[The prophylaxis of wound infection in pull-percutaneous endoscopic gastrostomy: Correlation with methicillin resistant staphylococcus aureus positive patient in the throat].
In this study, we elucidated the efficacy of our prophylactic method for wound infection in pull-percutaneous endoscopic gastrostomy (PEG). The total 29 patients received the pull-PEG. The first 8 patients received the oral sterilization with povidone iodine and antibiotics at the time of pull-PEG (Group-I). The frequency of wound infection in this group was 50.0% (4/8). It was revealed that all infections were induced by methicillin resistant staphylococcus aureus (MRSA). 3 patients were MRSA positive in the throat. In Group-II, we eradicated MRSA in the throat before the pull-PEG by combination mupirocin calcium hydrate with the Group-I treatment. In contrast in Group-I, the frequency of wound infection was significantly reduced in Group-II (4.8%: 1/21). The results showed that our eradication method was very useful for prevention of the wound infection in pull-PEG treatment.
Adachi
Satoru
S
Department of Internal Medicine, Nara Prefectural Gojo Hospital.
Oura
Gen
G
Sawai
Mizuho
M
Ikenaka
Yasuhide
Y
Ahn
Tatsuichi
T
Ueda
Shigehiko
S
Moriyasu
Hiroto
H
Matsumoto
Masami
M
Matsumura
Masahiko
M
Fukui
Hiroshi
H
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D010614:Pharynx / Q000382:microbiology*; D011206:Povidone-Iodine / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D014946:Wound Infection / Q000517:prevention & control*
D011206:Povidone-Iodine