Adachi Satoru, Oura Gen, Sawai Mizuho, Ikenaka Yasuhide, Ahn Tatsuichi, Ueda Shigehiko, Moriyasu Hiroto, Matsumoto Masami, Matsumura Masahiko, Fukui Hiroshi
Department of Internal Medicine, Nara Prefectural Gojo Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2002 Jan;99(1):21-6.
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.
在本研究中，我们阐明了经皮内镜下胃造口术（PEG）中预防伤口感染方法的有效性。共有29例患者接受了拖出式PEG。前8例患者在进行拖出式PEG时接受了聚维酮碘口服消毒及抗生素治疗（第一组）。该组伤口感染发生率为50.0%（4/8）。结果显示，所有感染均由耐甲氧西林金黄色葡萄球菌（MRSA）引起。3例患者咽喉部MRSA检测呈阳性。在第二组中，我们在进行拖出式PEG前，采用水合莫匹罗星联合第一组的治疗方法清除了咽喉部的MRSA。与第一组相比，第二组伤口感染发生率显著降低（4.8%：1/21）。结果表明，我们的清除方法对于预防拖出式PEG治疗中的伤口感染非常有效。
