Skip to main content

Antibiotikaprophylaxe bei interventionellen gastroenterologischen Eingriffen

  • Chapter
Book cover Infektiologie des Gastrointestinaltraktes
  • 1634 Accesses

Zusammenfassung

Der klinische Stellenwert der Antibiotikaprophylaxe ist im Bereich der interventionellen Endoskopie auch heutzutage noch Gegenstand vieler kontroverser Auseinandersetzungen. Im Gegensatz zu den chirurgischen Fachdisziplinen, wo der Zusammenhang zwischen infektiöser Komplikation und Intervention sowie der Stellenwert einer Antibiotikaprophylaxe wesentlich länger untersucht werden und breiter akzeptiert sind, ist die Datenlage in der Gastroenterologie noch eingeschränkt [6, 8]. Obwohl zahlreiche internationale Fachgesellschaften Empfehlungen ausgesprochen haben, sind viele Anwender in der Praxis verunsichert. Dies hat zur Folge, dass in bis zu 90% der periinterventionelle Einsatz von Antibiotika in der Endoskopie nicht entsprechend den Empfehlungen der Fachgesellschaften erfolgt [2, 5, 33, 4].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Akkerdijk WL, van Bergeijk JD, van Egmond T et al. (1995) Percutaneous endoscopic gastrostomy (PEG): Comparison of push and pull methods and evaluation of antibiotic prophylaxis Endoscopy 27: 313–316

    Google Scholar 

  • ASGE: Antibiotic prophylaxis for gastrointestinal endoscopy (1995) Gastrointest Endosc 42: 630–635

    Article  Google Scholar 

  • Barawi M, Gottlieb K, Cunha B, Potis M, Gress F (2001) A prospective evaluation of the incidence of bacteremia associated with EUS-guided fine-needle aspiration. Gastrointest Endosc 53: 189–192

    Article  PubMed  CAS  Google Scholar 

  • Bernhard B, Grange JD, Khac JD, Amiot X, Opolon D, Poynard T (1999) Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: meta-analysis. Hepatology 29: 1655–1661

    Article  Google Scholar 

  • British Society of Gastroenterology Guidelines (1996) Antibiotic prophylaxis in gastrointestinal endoscopy. Regent’s Park: British Society of Gastroenterology

    Google Scholar 

  • Burke JF (1963) Identification of the sources of staphylococci contaminating the surgical wound during operation. Ann Surg 158: 898–904

    PubMed  CAS  Google Scholar 

  • Byl B, Deviere J, Struelens MJ, Roucloux I, De Conick A, Thys JP, Cremer M (1995) Antibiotic prophylaxis for infectious complications after therapeutic ERCP: A randomized doubleblind placebo-controlled study. Clin Infect Dis 20: 1236–1240

    PubMed  CAS  Google Scholar 

  • Classen DC, Evans RS, Pestotnik SL, Horn SD, Menlove RL, Burke JP (1992) The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 326: 281–286

    Article  PubMed  CAS  Google Scholar 

  • Dajani AS, Taubert KA, Wilson W et al. (1997) Prevention of bacterial endocarditis. Recommendations by the American Heart Association. J Am Med Ass 277: 1794–1801

    Article  CAS  Google Scholar 

  • Da Siveira Rohr M, Siqueira ES, Brant CQ, Morais M, Libera ED, Castro RR, Ferrari AP (1997) Prospective study of bacteremia rate after elastic band ligation and sclerotherapy of esophageal varices in patients with hepatosplenic schistosomiasis. Gastrointest Endosc 46: 321–323

    Article  Google Scholar 

  • Davis AJ, Kolios G, Alyeyn CG, Robertson DA (1998) Antibiotic prophylaxis for ERCP: a comparison of oral ciprofloxacin with intravenous cephazolin in the prophylaxis of high risk patients. Aliment Pharmcol Ther 12: 207–211

    Article  CAS  Google Scholar 

  • Deschenes M, Villeneuve JP (1999) Risk factors for development of bacterial infections in hospitalized patients with cirrhosis. Am J Gastroenterol 94: 2193–2197

    PubMed  CAS  Google Scholar 

  • Dormann AJ, Wigginghaus B, Risius H, Kleimann F, Kloppenborg A, Grünewald T, Huchzermeyer H (1999) A single dose of ceftriaxone administered 30 minutes before percutaneous endsocopic gastrostomy significantly reduces local and systemic infective complications. Am J Gastroenterol 94: 3220–3224

