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Two case reports of gastroendoscopy-associated Acinetobacter baumannii bacteremia

By Chang-Hua Chen, Shun-Sheng Wu and Chieh-Chen Huang

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

Topics: Endoscopy, Acinetobacter baumannii, Bacteremia, Antibiotic prophylaxis
Year: 2014
DOI identifier: 10.3748/wjg.v19.i18.2835
OAI identifier: oai:ir.lib.nchu.edu.tw:11455/85098
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