cholangitisThe use of prophylactic antibiotics before endoscopic retrograde cholangiopancreatography (ERCP) is recommended by all major international gastroenterological societies, especially in the presence of
CONCLUSIONS : In suspected bile duct obstruction, incomplete drainage is a significant risk factor for post-ERCP cholangitis. Prophylactic antibiotics are not required provided a high success rate of adequate biliary drainage is achieved.doi:10.1016/S0016-5107(96)80130-1J. Vandervoort...
Prophylactic antibiotics cannot prevent ERCP-induced cholangitisZhaoShen Li
One hundred and eighty BA patients were recruited and randomized into a short-term (n = 90) and a long-term (n = 90) treatment group, and prophylactic intravenous antibiotics were used for 7 versus 14 days, respectively. The primary outcome was the overall cholangitis incidence within 6-...
Type and dose of antibiotics were not reported. Post-procedural infectious complications and AEs at 30-day follow-up were the main outcomes. Results AP was administered to 1,307 patients (81.4%). In this group, 3.4% of the patients had infectious complications compared to 3.7% in the non-...
Bacteremia was detected by blood cultures (15- and 30-minute samples) in 4 patients who did not receive prophylactic antibiotics (Escherichia coli in 2 cases, Peptostreptococcus in 1, and Staphylococcus aureus in 1). Cholangitis or sepsis did not occur after the bacteremic episodes in any of ...