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Does sialography require antibiotic prophylaxis?

P P Nixon1, P Littler, K Davies

  • 1Radiology Department, The Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK. Paul.Nixon@rlbuht.nhs.uk

The British Journal of Radiology
|February 18, 2009
PubMed
Summary
This summary is machine-generated.

This study investigated whether bacteraemia (bacteria in the bloodstream) occurs during sialography. Results indicate that sialography is not associated with bacteraemia, even in patients at risk for endocarditis.

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Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Cardiology

Background:

  • Sialography is an imaging procedure for salivary glands.
  • Bacteraemia following medical procedures can lead to infective endocarditis in susceptible individuals.

Purpose of the Study:

  • To determine the incidence of bacteraemia during sialography.
  • To assess the potential risk of endocarditis associated with sialography.

Main Methods:

  • 32 patients undergoing sialography were enrolled.
  • Blood samples were collected before, during, and after sialography.
  • Samples were cultured for bacterial growth using the BacT/ALERT system.

Main Results:

  • No instances of bacteraemia were detected in any patient.
  • Three patients showed bacterial contamination, likely from skin commensals.
  • A 95% confidence interval for bacteraemia was calculated as 0.09.

Conclusions:

  • Sialography does not appear to be associated with bacteraemia.
  • The findings suggest a low risk of procedure-related bacteraemia during sialography.