在胆汁和胰腺内镜中预防细菌感染-一篇评论
Michał Kowalski1, Adam Przybyłkowski1
1Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-097 Warsaw, Poland.
Diagnostics (Basel, Switzerland)
|January 8, 2025
概括
在内镜逆向胆瘤学图 (ERCP) 之前的抗生素预防有益于免疫功能低下的患者和有细菌内心炎风险的患者. 对于其他人来说,它可能会减少细菌病,但不会显著降低胆管炎风险.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 医疗程序 医疗程序
背景情况:
- 内镜逆行胆血管细胞谱 (ERCP) 对于胰腺和胆道疾病至关重要.
- 管理ERCP的传染性并发症对于患者的安全至关重要.
- 本综述审查了针对ERCP相关的传染性风险的抗生素预防.
研究的目的:
- 审查有关抗生素预防ERCP,胰腺镜和胆管镜相关的传染性并发症的研究.
主要方法:
- 对PubMed,Medline和Embase的文章进行系统审查.
- 文献搜索侧重于过去30年内发表的研究.
主要成果:
- 确定了19项研究和6条关于ERCP前抗生素预防的指南.
- 预防对免疫功能低下的患者和有细菌内心炎风险的患者有益.
- 在一般人群中,抗生素减少了ERCP后的细菌病,但并没有显著减少胆管炎或感染性并发症.
结论:
- 对于接受ERCP的特定高风险患者群体,建议进行抗生素预防.
- 需要进一步的研究来证实抗生素预防在不完全胆道排水的患者的有效性.
- 抗生素预防在减少ERCP后的整体传染性并发症中的作用需要进一步研究.
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