Dickman M D, Farrell R, Higgs R H, Wright L E, Humphries T J, Wojcik J D, Chappelka R
Surg Gynecol Obstet. 1976 Feb;142(2):173-6.
Fifty-two patients undergoing uneventful diagnostic colonoscopy with or without polypectomy and biopsy were evaluated for evidence of bacteremia during and after the procedure. In only two instances was bacteremia noted. Positive findings were noted in patients with carcinomatosis and severe liver involvement. These data suggest that routine prophylactic antibiotic coverage is unnecessary in uncompromised patients. Further studies are warranted when patients have either severe liver involvement or impairment of normal host defense mechanisms.
对52例行诊断性结肠镜检查且过程顺利（无论是否进行息肉切除和活检）的患者，在检查期间及检查后评估其菌血症证据。仅在两例中发现菌血症。在患有癌病和严重肝脏受累的患者中发现了阳性结果。这些数据表明，对于无并发症的患者，常规预防性使用抗生素并无必要。当患者存在严重肝脏受累或正常宿主防御机制受损时，有必要进行进一步研究。
