From the Guidelines
A rash following nasogastric (NG) tube insertion by an interventional radiologist is most likely caused by a peristomal infection or cellulitis, which can be identified by inflammation of the surrounding skin. This complication can be related to the tube or insertion site, and it is essential to monitor the patient for signs of infection, such as redness, swelling, or purulent discharge 1.
Possible Causes and Recommendations
- The rash may be a result of bacterial infection, and administering preprocedural antibiotics can significantly reduce the risk of peristomal infections 1.
- Cellulitis can develop after tube placement, and it is crucial to identify it early by looking for signs of inflammation of the surrounding skin and/or subcutaneous gas on imaging in the case of necrotizing fasciitis 1.
- Applying a topical antibiotic cream to the affected area and administering oral antibiotics, such as cephalexin 250-500mg every 6 hours, can help manage the infection.
- It is also essential to monitor the patient's vital signs and watch for signs of severe infection, such as fever, chills, or increased pain, and seek immediate medical attention if these symptoms occur.
- Documenting the reaction in the patient's chart is crucial to avoid similar complications in future procedures.
Management and Treatment
- The patient should be closely monitored for signs of worsening infection, and the treatment plan should be adjusted accordingly.
- In cases of severe infection, such as necrotizing fasciitis, prompt medical attention is necessary, and the patient may require hospitalization and intravenous antibiotics.
- The interventional radiologist should follow proper infection control protocols to minimize the risk of infection during the procedure.
From the Research
Causes of Rash Following Nasogastric Tube Insertion
- There are no direct research papers to assist in answering this question, as the provided studies focus on complications such as pneumothorax 2, respiratory symptoms due to twisted nasogastric tubes 3, and general information about nasogastric tubes 4, 5.
- However, one study discusses the treatment of hypergranulation tissue at the gastrostomy tube insertion site using topical corticosteroid 6, which may be related to skin reactions or rashes.
- The study on topical corticosteroid treatment for hypergranulation tissue 6 suggests that skin-related complications can occur at the insertion site of feeding tubes, but it does not specifically address rashes caused by nasogastric tube insertion by an interventional radiologist.