    Article  PubMed  CAS  Google Scholar 

  • Dormann AJ, Glosemeyer R, Leistner U, Deppe H, Roggel R, Wigginghaus B, Huchzermeyer H. (2000) Modified percutaneous endoscopic gastrostomy (PEG) with gastropexy — early experience with a new introducer technique Z Gastroenterol 38: 933–938

    Article  PubMed  CAS  Google Scholar 

  • Dormann AJ, Huchzermeyer H, Lippert H (2001) Relevance of systemic complications and different outcome of subgroups after percutaneous endoscopic gastrostomy (PEG). Am J Gastroenterol

    Google Scholar 

  • Harris A, Chong Hen Chan A, Torres-Viera, Hammett R, Carr-Locke D (1999) Meta-analysis of antibiotic prophylaxis in endoscopic retrograde cholangiopancreatography (ERCP) Endoscopy 31: 718–724

    Article  PubMed  CAS  Google Scholar 

  • Ho H, Zuckerman M, Wassem C (1991) A prospective controlled study of risk of bacteremia in emergency sclerotherapy of esophageal varices. Gastroenterol 2: 198–200

    Google Scholar 

  • Jalan R, Hayes PC (2000) UK guidelines on the management of variceal haemorrhage in cirrhotic patients. Gut 46(Suppl III): iii1–iii15

    PubMed  Google Scholar 

  • Külling D, Sonnenberg A, Fried M, Bauerfeind P (2000) Cost analysis of antibiotic prophylaxis for PEG. Gastrointest Endosc 51: 152–156

    Article  PubMed  Google Scholar 

  • Landau O, Kott I, Deutsch AA, Stelman E, Reiss R (1992) Mulitfactorial analysis of septic bile and septic complications in biliary surgery. World J surg 16: 962–965

    Article  PubMed  CAS  Google Scholar 

  • Lo GH, Lai KH, Shen MT, Chang CF (1994) A comparison of the incidence of transient bacteremia and infectious sequelae after sclerotherapy and rubber band ligation of bleeding esophageal varices. Gastrointest Endosc 40: 675–679

    PubMed  CAS  Google Scholar 

  • Lorenz R, Herrmann M, Kassem AM, Lehn N, Neuhaus H, Classen M (1998) Microbiological examinations and in-vitro testing of different antibiotics in therapeutic endoscopy of the biliary system. Endoscopy 30: 708–712

    PubMed  CAS  Google Scholar 

  • Low D, Shoenut P, Kennedy J (1987). Prospective assesment of risk of bacteremia with colonoscopy and polypectomy. Dig Dis Sci 32: 1239–1243

    Article  PubMed  CAS  Google Scholar 

  • Madhukar K, Przepiorka D, Sekas G (1993) Infectious complications in bone marrow transplant recipients. Dig Dis Sci 38: 71–74

    Article  Google Scholar 

  • Maluenda F, Csendes A, Burdiles P, Diaz J (1989) Bacteriological study of choledochal bile in patients with common bile duct stones, with or without acute suppurative cholangitis. Hepatogastroenterol 36: 132–135

    CAS  Google Scholar 

  • Meijer WS, Schmitz PI, Jeekel J (1990) Meta-analysis of randomized controlled clnical trials of antibiotic prophylaxis in biliary tract surgery. Br J Surg 77: 283–290

    PubMed  CAS  Google Scholar 

  • Meyer GW (1994) Antibiotic prophylaxis for gastrointestinal procedures: who needs it? Gastointest Endosc 40: 265–267

    Article  Google Scholar 

  • Meyer GW, Artis AL (1997) Antibiotic prophylaxis for orthopedic prostheses and GI procedures: report of a survey. Am J Gastroenterol 92: 989–991

    PubMed  CAS  Google Scholar 

  • Mohandas KM, Kelker R. Antibiotic prophylaxis in ERCP with ciprofloxacin (1996) Gastrointest Endosc 43: 175

    PubMed  CAS  Google Scholar 

  • Nelson DB, Sanderson SJ, Azar MM (1998) Bacteremia with esophageal dilatation. Gastrointest Endosc 48: 563–567

    Article  PubMed  CAS  Google Scholar 

  • Niebel J, Horstkotte D (1998) Endokarditisprophylaxe 1998 — was ist gesichert? Dtsch Med Wschr 123: 1156–1159

