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Bacteremia following postoperative choledochofiberscopy--a prospective study
1Department of Surgery, Chang Gung Memorial Hospital, Chang Gung College of Medicine and Technology, Taipei, Taiwan.
Hepato-Gastroenterology
|May 1, 1996
Summary
Bacteremia occurred in 15% of patients after postoperative choledochofiberscopy, with most cases resolving without complications. This suggests prophylactic antibiotics may not be routinely needed in select cases.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Procedures
Background:
- Postoperative bacteremia is a potential complication following invasive procedures.
- Choledochofiberscopy is used to diagnose and treat biliary tract conditions.
Purpose of the Study:
- To determine the incidence of bacteremia after postoperative choledochofiberscopy.
- To assess the clinical outcomes and consequences of this bacteremia.
Main Methods:
- A prospective study involving 100 patients undergoing postoperative choledochoscopy.
- Blood cultures were collected at various time points (5, 15, and 30 minutes) post-procedure.
Main Results:
- Bacteremia was detected in 15% of patients.
- Commonly identified bacteria included Enterococcus, E. coli, and Klebsiella.
- Six bacteremic patients developed cholangitis within 24 hours, all recovering with antibiotics. No non-bacteremic patients developed cholangitis.
Conclusions:
- Postoperative choledochofiberscopy is associated with a 15% rate of bacteremia.
- Adequate aseptic technique and gentle manipulation may obviate the need for routine prophylactic antibiotics in selected patients.