Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico
Autor(a) principal: | |
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Data de Publicação: | 1997 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0104-42301997000400009 http://repositorio.unifesp.br/handle/11600/547 |
Resumo: | PURPOSE. To determine the frequency, associate factors and clinical features of bacteremia in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP), with or without therapeutic procedures. METHODS. Prospectively, 42 consecutives patients undergoing 46 endoscopic retrograde cholangiopancreatographies (ERCPs) from August to December 1994 were analyzed. The search for bacteremia was done by drawing 6 blood samples for cultures from peripheral blood. Two blood samples were collected before the ERCP and 4 of them after. The bottles used for cultures were BactecTM bottles. The bottles were incubated in the Bactec 9240TM system, and eventual bacteria detect were identificated by the manual routine of the laboratory and also with the autoScanTM/MicroscanTM system. RESULTS. All blood cultures obtained before the ERCPs were negatives. Bacteremia were detected after 7 endoscopic procedures. In two episodes of bacteremia, the microorganism identified (Staphylococcus epidermidis) was considered to be a contaminant. The other 5 episodes of bacteremia were considered true bacteremia (frequency 10.9%), and the microorganisms identified were: Streptococcus viridans, Corynebacterium sp., Enterobacter cloacae, Klebsiella oxytoca and Enterobacter aerogenes. This episodes were more frequent in the blood cultures obtained immediately after the ERCPs (p<0.05), and occurred exclusively in the patients who were not receiving antibiotics (p=0.0192). Clinical manifestation of the episodes of bacteremia were not detected. CONCLUSION. The episodes of bacteremia occurred exclusively in the patients who were not receiving antibiotics, were transient and completely no symptomatic. |
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Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínicoBacteremia after endoscopic retrograde cholangiopancreatography with or without therapeutic procedure: frequency, associated factors and clinical manifestationsEndoscopic retrograde cholangiopancreatographiesBacteremiaPancreatocolangiografia retrógrada endoscópicaBacteremiaPURPOSE. To determine the frequency, associate factors and clinical features of bacteremia in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP), with or without therapeutic procedures. METHODS. Prospectively, 42 consecutives patients undergoing 46 endoscopic retrograde cholangiopancreatographies (ERCPs) from August to December 1994 were analyzed. The search for bacteremia was done by drawing 6 blood samples for cultures from peripheral blood. Two blood samples were collected before the ERCP and 4 of them after. The bottles used for cultures were BactecTM bottles. The bottles were incubated in the Bactec 9240TM system, and eventual bacteria detect were identificated by the manual routine of the laboratory and also with the autoScanTM/MicroscanTM system. RESULTS. All blood cultures obtained before the ERCPs were negatives. Bacteremia were detected after 7 endoscopic procedures. In two episodes of bacteremia, the microorganism identified (Staphylococcus epidermidis) was considered to be a contaminant. The other 5 episodes of bacteremia were considered true bacteremia (frequency 10.9%), and the microorganisms identified were: Streptococcus viridans, Corynebacterium sp., Enterobacter cloacae, Klebsiella oxytoca and Enterobacter aerogenes. This episodes were more frequent in the blood cultures obtained immediately after the ERCPs (p<0.05), and occurred exclusively in the patients who were not receiving antibiotics (p=0.0192). Clinical manifestation of the episodes of bacteremia were not detected. CONCLUSION. The episodes of bacteremia occurred exclusively in the patients who were not receiving antibiotics, were transient and completely no symptomatic.OBJETIVO. O objetivo do presente estudo foi avaliar a freqüência, os fatores associados e a manifestação clínica de bacteremia em pacientes submetidos à colangiopancreatografia retrógrada endoscópica (CPRE), associada ou não à realização de procedimento terapêutico. CASUÍSTICA. Foram analisadas prospectivamente 46 colangiopancreatografias retrógradas endoscópicas (CPREs) realizadas em 42 pacientes. Os pacientes foram divididos em três subgrupos na dependência da utilização de antibióticos, da presença de obstrução do ducto biliar e/ou pancreático e da realização de procedimentos terapêuticos. MÉTODO. A pesquisa de bacteremia foi realizada mediante coleta de hemoculturas seriadas antes e após a CPRE. Foram utilizados, como meio para as hemoculturas, frascos tipo Bactec®, capazes de receber maiores volumes de sangue e com resinas para adsorção de antibióticos. A análise de positividade das hemoculturas foi realizada no sistema Bactec 9240®, e a identificação das bactérias, por meio de rotina do Laboratório Central da instituição e com o sistema autoScan®/Microscan® . RESULTADOS. Foi detectada bacteremia após sete exames; entretanto, em dois os microrganismos isolados foram considerados contaminantes. Em cinco exames ocorreu bacteremia verdadeira (freqüência, 10,9%). Foram identificados os microrganismos: Streptococcus viridans, Corynebacterium sp., Enterobacter cloacae, Klebsiella oxytoca e Enterobacter aerogenes. Os episódios de bacteremia foram detectados com maior freqüência nas hemoculturas realizadas imediatamente após os exames (p<0,05), e foram restritos aos pacientes que não estavam utilizando antibióticos (p=0,0192). Não houve manifestação clínica dos episódios de bacteremia. CONCLUSÕES. Concluiu-se que os episódios de bacteremia ocorreram exclusivamente nos pacientes que não estavam utilizando antibióticos e foram transitórios e completamente assintomáticos.