Risks of Infection from Gastrointestinal Endoscopy

Aasma Shaukat; Douglas B. Nelson

doi:10.1016/j.tgie.2007.08.003

Risks of Infection from Gastrointestinal Endoscopy

Aasma Shaukat, Douglas B. Nelson

Environmental Health Sciences

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

The occurrence of bacteremia during gastrointestinal (GI) endoscopic procedures has been reported in numerous studies, although it is usually transient and clinically significant infectious complications are uncommon. Although reports of infectious endocarditis (IE) associated with endoscopy are extremely rare, antibiotic prophylaxis has historically been recommended for susceptible patients undergoing procedures with a high risk of bacteremia. Recent guidelines from the American Heart Association no longer recommend the use of prophylactic antibiotics for prevention of IE during GI endoscopy. This article will review the risk of bacteremia associated with various gastrointestinal endoscopic procedures, and discuss the rationale for antibiotic prophylaxis recommendations.

Original language	English (US)
Pages (from-to)	225-232
Number of pages	8
Journal	Techniques in Gastrointestinal Endoscopy
Volume	9
Issue number	4
DOIs	https://doi.org/10.1016/j.tgie.2007.08.003
State	Published - Oct 1 2007

Keywords

antibiotic
bacteremia
endocarditis
infection
prophylaxis

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title = "Risks of Infection from Gastrointestinal Endoscopy",

abstract = "The occurrence of bacteremia during gastrointestinal (GI) endoscopic procedures has been reported in numerous studies, although it is usually transient and clinically significant infectious complications are uncommon. Although reports of infectious endocarditis (IE) associated with endoscopy are extremely rare, antibiotic prophylaxis has historically been recommended for susceptible patients undergoing procedures with a high risk of bacteremia. Recent guidelines from the American Heart Association no longer recommend the use of prophylactic antibiotics for prevention of IE during GI endoscopy. This article will review the risk of bacteremia associated with various gastrointestinal endoscopic procedures, and discuss the rationale for antibiotic prophylaxis recommendations.",

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AB - The occurrence of bacteremia during gastrointestinal (GI) endoscopic procedures has been reported in numerous studies, although it is usually transient and clinically significant infectious complications are uncommon. Although reports of infectious endocarditis (IE) associated with endoscopy are extremely rare, antibiotic prophylaxis has historically been recommended for susceptible patients undergoing procedures with a high risk of bacteremia. Recent guidelines from the American Heart Association no longer recommend the use of prophylactic antibiotics for prevention of IE during GI endoscopy. This article will review the risk of bacteremia associated with various gastrointestinal endoscopic procedures, and discuss the rationale for antibiotic prophylaxis recommendations.

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KW - endocarditis

KW - infection

KW - prophylaxis

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ER -

Risks of Infection from Gastrointestinal Endoscopy

Abstract

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