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Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients
Joint Authors
Kroupa, Radek
Jurankova, Jana
Dastych, Milan
Senkyrik, Michal
Pavlik, Tomas
Prokesova, Jitka
Jecmenova, Marketa
Dolina, Jiri
Hep, Ales
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-27
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The aim of this study was to monitor oropharyngeal bacterial colonization in patients indicated for percutaneous endoscopic gastronomy (PEG).
Methods.
Oropharyngeal swabs were obtained from patients prior to PEG placement.
A development of peristomal infection was evaluated.
The analysis of oropharyngeal and peristomal site pathogens was done.
Results.
Consecutive 274 patients referred for PEG due to neurological disorder or cancer completed the study.
Oropharyngeal colonization with pathogens was observed in 69% (190/274), dominantly in the neurologic subgroup of patients (P < 0.001).
Peristomal infection occurred in 30 (10.9%) of patients and in 57% of them the correlation between oropharyngeal and peristomal agents was present.
The presence of oropharyngeal pathogens was assessed as an important risk factor for the development of peristomal infection only in oncological patients (OR = 8.33, 95% CI: 1.66–41.76).
Despite a high prevalence of pathogens in neurological patients, it did not influence the risk of peristomal infection with the exception for methicillin resistant Staphylococcus aureus (MRSA) carriers (OR 4.5, 95% CI: 1.08–18.76).
Conclusion.
During oropharyngeal microbial screening prior to the PEG insertion, the detection of pathogens may be a marker of the increased risk of peristomal infection in cancer patients only.
In neurological patients the benefit of the screening is limited to the detection of MRSA carriers.
American Psychological Association (APA)
Kroupa, Radek& Jurankova, Jana& Dastych, Milan& Senkyrik, Michal& Pavlik, Tomas& Prokesova, Jitka…[et al.]. 2014. Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1016381
Modern Language Association (MLA)
Kroupa, Radek…[et al.]. Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1016381
American Medical Association (AMA)
Kroupa, Radek& Jurankova, Jana& Dastych, Milan& Senkyrik, Michal& Pavlik, Tomas& Prokesova, Jitka…[et al.]. Different Clinical Utility of Oropharyngeal Bacterial Screening prior to Percutaneous Endoscopic Gastrostomy in Oncological and Neurological Patients. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1016381
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1016381