Anderson Deverick J, Shimpi Rahul A, McDonald Jay R, Branch M Stanley, Kanafani Zeina A, Harger Jeffrey, Ely Thomas M, Sexton Daniel J, Kaye Keith S
Division of Infectious Diseases, Duke University Medical Center, Durham, NC 27710, USA.
Am J Infect Control. 2008 Oct;36(8):592-4. doi: 10.1016/j.ajic.2007.10.023.
We have developed an automated surveillance system to detect bloodstream infection (BSI) occurring after endoscopic retrograde cholangiopancreatography (ERCP). We retrospectively applied this automated surveillance tool to all patients who underwent ERCP at out institution between July 2004 and April 2006 to determine the baseline rates of BSI after ERCP and identify the epidemiology of the pathogens. A total of 2052 ERCPs were performed during the study period; 46 BSIs occurred within 30 days after ERCP (overall rate of post-ERCP BSI, 2.24/100 procedures). The most commonly isolated organisms were Enterobacteriaceae (n = 18; 29%) and enterococci (n = 14; 22%). Because invasive procedures are performed in various outpatient and inpatient settings, novel methods are needed to conduct effective surveillance for infection.
我们开发了一种自动监测系统，用于检测内镜逆行胰胆管造影术（ERCP）后发生的血流感染（BSI）。我们回顾性地将这种自动监测工具应用于2004年7月至2006年4月在我们机构接受ERCP的所有患者，以确定ERCP后BSI的基线发生率，并确定病原体的流行病学特征。在研究期间共进行了2052例ERCP；46例BSI发生在ERCP后30天内（ERCP后BSI的总体发生率为2.24/100例手术）。最常分离出的微生物是肠杆菌科（n = 18；29%）和肠球菌（n = 14；22%）。由于侵入性操作在各种门诊和住院环境中进行，因此需要新的方法来有效地监测感染。
