ERCP Related Sepsis
Endoscopic procedures performed worlwide have increased considerably in recent years. In addition to diagnosis, many cases previously necessitating surgery now often can be carried out by endoscopic techniques. However, endoscopy has introduced its own infection risks. Most reports of gastrointestin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bilimsel Tip Yayinevi
2005-06-01
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| Series: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2005-10-2-088-091.pdf |
| Summary: | Endoscopic procedures performed worlwide have increased considerably in recent years. In addition to diagnosis, many cases previously necessitating surgery now often can be carried out by endoscopic techniques. However, endoscopy has introduced its own infection risks. Most reports of gastrointestinal endoscopy-associated infection describe sepsis after endoscopic retrograde cholangiopancreatography (ERCP) in patients with biliary tract obstruction. During this study which was conducted by Infection Control Committee of Ankara University Hospital, 13 out of 1147 (1.1%) and 17 out of 922 patients (1.8%) had ERCP related sepsis in 2002 and 2003 respectively, at the ERCP Unit of Gastroenterology Department. Sepsis caused mortality was 23.1% and 29.4% in 2002 and 2003 respectively. The first three causative agents were Escherichia coli, Pseudomonas spp. and, Klebsiella + Enterobacter spp. Type and frequency of the causative agents remind that both endogenous and exogenous mechanisms are together responsible for the infections emerging from ERCP unit. Besides, increasing isolation of Pseudomonas spp. brings out the strong need for reevaluation of infection control measures, mainly effective cleansing and disinfection of endoscopes. |
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| ISSN: | 1300-932X 1300-932X |