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Infection and Endoscopy: Who Infects Whom?

1992; Taylor & Francis; Volume: 27; Issue: sup192 Linguagem: Inglês

10.3109/00365529209095986

1502-7708

A. E. Cowen,

Gastrointestinal Bleeding Diagnosis and Treatment

Infection is one of the major hazards of endoscopic procedures and is the commonest complication of endoscopic retrograde cholangio-pancreatography (ERCP) causing death. Prevention of endoscopy-associated infections is based on adequate cleaning and disinfection regimens. Scrupulous mechanical cleaning is fundamental; even prolonged chemical disinfection will be ineffective if cleaning has not been adequate. Special measures are required to prevent ERCP-related infections. It is important to recognize various special circumstances that increase a patient's susceptibility to infection and to administer antibiotic prophylaxis when appropriate.