在ERCP中受污染的十二指望镜:检测的灵敏度和检测不足的风险
Koen van der Ploeg1, Juliëtte A Severin2, Corné H W Klaassen2
1Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands; Department of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Gastrointestinal endoscopy
|August 11, 2024
概括
定期的十二指镜培养具有有限的灵敏度,可能导致被污染的视野被清除用于使用. 这增加了患者暴露于肠道或口腔来源微生物 (MGO) 的风险.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 微生物学 微生物学
背景情况:
- 定期进行十二指镜培养对于检测污染至关重要.
- 这些培养物在识别受污染的十二指镜时的灵敏度在很大程度上是未知的.
- 了解培养敏感性对于预防医疗保健相关感染至关重要.
研究的目的:
- 为了确定十二指望镜培养物的灵敏度.
- 为了估计受污染的十二指望镜使用率.
- 评估患者暴露于肠道或口腔来源微生物 (MGO) 的风险.
主要方法:
- 2015年3月至2022年6月的微生物监测和使用数据组合.
- 使用分子类型识别识别了持续的污染时期和集群.
- 应用了三种情景来估计培养敏感性和受污染使用的流行率.
主要成果:
- 在556种十二指镜培养中,有33.3%被MGO污染.
- 估计受污染的十二指望镜使用率在12.3%到23.7%之间.
- 双胞胎镜培养的灵敏度在不同场景中从82.2%到98.9%不等.
结论:
- 仅限于十二指镜培养的敏感性可能导致不充分的清除污染和增加疫情爆发风险.
- 在单次阴性培养后清除十二指镜的现有协议可能需要重新评估.
- 需要加强监测和更敏感的检测方法,以确保患者的安全.
相关概念视频
Endoscopic Procedures V: ERCP
147
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
147
Endoscopic Procedures I: Esophagogastroduodenoscopy
80
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
80
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
102
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
102
Lower GI Series: Barium Enema
227
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
227
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Endoscopic Procedures III: Video Capsule Endoscopy
100
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
100


