Open AccessTwo case reports of gastroendoscopy-associatedAcinetobacter baumanniibacteremia
Author(s) -
Changhua Chen,
Soushan Wu,
ChiehChen Huang
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i18.2835
Subject(s) - bacteremia , medicine , acinetobacter baumannii , endoscopic retrograde cholangiopancreatography , biliary drainage , gastroenterology , surgery , general surgery , antibiotics , microbiology and biotechnology , pancreatitis , pseudomonas aeruginosa , biology , genetics , bacteria
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.