Rates of infection after colonoscopy and osophagogastroduodenoscopy in ambulatory surgery centres in the USA

Gut
Peiqi WangSusan Hutfless

Abstract

Over 15 million colonoscopies and 7 million osophagogastroduodenoscopies (OGDs) are performed annually in the USA. We aimed to estimate the rates of infections after colonoscopy and OGD performed in ambulatory surgery centres (ASCs). We identified colonoscopy and OGD procedures performed at ASCs in 2014 all-payer claims data from six states in the USA. Screening mammography, prostate cancer screening, bronchoscopy and cystoscopy procedures were comparators. We tracked infection-related emergency department visits and unplanned in-patient admissions within 7 and 30 days after the procedures, examined infection sites and organisms and analysed predictors of infections. We investigated case-mix adjusted variation in infection rates by ASC. The rates of postendoscopic infection per 1000 procedures within 7 days were 1.1 for screening colonoscopy, 1.6 for non-screening colonoscopy and 3.0 for OGD; all higher than screening mammography (0.6) but lower than bronchoscopy (15.6) and cystoscopy (4.4) (p<0.0001). Predictors of postendoscopic infection included recent history of hospitalisation or endoscopic procedure; concurrence with another endoscopic procedure; low procedure volume or non-freestanding ASC; younger or older age; black o...Continue Reading

References

Dec 6, 1975·Lancet·I M MorrisB J Smits
Feb 1, 1985·Gastrointestinal Endoscopy·C M BraykoA W Testa
Dec 1, 1981·The Journal of Hospital Infection·E Schoutens-SerruysM Loriers
Feb 1, 1983·Gut·G G BirnieG Watkinson
Apr 6, 1994·JAMA : the Journal of the American Medical Association·C A Lang, D F Ransohoff
May 6, 1996·The Medical Journal of Australia·A R DavisG W McCaughan
Jul 24, 1997·The New England Journal of Medicine·J P BronowickiB Rhin
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Nov 30, 1999·Annals of Internal Medicine·S Le PogamY Bacq
Aug 10, 2000·Medical Care·E P McCarthyD T Davies
Apr 1, 2003·Gastrointestinal Endoscopy·Douglas B Nelson
Apr 24, 2003·Gastrointestinal Endoscopy·Douglas B Nelson
Sep 26, 2006·Gastrointestinal Endoscopy·Scott W Rathgaber, Theresa M Wick
Oct 24, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Cynthia W KoDavid Lieberman
Jan 5, 2011·Gastrointestinal Endoscopy·Linda RabeneckLawrence F Paszat
Jun 4, 2011·International Journal of Qualitative Studies on Health and Well-being·Henrika Jormfeldt
Jun 23, 2011·JAMA : the Journal of the American Medical Association·Rebecca Voelker
Aug 14, 2012·Gastroenterology·Anne F PeeryNicholas J Shaheen
Mar 6, 2013·Journal of Cancer·Patrick E Young, Craig M Womeldorph
Mar 13, 2013·JAMA Internal Medicine·Gregory S CooperDouglas K Rex
Nov 12, 2014·Frontiers in Public Health·Fabrizio StracciGrazia Grazzini
Aug 9, 2015·Japanese Journal of Clinical Oncology·Takahisa MatsudaYutaka Saito
Sep 24, 2015·Gastrointestinal Endoscopy·Nathan GluckErwin Santo
May 21, 2016·Cancer·Djenaba A JosephMarjolein van Ballegooijen
Jun 15, 2016·The American Journal of Gastroenterology·Ankie ReumkensSilvia Sanduleanu
Jan 8, 2017·Gastroenterology·Susan M Hutfless, Anthony N Kalloo
Jul 5, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America

❮ Previous
Next ❯

Citations

Apr 24, 2019·Biomedical Instrumentation & Technology·Jeff Wiser
May 14, 2019·JAMA Internal Medicine·Peiqi WangMartin A Makary
Jun 13, 2020·Nature Reviews. Gastroenterology & Hepatology·Federica FurfaroLaurent Peyrin-Biroulet
Sep 20, 2020·BMC Health Services Research·Michal Stanak, Christoph Strohmaier
Jun 28, 2019·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Gheorghe G BalanCatalin Victor Sfarti
Jul 4, 2018·HNO·I F HerrmannC Arens
Sep 22, 2020·EClinicalMedicine·Sara LarsenAnders Mærkedahl
Apr 6, 2021·Endoscopy International Open·Chi-Chung FooChung-Kwong Yeung
May 8, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michelle J Alfa, Harminder Singh
May 19, 2021·JAMA : the Journal of the American Medical Association·Jennifer S LinPaula R Blasi
Aug 3, 2021·Frontiers in Robotics and AI·Luigi Manfredi
Dec 19, 2020·Journal of Clinical Gastroenterology·Yoni IsenbergHaggai Bar-Yoseph

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.