PMID: 12394385Oct 24, 2002Paper

Antimicrobial prophylaxis for gastrointestinal procedures: current practices in North American academic pediatric programs

Journal of Pediatric Gastroenterology and Nutrition
John Snyder, Barbara Bratton

Abstract

Guidelines for the use of antibiotic prophylaxis in children are based on a small number of studies that assess the risk of infection associated with performing endoscopic procedures. The American Heart Association (AHA) and the American Society of Gastroenterological Endoscopy (ASGE) have established guidelines that identify conditions and procedures that place a child at greater risk for infectious complications. Because data on bacteremia and sepsis associated with endoscopy in children are very limited, we reviewed the practices of 15 large academic pediatric gastroenterology services to see if patterns of practice and safety could be determined. A questionnaire was sent to 15 academic gastroenterology centers in the United States and Canada asking about antibiotic prophylaxis for endoscopic procedures for children with six conditions. These included three conditions related to congenital heart disease based on negligible, moderate, and high risk for endocarditis; immune compromise; the presence of a central venous line; and the presence of a ventriculo-peritoneal shunt. Six procedures were evaluated, including esophagogastroduodenoscopy with biopsy, flexible sigmoidoscopy or colonoscopy with biopsy, endoscopic retrograde c...Continue Reading

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Citations

Mar 17, 2011·Current Gastroenterology Reports·John E Fortunato, Carmen Cuffari
Feb 9, 2005·Journal of Pediatric Gastroenterology and Nutrition·D RawatM Thomson
Apr 1, 2008·Gastrointestinal Endoscopy·Subhas BanerjeeLeslie E Stewart
Mar 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kalpesh ThakkarMark Gilger
Dec 25, 2007·Gastrointestinal Endoscopy·Kenneth K LeeTrina Van Guilder
Jun 9, 2007·Gastrointestinal Endoscopy Clinics of North America·Khalid M Khan
May 9, 2009·Transplant Infectious Disease : an Official Journal of the Transplantation Society·P VajroS Lenta
Sep 23, 2014·Pediatrics International : Official Journal of the Japan Pediatric Society·Guido EngelmannUlrike Teufel
Jun 11, 2015·Gastroenterology Research and Practice·Guohua LiNonghua Lv
May 22, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Ozgur KaraMeltem Halil
Feb 6, 2018·Journal of Pediatric Gastroenterology and Nutrition·Kelly DriverMichael Wilsey
Jun 27, 2013·Journal of Pediatric Gastroenterology and Nutrition·Ali IslekReha Artan
Jan 22, 2019·Journal of Pediatric Gastroenterology and Nutrition·Jenifer R LightdaleUNKNOWN NASPGHAN Endoscopy and Procedures Committee

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