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[Transitory bacteremia in rectoscopy].

W Reinhart, B Hammer, W Sonnabend

    Schweizerische Medizinische Wochenschrift
    |October 7, 1978
    PubMed
    Summary
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    Transient bacteremia occurs in 6% of patients undergoing recto-sigmoidoscopy. This study identified specific bacteria, informing antibiotic prophylaxis recommendations for patients with heart conditions to prevent endocarditis.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Gastroenterology

    Background:

    • Recto-sigmoidoscopy is a common medical procedure.
    • Bacteremia, the presence of bacteria in the bloodstream, can be a complication of invasive procedures.
    • Understanding the frequency and type of bacteremia is crucial for patient safety.

    Purpose of the Study:

    • To determine the incidence of transient bacteremia following recto-sigmoidoscopy.
    • To identify the microorganisms responsible for bacteremia.
    • To evaluate the need for antibiotic prophylaxis in at-risk patients.

    Main Methods:

    • Prospective study design.
    • Blood samples collected pre-procedure and at multiple time points post-procedure (1-30 minutes).
    • Aerobic and anaerobic bacterial cultures performed on all blood specimens.

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    Main Results:

    • 19 blood cultures were suspected of contamination.
    • 3 patients (6%) showed positive blood cultures.
    • Identified organisms included enterococci, Escherichia coli, and nonhemolytic streptococci.

    Conclusions:

    • Transient bacteremia occurs in a small percentage of patients after recto-sigmoidoscopy.
    • Antibiotic prophylaxis may be warranted for patients with valvular heart disease or prosthetic valves.
    • Recommended prophylaxis: streptomycin (1g IM) and ampicillin (3g PO) 30 minutes prior to the procedure.