Abstract
During a 4-year period 9 out of 35 patients deteriorated following a contrast enema after necrotising enterocolitis (NEC). Two developedKlebsiella septicaemia with one subsequent death. Following the latter two cases the paediatric surgeons instituted intravenous prophylactic antibotiics (benzyl penicillin, metronidazole, gentamicin) prior to contrast enemas post-NEC. Of the factors examined only the presence a long line insitu or history of previous perforation demonstrated any increased risk with regard to clinical deterioration post-examination.
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Brand, I.R., Arthur, R.J. Contrast enemas after necrotising enterocolitis: A case for prophylaxis?. Pediatr Radiol 22, 571–572 (1992). https://doi.org/10.1007/BF02015352
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DOI: https://doi.org/10.1007/BF02015352