PMID: 6886355Aug 1, 1983Paper

Prospective evaluation of the risk of bacteremia and the role of antibiotics in ERCP

Journal of Clinical Gastroenterology
S K DuttaH C Standiford

Abstract

To determine the frequency of bacteremia associated with endoscopic retrograde cholangiopancreatography (ERCP), we obtained blood cultures before, during, and after ERCP in 51 consecutive patients. Patients with radiographically demonstrated abnormalities in pancreatic and/or biliary ducts were routinely given antibiotic therapy after ERCP. Bacteremia after successful cannulation of the papilla of Vater was observed in only one patient with multiple strictures of the main pancreatic duct. No episodes of acute febrile illness was observed in any patient during the 48-hour follow-up period after ERCP. Our observations suggest that the risk of bacteremia from ERCP is minimal, and that any possibility of sepsis after ERCP in patients with abnormal pancreatic or biliary ducts may be prevented by administering appropriate antibiotics after the procedure.

Citations

Aug 1, 1994·Digestive Diseases and Sciences·C AlvarezH A Reber
Mar 12, 2003·Current Treatment Options in Gastroenterology·Adolf Stiehl
Oct 1, 1986·Gastrointestinal Endoscopy·V A Botoman, C M Surawicz
Apr 1, 2003·Gastrointestinal Endoscopy·Douglas B Nelson
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Apr 5, 2013·Clinical Microbiology Reviews·Julia KovalevaJohn E Degener
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Nov 1, 1996·The Journal of Bone and Joint Surgery. American Volume·J M DeaconH W Horowitz
Apr 17, 2004·Journal of Gastroenterology and Hepatology·V SinghM Gulati

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