Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bacteremia with gastrointestinal endoscopic procedures.

V A Botoman, C M Surawicz

    Gastrointestinal Endoscopy
    |October 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Ursodiol for all?

    The American journal of gastroenterology·2002
    Same author

    Infectious causes of chronic diarrhea.

    Gastroenterology clinics of North America·2001
    Same author

    Anal warts and anal cancer.

    The American journal of gastroenterology·2001
    Same author

    The search for a better treatment for recurrent Clostridium difficile disease: use of high-dose vancomycin combined with Saccharomyces boulardii.

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America·2000
    Same author

    Ulcerative colitis and cytomegaloviral esophagitis: two diseases, two randomized, controlled trials.

    Current gastroenterology reports·2000
    Same author

    Update on gastrointestinal infections: Clostridium difficile and other bugs.

    Current gastroenterology reports·2000

    Gastrointestinal procedures can cause bacteremia (bacteria in the bloodstream). Endoscopic procedures like colonoscopy show low bacteremia rates, while esophageal dilation and variceal sclerotherapy have higher rates, informing antibiotic prophylaxis recommendations.

    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Clinical Microbiology

    Background:

    • Bacteremia, the presence of bacteria in the bloodstream, is a potential complication of gastrointestinal (GI) procedures.
    • Understanding the frequency of bacteremia associated with specific endoscopic interventions is crucial for guiding clinical practice.

    Purpose of the Study:

    • To review and synthesize data on the frequency of bacteremia following various gastrointestinal procedures.
    • To identify procedures with higher associated bacteremia rates.
    • To inform recommendations for antibiotic prophylaxis.

    Main Methods:

    • Systematic review of 40 prospective studies investigating bacteremia in patients undergoing gastrointestinal procedures.
    • Analysis of bacteremia frequencies for specific endoscopic interventions.

    Related Experiment Videos

    Main Results:

    • Low mean bacteremia frequencies were observed for esophagogastroduodenoscopy (4.2%), endoscopic retrograde cholangiopancreatography (5.6%), colonoscopy (2.2%), and sigmoidoscopy (4.9%).
    • Higher mean bacteremia frequencies were noted for esophageal dilation (45%) and variceal sclerotherapy (31%), though based on smaller patient cohorts.
    • Potentially pathogenic bacteria, including Streptococcus viridans, Staphylococcus aureus, and Staphylococcus epidermidis, were isolated.

    Conclusions:

    • Specific gastrointestinal endoscopic procedures carry varying risks of bacteremia.
    • Esophageal dilation and variceal sclerotherapy are associated with higher bacteremia rates compared to routine diagnostic endoscopies.
    • The findings support the review of antibiotic prophylaxis regimens, favoring simpler, compliance-encouraging options.