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Contrast enemas after necrotising enterocolitis: a case for prophylaxis?
1Department of Diagnostic Radiology, Leeds General Infirmary, UK.
Pediatric Radiology
|January 1, 1992
Summary
Contrast enemas after necrotising enterocolitis (NEC) can lead to patient deterioration. Prophylactic antibiotics are now used, with long lines or prior perforation increasing risk.
Area of Science:
- Neonatal surgery
- Pediatric gastroenterology
- Infectious disease
Background:
- Necrotising enterocolitis (NEC) is a serious condition in premature infants.
- Contrast enemas are used to evaluate post-NEC complications.
- Patient deterioration following contrast enemas has been observed.
Purpose of the Study:
- To analyze patient outcomes after contrast enemas post-NEC.
- To identify risk factors for clinical deterioration.
- To evaluate the impact of prophylactic antibiotics.
Main Methods:
- Retrospective review of 35 patients over 4 years.
- Analysis of clinical deterioration following contrast enemas.
- Identification of associated risk factors and interventions.
Main Results:
- 9 out of 35 patients (25.7%) deteriorated after contrast enema.
- Two patients developed Klebsiella septicaemia, one fatally.
- Intravenous prophylactic antibiotics were instituted post-cases.
- Long line in-situ and prior perforation were associated with increased risk.
Conclusions:
- Contrast enemas post-NEC carry a risk of patient deterioration and sepsis.
- Prophylactic antibiotics may mitigate risks.
- Identifying high-risk patients (long line, prior perforation) is crucial for management.