Meyer G W, Artis A L
Department of Internal Medicine, Georgia Baptist Medical Center, Atlanta, USA.
Am J Gastroenterol. 1997 Jun;92(6):989-91.
To determine the practice recommendations of Program Directors of infectious disease training programs with regard to infection prophylaxis for patients with prosthetic orthopedic devices who undergo gastrointestinal procedures.
We surveyed Program Directors of infectious disease training programs to determine what they recommend when asked about antibiotic prophylaxis for patients with orthopedic prostheses who undergo gastrointestinal procedures.
More than 50% of the respondents agreed that prophylaxis is not indicated at any time for these procedures, although there was an almost even split when confronted with colonoscopy and polypectomy within 6 months of prosthesis insertion.
Most Program Directors agree with the recommendations of the American Society for Gastrointestinal Endoscopy and do not recommend prophylactic antibiotics for these patients. If antibiotics are chosen, they should be the same ones that are recommended for infectious endocarditis by The American Heart Association.
确定传染病培训项目的项目主任对于接受胃肠道手术的人工骨科装置患者感染预防的实践建议。
我们对传染病培训项目的项目主任进行了调查，以确定当被问及接受胃肠道手术的骨科假体患者的抗生素预防时他们的建议。
超过50%的受访者同意在任何时候都不建议对这些手术进行预防，尽管在假体植入后6个月内进行结肠镜检查和息肉切除术时，意见几乎平分秋色。
大多数项目主任同意美国胃肠内镜学会的建议，不建议对这些患者使用预防性抗生素。如果选择使用抗生素，应与美国心脏协会推荐用于感染性心内膜炎的抗生素相同。
