Name of the Condition

• Gastrostomy infection
• Medical term: Peristomal infection

Summary

Gastrostomy infection refers to an infection occurring at the site of a gastrostomy tube, which is a tube inserted through the abdomen to provide nutrition. These infections can arise as a result of bacteria entering around the tube's insertion point, leading to redness, discharge, and pain.

Causes

• Bacteria entering the site of the gastrostomy tube insertion.
• Poor hygiene practices around the tube site.
• Complication from tube placement or maintenance procedures.

Risk Factors

• Recent placement of a gastrostomy tube.
• Inadequate cleaning or disinfection of the stoma site.
• Immunocompromised status due to other medical conditions.

Symptoms

• Redness and swelling around the tube insertion site.
• Purulent discharge.
• Pain or tenderness at the site.
• Fever or general feeling of illness.

Diagnosis

• Physical examination of the insertion site.
• Swab culture from the site to identify the causative bacteria.
• Blood tests to check for signs of infection.

Treatment Options

• Antibiotics: To treat the bacterial infection directly.
• Topical antiseptics: To maintain cleanliness and prevent further infection.
• Surgical intervention: In severe cases, to address or replace the gastrostomy tube.

Prognosis and Follow-Up

• With appropriate treatment, most infections can be effectively managed.
• Regular monitoring of the site for signs of recurrence is essential.
• Long-term management includes educating the patient on proper stoma care techniques.

Complications

• Abscess formation if the infection is neglected.
• Sepsis, a serious body-wide response to infection, if the bacteria spread.
• Potential dislodgement of the gastrostomy tube due to severe infection.

Lifestyle & Prevention

• Maintain cleanliness by regularly cleaning the site with soap and water.
• Educate caregivers and patients on proper handling and maintenance techniques.
• Regularly rotate the tube to prevent skin breakdown.

When to Seek Professional Help

• Signs of infection, especially fever and increased pain around the tube.
• Persistent or severe drainage indicating potential abscess.
• Difficulties with the tube's function or worsening of symptoms.

Additional Resources

• ASPEN (American Society for Parenteral and Enteral Nutrition): nutritioncare.org
• Support groups focused on feeding tube support, such as Feed Tubes Awareness Foundation.

Tips for Medical Coders

• Ensure accurate coding by verifying the infection is specific to the gastrostomy site, not a general infection.
• Avoid using codes for general surgical site infections unless specified.
• Double-check for any additional codes related to complications like sepsis or abscess, if present.