    PubMed  CAS  Google Scholar 

  • Niederau C, Pohlmann U, Lübke H, Thomas L (1994) Prophylactic antibiotic treatment in therapeutic or complicated diagnostic ERCP: results of a randomized controlled clinical study. Gastrointest Endosc 40: 533–537

    Article  PubMed  CAS  Google Scholar 

  • O’Connor BJ, Sondhi SS, Mullen KD, McCullogh (1999) A continuous qualitiy improvement initiative reduces inappropriate prescribing of prophylactic anibiotics for endoscopic procedures. Am J Gastroenterol 94: 2115–2121

    Article  PubMed  CAS  Google Scholar 

  • Rey JR, Axon A, Budzynska A, Kruse A, Nowak A (1998) E.S.G.E. Guidelines. Endoscopy 30: 318–324

    PubMed  CAS  Google Scholar 

  • Schlaeffer F, Riesenberg K, Mikolich D, Niv Y (1996) Serious bacterial infections after endoscopic procedures. Arch Intern Med 156: 572–574

    Article  PubMed  CAS  Google Scholar 

  • Schapiro GD, Edmundowicz SA (1996) Complications of percutaneous gastrostomy. Gastrointest Endosc Clin N Am 6: 409–422

    PubMed  CAS  Google Scholar 

  • Selby WS, Norton ID, Pokorny ChS, Benn RA (1994) Bacteremia and bacteriascites after endoscopic sclerotherapy for bleeding esophageal varices and prevention by intravenous cefotaxime: a randomized trial. Gastrointest Endosc 40: 680–684

    PubMed  CAS  Google Scholar 

  • Sharma VK, Howden CW (2000) Meta-analysis of randomized controlled trials of antibiotic prophylaxis before percutaneous endoscopic gastrostomy. Am J Gastroenterol 95: 3133–3136

    Article  PubMed  CAS  Google Scholar 

  • Sontheimer J, Salm R, Friedrich G, van Wahlert J, Peltz K (1991) Bacteremia following operative endoscopy for upper gastrointestinal tract. Endoscopy 23: 67–72

    PubMed  CAS  Google Scholar 

  • Subhani JM, Kibbler C, Dooley JS (1999) Review article: antibiotic prophylaxis for endoscopic retrograde cholangiopancreatography (ERCP). Aliment Pharmacol Ther 13: 103–116

    Article  PubMed  CAS  Google Scholar 

  • Uno Y, Munakata A. (1997) New catheters with covered tips for endoscopic injection therapy without bacteremia. Gastrointest Endsoc 45: A 67

    Google Scholar 

  • Uno Y, Munakata A (1997) Bacteremia after saline-assisted polypectomy. Gastrointest Endosc 46: 279–281

    Article  PubMed  CAS  Google Scholar 

  • van den Hazel SJ, Speelman P, Dankert J, Huibregtse K, van Leeuwen DJ (1996) Piepracillin to prevent cholangitis after endoscopic retrograde cholangiopancreatography. A randomized, controlled trial. Ann Int Med 125: 442–447

    PubMed  Google Scholar 

  • Westphal JF, Brograd JM (1999) Biliary tract infections — a guide to drug treatment. Drugs 57: 81–91

    Article  PubMed  CAS  Google Scholar 

  • Wolf D, Fleischer D, Sivak MV (1985) Incidence of bacteremia with elective upper gastrointestinal endscopic laser therapy. Gastrointest Endosc 31: 247–50

    Article  PubMed  CAS  Google Scholar 

  • Yin TP, Dellpiani AW (1983) Bacterial endocarditis after Huerst bouginage in a patient with benign esophageal stricture and mitral valve prolaps. Endoscopy 15: 27–28

    PubMed  CAS  Google Scholar 

  • Zuccaro G, Richter JE, Rice TW, Achkar E, Easley K, Lewis J, Gordon SM (1998) Viridans streptococcal bacteremia after oesophageal stricture dilatation. Gastrointest Endosc 48: 568–573

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Dormann, A. (2006). Antibiotikaprophylaxe bei interventionellen gastroenterologischen Eingriffen. In: Caspary, W.F., Kist, M., Stein, J. (eds) Infektiologie des Gastrointestinaltraktes. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-37211-3_54

Download citation

  • DOI: https://doi.org/10.1007/3-540-37211-3_54

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-41359-2

  • Online ISBN: 978-3-540-37211-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics