Air enema for reduction of intussusception in children: risk of bacteremia
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E Somekh1, F Serour, D Goncalves
1Pediatric Infectious Diseases Unit, Edith Wolfson Medical Center, Holon, Israel.
Insights
The risk of bacteremia in children undergoing air enema for intussusception is low. Most positive blood cultures were contaminants, with only one case of Staphylococcus aureus, and all children recovered without antibiotics.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Intussusception is a common surgical emergency in children.
- Air enema is a primary diagnostic and therapeutic tool for intussusception.
- Concerns exist regarding potential bacteremia following air enema procedures.
Purpose of the Study:
- To determine the incidence of bacteremia in pediatric patients undergoing air enema for intussusception.
- To assess the association between air enema and transient bacteremia or fever.
Main Methods:
- Prospective evaluation of 27 children undergoing air enema for intussusception.
- Blood cultures collected at three time points: pre-procedure, immediately post-procedure, and 2 hours post-procedure.
- Monitoring for fever (temperature >= 38°C) post-procedure.
Main Results:
- Six out of 81 blood cultures showed positive results.
- Most positive cultures were skin contaminants; one case of Staphylococcus aureus bacteremia was identified.
- Five patients experienced post-enema fever, but none had positive blood cultures at admission.
Conclusions:
- The incidence of bacteremia from enteric pathogens following air enema for intussusception reduction in children is low.
- Children in the study recovered without requiring antimicrobial therapy.
- Air enema appears to be a safe procedure with minimal risk of significant bacteremia.
Purpose:
To evaluate the incidence of bacteremia in children undergoing air enema for the diagnosis and reduction of intussusception.
Materials And Methods:
Twenty-seven children who underwent air enema for the diagnosis and treatment of intussusception were evaluated to identify the incidence of transient bacteremia and fever associated with the procedure. Blood cultures were obtained prior to the manipulation (point 0), immediately after completion of the procedure (point 1), and 2 hours later (point 2).
Results:
The results of six of 81 sets of blood cultures were positive for bacterial pathogens. Three of them that were obtained at point 0 and two at point 1 grew common skin contaminants. A sixth blood culture drawn at point 1 was positive for Staphylococcus aureus. No patient had more than one positive blood culture result, and all recovered without antimicrobial therapy. Five patients had temperature elevations to > or = 38 degrees C following the enema. Only one of the patients was febrile at admission, and none had positive blood culture results.
Conclusion:
The risk of bacteremia from enteric pathogens following air enema for reduction of intussusception in children appears to be low.