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Bacteremia after proctoscopy and hemorrhoidal injection sclerotherapy
Diseases of the Colon and Rectum
|July 1, 1981
Summary
Bacteremia occurred in 2% after proctoscopy and 8% after hemorrhoidal sclerotherapy. Antibiotic prophylaxis is recommended for high-risk patients undergoing sclerotherapy to prevent septicemia.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Medical Procedures
Background:
- Proctoscopy and hemorrhoidal injection sclerotherapy are common outpatient procedures.
- Bacteremia, the presence of bacteria in the bloodstream, can be a complication of invasive procedures.
Purpose of the Study:
- To determine the incidence of bacteremia following proctoscopy and hemorrhoidal injection sclerotherapy.
- To assess the risk of septicemia after these procedures.
Main Methods:
- A study was conducted on 50 outpatients who underwent both proctoscopy and hemorrhoidal injection sclerotherapy.
- Blood cultures were taken to detect bacteremia post-procedure.
Main Results:
- Bacteremia was detected in 2% of patients after proctoscopy.
- Bacteremia was detected in 8% of patients after hemorrhoidal injection sclerotherapy.
- No patients developed symptoms of septicemia.
Conclusions:
- Antibiotic prophylaxis is advisable before hemorrhoidal injection sclerotherapy.
- Patients with valvular heart disease or compromised host defense are at higher risk.
- Prophylactic antibiotics can mitigate the risk of bacteremia and subsequent septicemia in susceptible individuals.