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The Influence of Oral Hygiene on Local Wound and Systemic Infection in Patients With Percutaneous Endoscopic Gastrostomy Placement

Phase 3
Conditions
Dysphagia
Peristomal Wound Infection
Interventions
Registration Number
NCT00859235
Lead Sponsor
Hillel Yaffe Medical Center
Brief Summary

Percutaneous endoscopic gastrostomy (PEG) is commonly used for long term enteral feeding of patients with severe dysphagia. The most common complication is peristomal wound infection. The possible mechanism the bacterial from the oral cavity disseminate during the PEG insertion through the stomach to the abdominal wall, in spite the routine use of antibiotic prophylaxis, have reported low rates of wound infection in patients who were already receiving antibiotics at the time of PEG Our hypothesis that washing the oral cavity with antibiotic solution prior the insertion PEG , We planned a prospective, randomised, double blind, one centre study of antibiotic mouth wash solution (0.2% Chlorhexidine gluconate) as.prophylaxis in PEG

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • All patients scheduled to undergo PEG
Exclusion Criteria
  • Previous GI surgery
  • Coagulopathy
  • Sepsis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Chlorhexidine gluconate 0.2%-
2. Plain waterPlain water-
Primary Outcome Measures
NameTimeMethod
Assess impact mouth wash (containing 0.2% Chlorhexidine gluconate) (Taro Pharmaceutical Industries Haifa Israel) prior PEG insertion.One month
Secondary Outcome Measures
NameTimeMethod
Follow the peristomal wound infection in patients who had prepared by mouth wash to a group a patients without mouth washing.One month
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