• Linda Warriner and Pam Spruce.
• County Durham and Darlington NHS Foundation Trust, UK.
• Br J Nurs. 2012 Mar 8; 21 (5): S14-6, S18, S20 passim.

AbstractThe development of overgranulation tissue around gastrostomy sites isa common problem. While there is little evidence to suggest that one treatment is more effective than another, a review of current practice suggests that there is an opportunity to improve clinical practice and patient outcomes in this area of care. The authors performed a simple practice-based audit to identify the extent of the problem within one geographical location. A care pathway approach was introduced,which reinforced the basic principles of care and encouraged the use of a 'double-foam' dressing on overgranulation tissue. A foam dressing impregnated with polyhexamethylene biguanide was used at the wound interface, providing a safe and effective alternative to managing overgranulation. Findings showed that a strategic approach to managing overgranulation tissue around gastrostomy devices can improve patient outcomes and clinical practice.

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