title: Managing overgranulation tissue around gastrostomy sites.
abstract: The development of overgranulation tissue around gastrostomy sites isa common problem. While there is little evidence to suggest that one treatment is more effective than another, a review of current practice suggests that there is an opportunity to improve clinical practice and patient outcomes in this area of care. The authors performed a simple practice-based audit to identify the extent of the problem within one geographical location. A care pathway approach was introduced,which reinforced the basic principles of care and encouraged the use of a 'double-foam' dressing on overgranulation tissue. A foam dressing impregnated with polyhexamethylene biguanide was used at the wound interface, providing a safe and effective alternative to managing overgranulation. Findings showed that a strategic approach to managing overgranulation tissue around gastrostomy devices can improve patient outcomes and clinical practice.
authors.affiliation: County Durham and Darlington NHS Foundation Trust, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Warriner
authors.forename: Pam
authors.initials: P
authors.lastname: Spruce
mesh_terms: D000328:Adult; D001458:Bandages; D005260:Female; D005774:Gastrostomy / Q000451:nursing*; D006097:Granulation Tissue / Q000473:pathology*; D006801:Humans; D008297:Male; D009731:Nursing Audit; D017592:Skin Care / Q000379:methods*; D013041:Specialties, Nursing / Q000379:methods* / Q000592:standards; D014945:Wound Healing / Q000502:physiology