Antibiotic prophylaxis for GI endoscopy

Khashab, Mouen A.; Chithadi, Krishnavel V.; Acosta, Ruben D.; Bruining, David H.; Chandrasekhara, Vinay; Eloubeidi, Mohamad A.; Fanelli, Robert D.; Faulx, Ashley L.; Fonkalsrud, Lisa; Lightdale, Jenifer R.; Muthusamy, V. Raman; Pasha, Shabana F.; Saltzman, John R.; Shaukat, Aasma; Wang, Amy; Cash, Brooks D.

doi:10.1016/j.gie.2014.08.008

Cited by 326 publications

(228 citation statements)

References 82 publications

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“…Hasil kultur organisme menunjukkan Streptococus viridans merupakan organisme tersering yang ditemukan pada 79% kasus. 12 Bakteremia lebih sering terjadi pada striktur esofagus maligna dan tindakan dilatasi berulang. 12,13 Namun demikian, komplikasi bakteremia yang dapat menyebabkan endokarditis infektif jarang terjadi.…”

Section: Komplikasi Tindakan Dilatasi Esofagusunclassified

“…12 Bakteremia lebih sering terjadi pada striktur esofagus maligna dan tindakan dilatasi berulang. 12,13 Namun demikian, komplikasi bakteremia yang dapat menyebabkan endokarditis infektif jarang terjadi. Panduan dari ASGE ini tidak merekomendasikan pemberian antibiotik profilaksis untuk tindakan dilatasi esofagus, walaupun tindakan dilatasi ini termasuk risiko tinggi.…”

Section: Komplikasi Tindakan Dilatasi Esofagusunclassified

“…Panduan dari ASGE ini tidak merekomendasikan pemberian antibiotik profilaksis untuk tindakan dilatasi esofagus, walaupun tindakan dilatasi ini termasuk risiko tinggi. 12,13 Namun demikian, disarankan untuk memberikan antibiotik profilakasis pada pasien yang memiliki neuropenia berat (<500 sel/mm 3 ), keganasan hemaologik berat, atau sirosis dengan asites.…”

Section: Komplikasi Tindakan Dilatasi Esofagusunclassified

“…Self-expanding plastic stents (SEPS) ini dikatakan memiliki kelebihan dibandingkan dengan SEMS, yaitu antara lain harganya lebih murah, lebih mudah untuk pemasangan dan pengambilan kembali, dan memiliki reaksi jaringan yang lebih minimal. 12 Namun, beberapa penelitian terakhir menunjukkan bahwa SEPS ini ternyata tidak sebaik seperti yang dipikirkan sebelumnya untuk pasien dengan striktur esofagus benigna. Sebuah studi melaporkan bahwa angka migrasi stent akibat penggunaan SEPS ini cukup tinggi, yaitu hingga 62,1% kasus.…”

Section: 10unclassified

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Tata Laksana Endoskopik pada Striktur Esofagus

Hazim¹,

Abdullah²

2018

JPDI

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ABSTRAKPenatalaksanaan striktur esofagus memerlukan aspek medis yang komprehensif untuk pemenuhan kebutuhan nutrisi yang adekuat dengan terapi non bedah atau terapi bedah. Endoskopi memiliki peranan yang sangat penting pada striktur esofagus yaitu bermanfaat sebagai diagnostik dan terapi. Pilihan penatalaksaan striktur esofagus melalui bantuan endoskopi terdiri dari terapi dilatasi, pemberian kortikosteroid intralesi, pemakaian stents, dan pemandu untuk reseksi tumor. Pemilihan tindakan yang tepat sesuai dengan keadaan klinis pasien kasus per kasus merupakan hal yang penting untuk mencapai target perbaikan striktur pada esofagus, sehingga dapat membantu mengembalikan fungsinya sebagai saluran makanan dan perannya dalam proses menelan. Kata Kunci: Endoskopik, Striktur esofagus, Tata laksana ABSTRACT Management of esophageal stricture requires comprehensive medical aspect to fulfill adequate nutritional needs with non surgery or surgery therapy. Endoscopy has an important roles in diagnostic and

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Section: Komplikasi Tindakan Dilatasi Esofagusunclassified

Section: 10unclassified

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Tata Laksana Endoskopik pada Striktur Esofagus

