Ogundipe O A, Kar-Purkayastha S
General Medicine & COTE, Royal Liverpool University Hospital, Liverpool, UK.
Int J Clin Pract. 2004 Jun;58(6):632-4. doi: 10.1111/j.1368-5031.2004.00115.x.
Percutaneous endoscopic gastrostomy (PEG) has become a widely practised procedure to maintain long-term nutrition in patients with a variety of medical conditions. Incidence of infection and the usage of prophylactic antibiotic continue to remain an area of debate. Guidelines in gastroenterology on antibiotic prophylaxis published by the British Society of Gastroenterology recommend the use of prophylactic antibiotic prior to placement of PEG tube (1). There has been an alarming rise in the incidence of MRSA, which has jumped from a reported 2% in 1992 to about 42% in 2001 in England & Wales. Use of antibiotic may lead to emergence of MRSA in debilitated patients requiring PEG feeding. This audit addresses some of the problems encountered in a small district general hospital.
经皮内镜下胃造口术（PEG）已成为一种广泛应用的手术，用于维持患有各种疾病的患者的长期营养。感染发生率和预防性抗生素的使用仍然是一个有争议的领域。英国胃肠病学会发布的胃肠病学抗生素预防指南建议在放置PEG管之前使用预防性抗生素（1）。耐甲氧西林金黄色葡萄球菌（MRSA）的发生率急剧上升，在英格兰和威尔士，报告的发生率从1992年的2%跃升至2001年的约42%。使用抗生素可能导致需要PEG喂养的虚弱患者出现MRSA。本次审计探讨了一家小型地区综合医院遇到的一些问题。
