CT colonography and transient bacteraemia: implications for antibiotic prophylaxis.
Objectives: To determine the prevalence of transient bacteraemia after CT colonography (CTC).Methods: Blood cultures were obtained at 5, 10 and 15 min after CTC from 100 consecutive consenting patients. Blood samples were cultured in both aerobic and anaerobic media and positive blood culture sample...
| Publicado en: | European Radiology Vol. 21; no. 2; pp. 360 - 366 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104817060&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104817060 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2011 vid: 21 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104817060 57853975 NLM20711729 2010941051 10.1007/s00330-010-1933-1 NLM20711729 104817060 ppf: 360 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: CT colonography and transient bacteraemia: implications for antibiotic prophylaxis. aug: au: Ridge CA Carter MR Browne LP Ryan R Hegarty C Schaffer K Malone DE Ridge, C A Carter, M R Browne, L P Ryan, R Hegarty, C Schaffer, K Malone, D E affil: Department of Radiology, St Vincent's University Hospital, Dublin, Ireland sug: subj: Antibiotics Therapeutic Use Bacteremia Epidemiology Bacteremia Prevention and Control Colonography, Computed Tomographic Statistics and Numerical Data Adult Aged Aged, 80 and Over Female Incidence Ireland Male Middle Age Risk Assessment Risk Factors Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objectives: To determine the prevalence of transient bacteraemia after CT colonography (CTC).Methods: Blood cultures were obtained at 5, 10 and 15 min after CTC from 100 consecutive consenting patients. Blood samples were cultured in both aerobic and anaerobic media and positive blood culture samples were analysed by a microbiologist.Results: Blood culture samples were positive for growth in sixteen patients. All positive blood culture samples were confirmed skin contaminants. There were no cases of significant bacteraemia. The estimated significant bacteraemia rate as a result of CTC is 0-3.7%, based on 95% confidence intervals around extreme results using Wilson's score method.Conclusions: American Heart Association and National Institute for Clinical Excellence guidelines advise that antibiotic prophylaxis before lower gastrointestinal endoscopy is not indicated in patients with at risk cardiac lesions (ARCL) as the risk of a transient bacteraemia leading to infective endocarditis is low. These data show that the prevalence of transient bacteraemia after CTC is also low. It follows that patients with ARCL do not require antibiotic prophylaxis before CTC. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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