Hazim¹,

Abdullah²

2018

JPDI

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“…19 Given the low incidence of joint infections following endoscopy, prophylactic antibiotics are not currently recommended by the American Society of Gastroenterologists or the American Society of Colon and Rectal Surgeons. 16,20 In addition, prophylactic antibiotics are also no longer recommended in the antibiotic prophylaxis guidelines from the AAOS. …”

Section: Gastrointestinal Proceduresmentioning

confidence: 99%

Antibiotic Prophylaxis for Patients with a History of Total Joint Replacement

DeFroda

Lamin

Gil

et al. 2016

The Journal of the American Board of Family Medicine

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As the population ages and people remain active into the 7th and 8th decades of life, the frequency of total joint replacement is increasing. Following joint replacement surgery, patients inevitably require various invasive procedures as part of their routine health maintenance, including, but not limited to, dental care, colonoscopy, cystoscopy, and cardiac catheterization. There is scant evidence to support the use of periprocedural prophylactic antibiotics in the prevention of late total joint infection. The guidelines for the usage of periprocedural antibiotics have changed as knowledge of the pathophysiology of joint infection has evolved. We review the current recommendations from subspecialty academic organizations regarding antibiotic prophylaxis for patients undergoing routine urologic, gastrointestinal, dental, and cardiac procedures after total joint replacement. (J Am Board Fam Med 2016;29:500 -507.)

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Periprosthetic Joint Infection in Patients With Arthroplasty Undergoing Perioperative Colonoscopy

Anderson,

Slaven,

Watson

et al. 2024

JAMA Netw Open

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ImportancePeriprosthetic joint infection (PJI) is a rare but devastating complication. Most patients undergoing total joint arthroplasty (TJA) also need routine screening colonoscopy, in which transient bacteremia may be a potential source for hematogenous PJI. Patients and surgeons must decide on an optimal time span or sequence for these 2 generally elective procedures, but no such guidelines currently exist.ObjectiveTo evaluate associations of colonoscopy with the risk of post-TJA PJI for the development of clinical practice recommendations for colonoscopy screening in patients undergoing TJA.Design, Setting, and ParticipantsThis retrospective cohort study of Military Health System (MHS) beneficiaries older than 45 years who underwent TJA from January 1, 2010, to December 31, 2016, used propensity score matching and logistic regression to evaluate associations of colonoscopy with PJI risk. Statistical analyses were conducted between January and October 2023.ExposureColonoscopy status was defined by Current Procedural Terminology code for diagnostic colonoscopy within 6 months before or 6 months after TJA.Main Outcomes and MeasuresPeriprosthetic joint infection status was defined by a PJI International Classification of Diseases code within 1 year after TJA and within 1 year from the post-TJA index colonoscopy date.ResultsAnalyses included 243 671 patients (mean [SD] age, 70.4 [10.0] years; 144 083 [59.1%] female) who underwent TJA in the MHS from 2010 to 2016. In the preoperative colonoscopy cohort, 325 patients (2.8%) had PJI within 1 year postoperatively. In the postoperative colonoscopy cohort, 138 patients (1.8%) had PJI within 1 year from the index colonoscopy date. In separate analyses of colonoscopy status within 6 months before and 6 months after TJA, younger age, male sex, and several chronic health conditions (diabetes, kidney disease, and pulmonary disease) were each associated with higher PJI risk. However, no association was found with PJI risk for perioperative colonoscopy preoperatively (adjusted odds ratio, 1.10; 95% CI, 0.98-1.23) or postoperatively (adjusted odds ratio, 0.90; 95% CI, 0.74-1.08).Conclusions and RelevanceIn this large retrospective cohort of patients undergoing TJA, perioperative screening colonoscopy was not associated with PJI and should not be delayed for periprocedural risk. However, health conditions were independently associated with PJI and should be medically optimized.

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Antibiotic prophylaxis for GI endoscopy

Cited by 326 publications

References 82 publications

Tata Laksana Endoskopik pada Striktur Esofagus

Tata Laksana Endoskopik pada Striktur Esofagus

Antibiotic Prophylaxis for Patients with a History of Total Joint Replacement

Periprosthetic Joint Infection in Patients With Arthroplasty Undergoing Perioperative Colonoscopy

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