Tyler Kevin, Leon Stuart M, Lowe Stephen, Kellogg Ryan, Lena Jonathan, Privette Alicia R, Eriksson Evert A
Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, 96 Jonathan Lucas St. CSB 416, Charleston, SC, 29425, USA.
Department of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St. Room 301 CSB, Charleston, SC, 29425, USA.
Heliyon. 2020 Mar 18;6(3):e03523. doi: 10.1016/j.heliyon.2020.e03523. eCollection 2020 Mar.
Percutaneous endoscopic gastrostomy (PEG) tubes and ventriculoperitoneal shunts (VPS) are commonly placed in neurologically impaired patients. There is concern about safety of VPS coexisting with PEG tubes due to the potential for an increased risk of infection. In this study, we assess the risk of VPS infection and the amount of time between both procedures.
Retrospective chart review of patients from our institution who had VPS and PEG tubes placed during the same hospitalization between 2014 and 2018. Our primary focus was assessing risk of VPS infection and timing of procedures in this patient population. Additionally, we assessed other factors which may contribute to VPS infection including SIRS criteria at time of VPS placement, comorbidities and other procedures performed. None of the SIRS factors were associated with VPS infection.
45 patients met inclusion criteria. Our VPS infection rate was found to be 7% (n = 3). These patients had 4, 16, and 36 days between procedures. 89% of our patients had PEG tube placed prior to VPS with 2 of these patients developing a VPS infection. At the time of VPS placement 42% of patients had SIRS. None of the SIRS factors were associated with VPS infection.
Our VPS infection rate remained low even when they were performed during the same hospitalization as a PEG tube placement. SIRS is not associated with the development of VPS infections and is not an absolute contraindication to placing a VPS.
经皮内镜下胃造口术（PEG）管和脑室腹腔分流术（VPS）常用于神经功能受损患者。由于存在感染风险增加的可能性，人们对VPS与PEG管共存的安全性表示担忧。在本研究中，我们评估了VPS感染的风险以及两种手术之间的时间间隔。
对2014年至2018年期间在我院同一住院期间接受VPS和PEG管置入的患者进行回顾性病历审查。我们的主要重点是评估该患者群体中VPS感染的风险和手术时间。此外，我们评估了其他可能导致VPS感染的因素，包括VPS置入时的全身炎症反应综合征（SIRS）标准、合并症和其他进行的手术。没有一个SIRS因素与VPS感染相关。
45例患者符合纳入标准。我们发现VPS感染率为7%（n = 3）。这些患者手术间隔时间分别为4天、16天和36天。89%的患者在VPS置入前已放置PEG管，其中2例患者发生了VPS感染。在VPS置入时，42%的患者有SIRS。没有一个SIRS因素与VPS感染相关。
即使VPS与PEG管置入在同一住院期间进行，我们的VPS感染率仍然很低。SIRS与VPS感染的发生无关，不是放置VPS的绝对禁忌证。
