Airway Infection Predisposes to Peristomal Infection after Percutaneous Endoscopic Gastrostomy with High Concordance Between Sputum and Wound Isolates

Chuang, Chiao‐Hsiung; Hung, Kuo Hsiang; Chen, Jen Ru; Chen, Chiung Yu; Kao, Ai Wen; Chang, Wei; Wu, Jiunn Jong; Sheu, Bor Shyang

doi:10.1007/s11605-009-1058-5

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…It is well known that S aureus is the most commonly implicated organism in PEG site infection 17,18 . P aeruginosa was also a common pathogen of PEG site infection in previous studies 19‐21 . In our study, gram‐negative bacteria, especially P aeruginosa , were more prominent.…”

Section: Discussionsupporting

confidence: 58%

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Clinical characteristics and pathogens in percutaneous endoscopic gastrostomy site infection in patients with head and neck cancer: A 16‐year retrospective study

Park

Lee

et al. 2021

Laryngoscope Investig Oto

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Objectives Wound infection is the most common complication associated with percutaneous endoscopic gastrostomy (PEG) placement, with an incidence between 4% and 30%. In this study, we compared the characteristics of PEG site infection between the head and neck cancer (HNC) group and the non‐HNC group. Methods This study was conducted at Kangdong Sacred Heart Hospital at the Ilsong Head and Neck Cancer Center. We retrospectively collected and analyzed data on patients who underwent PEG insertion from October 2003 to May 2019 to evaluate the risk factors and microbiological etiologies of PEG site infection. Results A total of 316 (HNC group [n = 129] and non‐HNC group [n = 187]) patients undergoing PEG insertion were included in this study. Moreover, 67 episodes of PEG site infection were diagnosed, with an overall prevalence of 21.2%. PEG site infections were significantly higher in the HNC group than in the non‐HNC group (32.6% vs 13.4%, P <.001). Pseudomonas aeruginosa is the most common pathogen associated with a PEG site infection. Multidrug‐resistant (MDR) P aeruginosa was more frequent in the HNC group than in the non‐HNC group (78.6% vs 25.0%, P = .006). Conclusions For appropriate treatment, P aeruginosa, especially MDR P aeruginosa, should be considered when selecting empirical antibiotics for PEG site infection in patients with HNC. Level of Evidence: 4

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Section: Discussionsupporting

confidence: 58%

“… 17 , 18 P aeruginosa was also a common pathogen of PEG site infection in previous studies. 19 , 20 , 21 In our study, gram‐negative bacteria, especially P aeruginosa , were more prominent. Of the 42 patients with HNC with PEG infection, 32 (76.2%) were considered to have a late infection.…”

Section: Discussionsupporting

confidence: 47%

Clinical characteristics and pathogens in percutaneous endoscopic gastrostomy site infection in patients with head and neck cancer: A 16‐year retrospective study

Park

Lee

et al. 2021

Laryngoscope Investig Oto

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“…The concordance rate was not so high as recently reported by Taiwan study (16 from 19 concordant) [21] and Japan (20/21 concordant) [22]. The main difference is probably in the high prevalence of pathogens in our cohort (69%), in patients with neurological disorders particularly.…”

Section: Discussioncontrasting

confidence: 45%

Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients

Kroupa

Juránková

Dastych

et al. 2014

BioMed Research International

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Background. The aim of this study was to monitor oropharyngeal bacterial colonization in patients indicated for percutaneous endoscopic gastronomy (PEG). Methods. Oropharyngeal swabs were obtained from patients prior to PEG placement. A development of peristomal infection was evaluated. The analysis of oropharyngeal and peristomal site pathogens was done. Results. Consecutive 274 patients referred for PEG due to neurological disorder or cancer completed the study. Oropharyngeal colonization with pathogens was observed in 69% (190/274), dominantly in the neurologic subgroup of patients (P < 0.001). Peristomal infection occurred in 30 (10.9%) of patients and in 57% of them the correlation between oropharyngeal and peristomal agents was present. The presence of oropharyngeal pathogens was assessed as an important risk factor for the development of peristomal infection only in oncological patients (OR = 8.33, 95% CI: 1.66–41.76). Despite a high prevalence of pathogens in neurological patients, it did not influence the risk of peristomal infection with the exception for methicillin resistant Staphylococcus aureus (MRSA) carriers (OR 4.5, 95% CI: 1.08–18.76). Conclusion. During oropharyngeal microbial screening prior to the PEG insertion, the detection of pathogens may be a marker of the increased risk of peristomal infection in cancer patients only. In neurological patients the benefit of the screening is limited to the detection of MRSA carriers.

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Medical Device–Associated Infections in the Long-Term Care Setting

Crnich

Drinka

2012

Infectious Disease Clinics of North America

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Airway Infection Predisposes to Peristomal Infection after Percutaneous Endoscopic Gastrostomy with High Concordance Between Sputum and Wound Isolates

Cited by 3 publications

References 24 publications

Clinical characteristics and pathogens in percutaneous endoscopic gastrostomy site infection in patients with head and neck cancer: A 16‐year retrospective study

Clinical characteristics and pathogens in percutaneous endoscopic gastrostomy site infection in patients with head and neck cancer: A 16‐year retrospective study

Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients

Medical Device–Associated Infections in the Long-Term Care Setting

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