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Percutaneous Feeding Tube Changes in Long-Term–Care Facility Patients

Published online by Cambridge University Press:  02 January 2015

Sylvia Graham ,
Gloria Sim ,
Ruby Laughren ,
Joyce Chicoine ,
Edith Stephenson ,
Gwen Leche ,
Margaret McIntyre ,
David Murray ,
Fred Y. Aoki  and
Lindsay E. Nicolle
Sylvia Graham
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Gloria Sim
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Ruby Laughren
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Joyce Chicoine
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Edith Stephenson
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Gwen Leche
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Margaret McIntyre
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
David Murray
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Fred Y. Aoki
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
Lindsay E. Nicolle*
Affiliation:
Deer Lodge Centre and Section of Infectious Diseases, Department of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada
*
Health Sciences Centre, MS673-820 Sherbrook St, Winnipeg, Manitoba R3A 1R9, Canada
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Abstract

Objective:

To compare patient outcomes when percutaneous feeding tubes were changed routinely each month or only when necessary (prn).

Design:

Prospective, randomized, nonblinded crossover study of 6 months of routine monthly changes compared with 6 months of prn changes.

Setting:

416-bed long-term–care facility.

Patients:

26 permanent residents with nutrition managed through percutaneous gastrostomy or jejunosto-my feeding tubes. The median age was 61.5 years; 8 (31%) also had tracheostomies, and 3 (12%) had indwelling urinary catheters.

Results:

The frequency of feeding tube changes was 40 per 1,000 patient-days during the 6 months of routine tube changes and 14 per 1,000 when tubes were changed prn (P<.001). There were no differences between the two study periods in frequency of stoma site infections, fever, episodes of emesis, and total antibiotic courses. The median duration in situ of feeding tubes with prn changes was 104 days. For both periods, feeding tubes were significantly more likely to fall out and require replacement within 24 hours of previous tube replacement.

Conclusion:

There were no observed differences in clinical outcomes in long-term–care facility patients when feeding tubes were changed only as necessary as compared to routine monthly changes.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 11 , November 1996 , pp. 732 - 736
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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References

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