Frequency of bacteremia after linear EUS of the upper GI tract with and without FNA

Janssen, Jan; König, Kerstin; Knop-Hammad, Veronika; Johanns, W.; Greiner, Lucas

doi:10.1016/s0016-5107(03)02707-x

Cited by 95 publications

(42 citation statements)

References 23 publications

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“…Similarly, bacteraemia rates following upper gastrointestinal endoscopic ultrasound (EUS) are similar whether or not fine needle aspiration (FNA) is performed [17]. The observed incidence of bacteraemia following EUS is equal to that seen in routine gastroscopy (6%) [18,19], and, for both procedures, biopsy or other endoscopic operation does not appear to increase the likelihood of bacteraemia [18,19].…”

Section: Discussionmentioning

confidence: 99%

Incidence of bacteraemia following endobronchial ultrasound-guided transbronchial needle aspiration

Steinfort¹,

Johnson²,

Irving³

2009

European Respiratory Journal

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Few data exist concerning possible infectious complications associated with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). The present prospective evaluation was undertaken in order to determine the incidence of bacteraemia and infectious complications associated with EBUS-TBNA.Consecutive patients undergoing EBUS-TBNA for evaluation of mediastinal or hilar lymph node lesions were studied. Venesection was performed within 60 s of TBNA for aerobic and anaerobic blood culture. Sterile saline washing of TBNA needles was also performed. Patients with positive blood cultures were reviewed immediately, and all patients underwent clinical review within 1 week of EBUS-TBNA.A total of 43 patients underwent EBUS-TBNA, with bacteraemia demonstrated in three (7%). All bacterial isolates were typical oropharyngeal commensal organisms. The TBNA needle washing culture was positive in 15 (35%) patients. None of the three bacteraemic patients had clinical features suggestive of infection, and no complications were seen among the cohort.The incidence of bacteraemia following EBUS-TBNA is comparable to that following routine flexible bronchoscopy. Performance of TBNA does not appear to measurably increase the risk of bacteraemia over that associated with insertion of the bronchoscope into the airway. Contamination of the TBNA needle with oropharyngeal commensal bacteria is common; however, clinically significant infection following EBUS-TBNA appears rare.

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Section: Discussionmentioning

confidence: 99%

Incidence of bacteraemia following endobronchial ultrasound-guided transbronchial needle aspiration

Steinfort¹,

Johnson²,

Irving³

2009

European Respiratory Journal

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“…Second, implicit within the term "bloodstream infection" is that the positive blood culture is associated with clinical infection. While most bacteremias are associated with infections, transient bacteremias may occasionally be observed following minor manipulations of nonsterile body surfaces that are not infection associated (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Establishing the Presence Of And Defining Community-onset Blmentioning

confidence: 99%

“…Transient bacteremia is a "true" bacteremia in that viable organisms are present in the bloodstream (i.e., not contaminants), but it is not a BSI because it is not infection associated. There are a number of well-recognized causes of transient bacteremia, and these generally involve manipulation of colonized or contaminated mucosal surfaces, including dental manipulations (16)(17)(18)(19), endoscopic gastrointestinal procedures (20)(21)(22)(23), and invasive respiratory procedures (24,25). Transrectal needle prostate biopsy is associated with transient bacteremia in approximately 20% of cases, and this may subsequently evolve into BSI (26).…”

Section: Determining the Significance Of Positive Blood Culturesmentioning

confidence: 99%

Population-Based Epidemiology and Microbiology of Community-Onset Bloodstream Infections

2014

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SUMMARY Bloodstream infection (BSI) is a major cause of infectious disease morbidity and mortality worldwide. While a positive blood culture is mandatory for establishment of the presence of a BSI, there are a number of determinants that must be considered for establishment of this entity. Community-onset BSIs are those that occur in outpatients or are first identified <48 h after admission to hospital, and they may be subclassified further as health care associated, when they occur in patients with significant prior health care exposure, or community associated, in other cases. The most common causes of community-onset BSI include Escherichia coli , Staphylococcus aureus , and Streptococcus pneumoniae . Antimicrobial-resistant organisms, including methicillin-resistant Staphylococcus aureus and extended-spectrum β-lactamase/metallo-β-lactamase/carbapenemase-producing Enterobacteriaceae , have emerged as important etiologies of community-onset BSI.

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“…La fréquence de la bactériémie comme complication d'une échoendoscopie ou d'une biopsie guidée par écho-endoscopie a été prospectivement étudiée lors de trois différentes études (15)(16)(17), mais aucune de ces études n'incluait d'échographie endorectale. Ces trois études ont collecté environ 250 patients et ne retrouvent aucune augmentation significative du risque de bactériémie si l'on compare l'échoendoscopie ou la ponction guidée par endoscopie avec la gastroscopie.…”

Section: Complications Infectieusesunclassified

Place de l’échoendoscopie dans la prise en charge des cancers exocrines et endocrines du pancréas

Giovannini

2009

Acta Endosc

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Place de l'échoendoscopie dans la prise en charge des cancers exocrines et endocrines du pancréasThe role of endoscopic ultrasonography in the management of exocrine and endocrine pancreatic cancers M. Giovannini it is also possible to carry out guided biopsies, thus increasing the precision of the image obtained. The introduction of echoendoscopes has led to their being used to carry out interventions, such as draining the pancreas, bile duct anastomosis and pancreatoenteric anastomosis, thus offering an alternative to surgery (often palliative) where standard endoscopy techniques have failed.Keywords Endoscopic ultrasonography · Pancreatic cancer · Pancreatic endocrine tumour · Interventional endoscopic ultrasonography Mots clés Échoendoscopie · Cancer du pancréas · Tumeur endocrine pancréatique · Échoendoscopie interventionnelleAbstract Endoscopic ultrasonography is a technique used for examining the digestive tract that combines endoscopy with ultrasonography. The ultrasound tube can get very close to the organ examined, providing information that cannot be accessed using other techniques, such as a CT or MRI scan. Endoscopic ultrasonography is the best technique for examining bile ducts and pancreas. In some cases ARTICLE ORIGINAL © Springer-Verlag 2009 M. Giovannini ( ) Unité d'exploration médicochirurgicale oncologique Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite,

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Frequency of bacteremia after linear EUS of the upper GI tract with and without FNA

Cited by 95 publications

References 23 publications

Incidence of bacteraemia following endobronchial ultrasound-guided transbronchial needle aspiration

Incidence of bacteraemia following endobronchial ultrasound-guided transbronchial needle aspiration

Population-Based Epidemiology and Microbiology of Community-Onset Bloodstream Infections

Place de l’échoendoscopie dans la prise en charge des cancers exocrines et endocrines du pancréas

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