Korean J Gastrointest Endosc.  2007 Sep;35(3):133-139.

A Risk Factor for Wound Infection after Percutaneous Endoscopic Gastrostomy: Decreased Performance Status

• You CR
• Kim SW
• Paik CN
• Park JM
• Cho YK
• Lee IS
• Choi MG
• Choi KY
• Chung IS

Abstract

BACKGROUND/AIMS: Percutaneous endoscopic gastrostomy (PEG) has been widely used for long term enteral nutrition. The most common complication is peristomal wound infection. The aim of this study is to investigate the risk factors for peristomal wound infection after PEG.
METHODS
We reviewed the records of 55 patients who had undergone PEG placement at Kangnam St. Mary's hospital via the Pull-string technique. We analyzed the underlying disease, the performance status and the nutritional state of the patients to determine the risk factors for wound infection.
RESULTS
Peristomal wound infection after PEG occurred in 20 (36.4%) of the 55 patients. Methicillin resistant Staphylococcus aureus (MRSA) was the most common isolated microorganism. On univariate analysis, the underlying CNS disease, non-malignant disease and a decreased performance status (ECOG 3, 4) were correlated with wound infection. On multivariate analysis, a decreased performance status was an independent risk factor for wound infection after PEG (p=0.007, OR=6.011, CI: 1.64~22.09).
CONCLUSIONS
A decreased performance status was an independent risk factor for peristomal wound infection after PEG.

Keyword

Percutaneous endoscopic gastrostomy (PEG); Peristomal wound infection; Risk factor; Performance status

MeSH Terms

Central Nervous System Diseases
Enteral Nutrition
Gastrostomy*
Humans
Methicillin Resistance
Multivariate Analysis
Risk Factors*
Staphylococcus aureus
Wound Infection*
Wounds and Injuries*