BACTEREMIA AFTER INJECTION OF ESOPHAGEAL-VARICES

被引:20
作者
LORGAT, F [1 ]
MADDEN, MV [1 ]
KEW, G [1 ]
RODITI, D [1 ]
KRIGE, JEJ [1 ]
BORNMAN, PC [1 ]
JONKER, MAT [1 ]
TERBLANCHE, J [1 ]
机构
[1] GROOTE SCHUUR HOSP,SURG GASTROENTEROL UNIT,CAPE TOWN 7925,SOUTH AFRICA
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1990年 / 4卷 / 01期
关键词
Bacteremia; Esophageal varices; Injection sclerotherapy;
D O I
10.1007/BF00591406
中图分类号
R61 [外科手术学];
学科分类号
摘要
Elective sclerotherapy for esophageal varices produces bacteremia in 4% to 53% of patients. The clinical importance of this phenomenon is uncertain. This study was undertaken to re-assess the incidence and clinical relevance of post-sclerotherapy bacteremia. Blood cultures were taken prior to and at 5 min and 4 h after endoscopy in 50 patients for whom sclerotherapy was planned. In the 41 patients in whom varices were injected, positive cultures were obtained 5 min after sclerotherapy in only 4 patients (10%) and all but 1 patient had other possible causes of bacteremia. After 4 h, all blood cultures were sterile. No infective complications were identified. Bacteremia appears to be an infrequent and transient event after elective sclerotherapy. Only patients with prosthetic heart valves or endocardial abnormalities require antibiotic prophylaxis. © 1990 Springer-Verlag.
引用
收藏
页码:18 / 19
页数:2
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