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Nutrition posters 313–320

https://doi.org/10.1136/gut.50.suppl_2.a86

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    313 DOES IMPLEMENTATION OF ANTIBIOTIC PROPHYLAXIS IN PEG INSERTION AFFECT INCIDENCE OF WOUND INFECTION?

    V. Christopher, S.D. Hearing, J. Smithson, S. Hughes. Dept Gastroenterology, Southmead Hospital, Bristol, UK

    Percutaneous gastrostomy (PEG)insertion is associated with a significant morbidity. Recent studies suggest that antibiotics given at the time of PEG insertion may reduce complications, in particular soft tissue infection. A previous audit of all PEGs from Feb 1998 to July 1999 performed in our unit revealed a high rate of PEG site infection, although most cases were not severe (14.2%). A policy of prophylactic antibiotics (Ampicillin 1g IV, Gentamicin 80mg IV) administered at the time of PEG insertion was instituted and complication rate was reaudited.

    Methods: Retrospective case note review from Jan 2000 to April 2001.

    Results: 79 PEGs performed, 51 (65%) notes were available for review. Mean age 70.8yrs (SD 15.3±, range 36–98), M:F =27:25. Indications for PEG: CVA/CNS disorders =27, pre-op ENT malignancy =12, nutrition support =12. In both audits patient characteristics were similar and differed only in antibiotic use. Audit 1: 4/42 (9%) concurrent antibiotics, 38/42 (91%) none given. Audit 2: 37/51(73%) antibiotics given, 14/51 (27%) none. See table⇓.

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    Abstract 313

    Conclusions: On basis of this data, there was no statistically significant reduction wound sepsis, or mortality from the routine use of antibiotics at the time of PEG insertion. However, not all case notes were available and this reduced the number of subjects included in this audit. This reduction in numbers may mean that non-significance does not exclude a clinically important difference in PEG site, wound infection. Audit of complications following PEG insertion is continuing.

    314 DO PATIENTS ON HOME GASTROSTOMY FEEDING NEED TO ATTEND ENDOSCOPY UNITS FOR MANAGEMENT OF MINOR COMPLICATIONS?

    A. Hurst, A. Bassi, R. Nicholson, P. O'Toole. University Hospital Aintree (UHA), Liverpool, UK

    Introduction: A growing number of patients are being discharged into the community with gastrostomy feeding tubes. Minor complications related to the tube are not uncommon in this group but …

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