Mundi et al reported a score for describing a peristomal infection associated with a percutaneous endoscopic gastrostomy tube. The authors are from the Mayo Clinic and the University of Louisville.
Patient selection: percutaneous endoscopic tube for enteral nutrition
Parameters:
(1) erythema in mm
(2) induration in mm
(3) exudates
Parameter
Finding
Points
erythema
none
0
<= 5 mm
1
5.1 to 10 mm
2
10.1 to 15 mm
3
> 15 mm
4
induration
none
0
<= 5 mm
1
5.1 to 10 mm
2
10.1 to 20 mm
3
> 20 mm
4
exudates
none
0
serous
1
serosanguinous
2
sanguinous
3
purulent
4
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
Score
Risk
Response
0 to 7
low
observe
8 or 9
moderate
treat with antibiotics
10 to 12
high
monitor closely or hospitalize
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