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUNIFESP, EPMSciELOCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Associação Médica BrasileiraUniversidade Federal de São Paulo (UNIFESP)Campos, G.m.r. [UNIFESP]Herani Filho, B. [UNIFESP]Pereira, Carlos Alberto Pires [UNIFESP]De O. Machado, A.m. [UNIFESP]Baretta, M.c.c. [UNIFESP]2015-06-14T13:24:39Z2015-06-14T13:24:39Z1997-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion326-334application/pdfhttp://dx.doi.org/10.1590/S0104-42301997000400009Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 43, n. 4, p. 326-334, 1997.10.1590/S0104-42301997000400009S0104-42301997000400009.pdf0104-4230S0104-42301997000400009http://repositorio.unifesp.br/handle/11600/547porRevista da Associação Médica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T21:59:23Zoai:repositorio.unifesp.br/:11600/547Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T21:59:23Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico Bacteremia after endoscopic retrograde cholangiopancreatography with or without therapeutic procedure: frequency, associated factors and clinical manifestations |
title |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
spellingShingle |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico Campos, G.m.r. [UNIFESP] Endoscopic retrograde cholangiopancreatographies Bacteremia Pancreatocolangiografia retrógrada endoscópica Bacteremia |
title_short |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
title_full |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
title_fullStr |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
title_full_unstemmed |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
title_sort |
Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico |
author |
Campos, G.m.r. [UNIFESP] |
author_facet |
Campos, G.m.r. [UNIFESP] Herani Filho, B. [UNIFESP] Pereira, Carlos Alberto Pires [UNIFESP] De O. Machado, A.m. [UNIFESP] Baretta, M.c.c. [UNIFESP] |
author_role |
author |
author2 |
Herani Filho, B. [UNIFESP] Pereira, Carlos Alberto Pires [UNIFESP] De O. Machado, A.m. [UNIFESP] Baretta, M.c.c. [UNIFESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Campos, G.m.r. [UNIFESP] Herani Filho, B. [UNIFESP] Pereira, Carlos Alberto Pires [UNIFESP] De O. Machado, A.m. [UNIFESP] Baretta, M.c.c. [UNIFESP] |
dc.subject.por.fl_str_mv |
Endoscopic retrograde cholangiopancreatographies Bacteremia Pancreatocolangiografia retrógrada endoscópica Bacteremia |
topic |
Endoscopic retrograde cholangiopancreatographies Bacteremia Pancreatocolangiografia retrógrada endoscópica Bacteremia |
description |
PURPOSE. To determine the frequency, associate factors and clinical features of bacteremia in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP), with or without therapeutic procedures. METHODS. Prospectively, 42 consecutives patients undergoing 46 endoscopic retrograde cholangiopancreatographies (ERCPs) from August to December 1994 were analyzed. The search for bacteremia was done by drawing 6 blood samples for cultures from peripheral blood. Two blood samples were collected before the ERCP and 4 of them after. The bottles used for cultures were BactecTM bottles. The bottles were incubated in the Bactec 9240TM system, and eventual bacteria detect were identificated by the manual routine of the laboratory and also with the autoScanTM/MicroscanTM system. RESULTS. All blood cultures obtained before the ERCPs were negatives. Bacteremia were detected after 7 endoscopic procedures. In two episodes of bacteremia, the microorganism identified (Staphylococcus epidermidis) was considered to be a contaminant. The other 5 episodes of bacteremia were considered true bacteremia (frequency 10.9%), and the microorganisms identified were: Streptococcus viridans, Corynebacterium sp., Enterobacter cloacae, Klebsiella oxytoca and Enterobacter aerogenes. This episodes were more frequent in the blood cultures obtained immediately after the ERCPs (p<0.05), and occurred exclusively in the patients who were not receiving antibiotics (p=0.0192). Clinical manifestation of the episodes of bacteremia were not detected. CONCLUSION. The episodes of bacteremia occurred exclusively in the patients who were not receiving antibiotics, were transient and completely no symptomatic. |
publishDate |
1997 |
dc.date.none.fl_str_mv |
1997-12-01 2015-06-14T13:24:39Z 2015-06-14T13:24:39Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0104-42301997000400009 Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 43, n. 4, p. 326-334, 1997. 10.1590/S0104-42301997000400009 S0104-42301997000400009.pdf 0104-4230 S0104-42301997000400009 http://repositorio.unifesp.br/handle/11600/547 |
url |
http://dx.doi.org/10.1590/S0104-42301997000400009 http://repositorio.unifesp.br/handle/11600/547 |
identifier_str_mv |
Revista da Associação Médica Brasileira. Associação Médica Brasileira, v. 43, n. 4, p. 326-334, 1997. 10.1590/S0104-42301997000400009 S0104-42301997000400009.pdf 0104-4230 S0104-42301997000400009 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista da Associação Médica Brasileira |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
326-334 application/pdf |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268391645511680 |