Childhood Diseases

Posted by: Peta | 2009-09-28


Infection in mic key

hi Dr
My child has a feeding peg (mic key) which changed from a gastrostomy (i think that is the term) peg about 3 weeks ago.

Even with the previous feeding peg (which was inserted for the first time in June) he has had so many infections.

I clean it 3x a day with warm sterile water and it gets all sorts of antibiotic creams put on it - from kenalog to dry it to bactroban, medapor, fusidin etc etc but it still keeps getting infected.

It also has growths around the edges (granioli?) that i keep burning off with a caustic pen but they jsut return.

He has just turned 1 and this feeding peg is the difference between being in hosp permanently and having some kind of life - he aspirates his food / milk and therefore is not allowed to have any kind of fluid other than water for next 3-4 months.

My question is this - are some kids just more prone to infections than others? what am i doing wrong here?


PS. The night terrors are still continueing.

Expert's Reply



You need to get help in managing your son's feeding peg. Infection can occur with these devices and your son is probably no more susceptible than other children with pegs.There are special stoma care nurses in most centres and an expert like this will assist you.When your son has night terrors you should reassure him and then leave his room. Put a nightlight in his room.

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