Jain et al classified the surgical site appearance following a gastrostomy procedure. This can help determine the effectiveness of antibiotic prophylaxis or to detect early signs of a surgical site infection. The authors are from the Mayo Clinic.
Parameters:
(1) erythema
(2) induration
(3) exudate
|
Parameters |
Findings |
Points |
|
erythema |
none |
0 |
|
|
<= 5 mm |
1 |
|
|
6 to 10 mm |
2 |
|
|
11 to 15 mm |
3 |
|
|
> 15 mm |
4 |
|
induration |
none |
0 |
|
|
<= 10 mm |
1 |
|
|
11 to 20 mm |
2 |
|
|
> 20 mm |
3 |
|
exudate |
none |
0 |
|
|
serous |
1 |
|
|
serosanguinous |
2 |
|
|
sanguinous |
3 |
|
|
purulent |
4 |
where:
• The description does not state whether the zones are based on the diameter of the change or the distance from the gastrostomy tube. Since the gastrostomy tube has some size, my guess is that it is based on the width of the zone measured from the gastrostomy tube.
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 11
• A high score is associated with a high risk of a surgical site infection.
Specialty: Infectious Diseases
ICD-10: ,
