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World J Gastroenterol. 2013 May 14;19(18):2835-40. doi: 10.3748/wjg.v19.i18.2835.

Two case reports of gastroendoscopy-associated Acinetobacter baumannii bacteremia.

Author information

  • 1Section of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan.

Abstract

Two cases of gastroendoscopy-associated Acinetobacter baumannii (A. baumannii) bacteremia were discovered at the study hospital. The first case was a 66-year-old woman who underwent endoscopic retrograde cholangiopancreatography and endoscopic retrograde papillotomy, and then A. baumannii bacteremia occurred. The second case was a 70-year-old female who underwent endoscopic retrograde biliary drainage due to obstruction of intra-hepatic ducts, and bacteremia occurred due to polymicrobes (Escherichia coli, viridans streptococcus, and A. baumannii). After a literature review, we suggest that correct gastroendoscopy technique and skill in drainage procedures, as well as antibiotic prophylaxis, are of paramount importance in minimizing the risk of gastroendoscopy-associated bacteremia.

KEYWORDS:

Acinetobacter baumannii; Antibiotic prophylaxis; Bacteremia; Endoscopy

PMID:
23687423
[PubMed - indexed for MEDLINE]
PMCID:
PMC3653160
Free PMC Article
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