Norfleet R G, Mitchell P D, Mulholland D D, Philo J
Am J Gastroenterol. 1981 Nov;76(5):420-2.
To determine the risk of bacteremia, 53 patients had blood collected for culture before and five, ten and 15 minutes following fiberoptic endoscopy of the upper digestive tract. One patient had transient bacteremia with Acinetobacter Sp. five minutes after endoscopy. Combining our study with four others, 447 patients have been evaluated of which 6% had bacteremia after upper gastrointestinal endoscopy. Biopsy or other endoscopic operation does not increase the likelihood of bacteremia. We recommend careful attention to instrument and accessory cleaning and prophylactic antibiotics (probably penicillin or oxacillin alone suffices) only for patients with prosthetic heart valves.
为确定菌血症风险，53例患者在接受上消化道纤维内镜检查前以及检查后5分钟、10分钟和15分钟采集血样进行培养。1例患者在内镜检查后5分钟出现不动杆菌属短暂菌血症。将我们的研究与其他四项研究相结合，共评估了447例患者，其中6%在上消化道内镜检查后发生菌血症。活检或其他内镜操作不会增加菌血症的发生可能性。我们建议仅对有人工心脏瓣膜的患者仔细注意器械和附件的清洁，并使用预防性抗生素（可能单独使用青霉素或苯唑西林就足够了）。
