[内镜逆行胰胆管造影术无需常规预防性使用抗生素]
[No routine antibiotic prophylaxis necessary in endoscopic retrograde cholangiopancreatography].
作者信息
van de Meeberg P C, van Berge Henegouwen G P
机构信息
Academisch Ziekenhuis, afd., Gastro-enterologie, Utrecht.
出版信息
Ned Tijdschr Geneeskd. 1997 Mar 1;141(9):412-3.
PMID:9173299
Abstract
Acute cholangitis is a serious complication and cause of death in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Some centres have adopted a policy of administering antibiotics before every ERCP procedure. The results of a recent clinical trial failed to support this policy. Antibiotic prophylaxis should be restricted to patients expected to develop incomplete drainage of the bile duct and to endocarditis prophylaxis.
摘要
急性胆管炎是接受内镜逆行胰胆管造影术（ERCP）患者的一种严重并发症及死亡原因。一些中心采取了在每次ERCP手术前使用抗生素的策略。最近一项临床试验的结果未能支持这一策略。抗生素预防性应用应仅限于预计会出现胆管引流不完全的患者以及用于预防心内膜炎。
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