Bacteremia após a colangiopancreatografia retrógrada endoscópica, com e sem procedimento terapêutico: freqüência, fatores associados e significado clínico

Detalhes bibliográficos
Autor(a) principal: Campos, G.m.r. [UNIFESP]
Data de Publicação: 1997
Outros Autores: Herani Filho, B. [UNIFESP], Pereira, Carlos Alberto Pires [UNIFESP], De O. Machado, A.m. [UNIFESP], Baretta, M.c.c. [UNIFESP]
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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spelling 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
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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