flink, Hajo J.; Stronkhorst, Arnold; Gilissen, Lennard P L

doi:10.1097/meg.0000000000000561

Cited by 6 publications

(9 citation statements)

References 27 publications

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“…18,19 We believe that the regimen with use of antibiotic gazes in addition to systemic antibiotics may have contributed in preventing fecal peritonitis. 26 Our mortality rate was zero, contrary to literature data where high rates have been reported, up to 26%. 19 A recent study on this topic described 19 patients with a 1-year follow-up period.…”

Section: Discussioncontrasting

confidence: 95%

“…We did not encounter fecal peritonitis in any of our 12 patients, whereas this has been reported in 9%‐12% of patients previously . We believe that the regimen with use of antibiotic gazes in addition to systemic antibiotics may have contributed in preventing fecal peritonitis …”

Section: Discussionmentioning

confidence: 49%

“…PEC was then placed with the pull technique (Freka ® PEG; Fresenius Kabi AG, Bad Homburg v.d.H., Germany). In addition, antimicrobial gazes (AMD Antimicrobial Drain Sponges) (Covidien ™ : Excilon ™ PHMB, Mansfield, MA, USA) were placed around the insertion site for 3 days with daily assessment for signs of infection …”

Section: Methodsmentioning

confidence: 99%

“…Bowel preparation was performed with bisaco- were placed around the insertion site for 3 days with daily assessment for signs of infection. 26…”

Section: Pec Proceduresmentioning

confidence: 99%

See 3 more Smart Citations

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

Strijbos

Keszthelyi

Masclee

et al. 2017

Neurogastroenterology Motil

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Section: Discussioncontrasting

confidence: 95%

Section: Discussionmentioning

confidence: 49%

Section: Methodsmentioning

confidence: 99%

“…Bowel preparation was performed with bisaco- were placed around the insertion site for 3 days with daily assessment for signs of infection. 26…”

Section: Pec Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

Strijbos

Keszthelyi

Masclee

et al. 2017

Neurogastroenterology Motil

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show abstract

“…Other studies exploring trimethoprim-sulfamethoxazole administered immediately through the newly inserted catheter showed similar outcomes for wound infection reduction as pre-operative cefuroxime use (126,127). Lastly, a retrospective study of 331 patients showed that application of topical antibacterial polyhexamethylene biguanide gauze immediately following PEG insertion for 3 days was comparable to parenteral antibiotics in preventing peristomal wound infection after PEG placement (128).…”

Section: Wound Infectionmentioning

confidence: 89%

Managing complications of percutaneous tracheostomy and gastrostomy

Zouk¹,

Batra²

2021

J Thorac Dis

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Percutaneous tracheostomy and gastrostomy are some of the most commonly performed procedures at bedside in the intensive care unit. While they are generally considered safe, they can be associated with numerous short and long-term complications, many of which can occur long after their placement and cause significant morbidity. Performers of these procedures should possess a comprehensive understanding of procedural indications and contraindications, and know how to recognize and manage complications that may arise. In this review, we highlight complications of percutaneous tracheostomy and describe strategies for their prevention and management, with a special focus on post-tracheostomy tracheal stenosis. Other complications reviewed include bleeding, pneumothorax and subcutaneous emphysema, posterior wall injury, tube displacement, tracheomalacia, tracheoinominate artery fistula, tracheo-esophageal fistula, and stomal cellulitis. Gastrostomy complications and their management are also discussed including bleeding, internal organ injury, necrotizing fasciitis, aspiration pneumonia, buried bumper syndrome, tumor seeding, wound infection, tube displacement, peristomal leakage, and gastric outlet obstruction. In light of the potentially serious outcomes associated with complications of percutaneous tracheostomy and gastrostomy, the emphasis should be placed on risk-reduction strategies to minimize morbidity and mortality.We therefore present detailed pragmatic and comprehensive checklists to serve as a reference for clinicians involved in performing these procedures.

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The periprocedural respiratory safety of propofol sedation in patients with a motor neuron disease undergoing percutaneous endoscopic gastrostomy insertion

van Neerven,

Schelling,

van den Borne

et al. 2024

Journal of the Neurological Sciences

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Antibacterial gauzes are effective in preventing infections after percutaneous endoscopic gastrostomy placement

Cited by 6 publications

References 27 publications

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

Managing complications of percutaneous tracheostomy and gastrostomy

The periprocedural respiratory safety of propofol sedation in patients with a motor neuron disease undergoing percutaneous endoscopic gastrostomy insertion

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