Bacteremia After Upper Gastrointestinal Endoscopy

Baltch, Aldona L.

doi:10.1001/archinte.1977.03630170026010

Cited by 85 publications

(11 citation statements)

References 20 publications

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“…The reported incidence of bacteremia after diagnostic upper GI endoscopy, with or without biopsies, was less than 8% (207)(208)(209)(210)(211)(212)(213)(214)(215). The isolated microorganisms included mainly Staphylococcus epidermidis and Streptococcus spp.…”

Section: Diagnostic and Therapeutic Upper Gastrointestinal Endoscopymentioning

confidence: 99%

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

et al. 2013

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SUMMARY Flexible endoscopy is a widely used diagnostic and therapeutic procedure. Contaminated endoscopes are the medical devices frequently associated with outbreaks of health care-associated infections. Accurate reprocessing of flexible endoscopes involves cleaning and high-level disinfection followed by rinsing and drying before storage. Most contemporary flexible endoscopes cannot be heat sterilized and are designed with multiple channels, which are difficult to clean and disinfect. The ability of bacteria to form biofilms on the inner channel surfaces can contribute to failure of the decontamination process. Implementation of microbiological surveillance of endoscope reprocessing is appropriate to detect early colonization and biofilm formation in the endoscope and to prevent contamination and infection in patients after endoscopic procedures. This review presents an overview of the infections and cross-contaminations related to flexible gastrointestinal endoscopy and bronchoscopy and illustrates the impact of biofilm on endoscope reprocessing and postendoscopic infection.

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Section: Diagnostic and Therapeutic Upper Gastrointestinal Endoscopymentioning

confidence: 99%

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

et al. 2013

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“…They are observed in 30%-40% of the cases of infectious endocarditis (39) , but are also responsible for transient bacteremias, i.e., those that do not result in infection. These bacteria are observed after endoscopic procedures such as EGD (5,31,46,51) , esophageal dilation (51) , endoscopic retrograde cholangiopancreatography (ERCP), endoscopic mucosal resection (23) , EVS (12,40,46,50,52) and EVL (24) . The explanation for bacteremia would be that, as the endoscope moves along the oropharynx it can injure the mucosa, thus favoring bacteremia (12,46) .…”

Section: Discussionmentioning

confidence: 99%

Bacteremia in cirrhotic patients submitted to endoscopic band ligation of esophageal varices

Maulaz

Mattos

Pereira-Lima

et al. 2003

Arq. Gastroenterol.

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-Background -Endoscopic procedures can develop bacteremia. Patients with chronic liver disease are more predisposed to undergo bacteremia and infections because they are immunocompromised. Aims -The purpose of this study was to determine the incidence of bacteremia in cirrhotics submitted to endoscopic variceal ligation. Methods -Three groups of 40 patients each were studied. One group was made up of patients with cirrhosis who were submitted to ligation, a second group was composed of cirrhotics who underwent esophagogastroduodenoscopy only, and a third group was composed of patients without liver disease who underwent esophagogastroduodenoscopy. Blood was sampled from all patients for culture, both in aerobic and in anaerobic mediums, immediately before endoscopy and at 5 and 30 minutes after its completion. Results -Blood culture was positive in 6 samples. In 4 of these, the bacteria (Staphylococcus hominis hominis, Staphylococcus auricularis, Acinetobacter lwoffii, and coagulase-negative staphylococcus) were isolated before the endoscopic procedure and thus were considered as contamination. In the ligation group, a streptococcus of the viridans group was isolated 5 minutes after the procedure, and in the cirrhosis without ligation group, a Staphylococcus epidermidis was isolated at 30 minutes. None of the patients showed clinical evidence of infection. Conclusions -The bacteremia incidence in cirrhotic patients submitted to variceal ligation was 2.5%, showing no difference from the control groups.

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“…Two published series have found an incidence of8/~ (Shull et al 1975, Baltch et al 1977, and one, 3°0 (Mellow & Lewis 1976). On the basis of these findings a firm recommendation has been made that chemoprophylaxis should be given to patients with prosthetic heart valves (Everett & Hirschmann 1977).…”

Section: Discussionmentioning

confidence: 99%

Bacteraemia and Upper Gastrointestinal Fibre-Endoscopy

et al. 1979

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A prospective study of fifty-two patients undergoing fibreoptic upper gastrointestinal endoscopy was carried out in order to determine whether bacteraemia was a significant risk. Aerobic and anaerobic blood cultures were performed before, during and after endoscopy. Cultures were also taken from lesions (if any found) in the oesophagus, stomach or duodenum. No significant bacteraemia was identified, and bacterial growth was found in only one upper gastrointestinal lesion.

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Bacteremia After Upper Gastrointestinal Endoscopy

Cited by 85 publications

References 20 publications

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

Bacteremia in cirrhotic patients submitted to endoscopic band ligation of esophageal varices

Bacteraemia and Upper Gastrointestinal Fibre-Endoscopy

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