Byrne W J, Euler A R, Campbell M, Eisenach K D
J Pediatr Gastroenterol Nutr. 1982;1(4):551-3. doi: 10.1097/00005176-198212000-00017.
Fifty children undergoing upper gastrointestinal endoscopy and 25 undergoing colonoscopy were studied prospectively with aerobic and anaerobic blood cultures for the development of bacteremia. Twenty-six of the endoscopies and all the colonoscopies were done under general anesthesia. Cultures were obtained before, at 5 min, and at 30 min after the procedure. Only a single positive blood culture was obtained in an upper endoscopy patient. All cultures from the colonoscopy patients were negative. Biopsy or polypectomy were not important variables in the development of bacteremia. It is concluded that the risk of bacteremia in children following upper endoscopy or colonoscopy is minimal and should not be considered a contraindication to their performance.
对50名接受上消化道内镜检查的儿童和25名接受结肠镜检查的儿童进行了前瞻性研究，通过需氧和厌氧血培养来检测菌血症的发生情况。其中26例内镜检查和所有结肠镜检查均在全身麻醉下进行。在检查前、检查后5分钟和30分钟采集血培养样本。上消化道内镜检查患者中仅获得1份阳性血培养结果。所有结肠镜检查患者的血培养结果均为阴性。活检或息肉切除术并非菌血症发生的重要变量。研究得出结论，儿童上消化道内镜检查或结肠镜检查后发生菌血症的风险极小，不应将其视为进行这些检查的禁忌证。
