내시경적 역행성 담췌관조영술 시 예방적 항생제 투여의 유용성
Background/Aims: Prophylactic antibiotics are used in an attempt to avoid the septic complications of endoscopic retrograde cholangiopancreatography (ERCP). But, there is individual tendency to choose prophylactic antibiotics due to a lack of definite guidelines for prophylactic antibiotics. Therefo...
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Veröffentlicht in: | Taehan Sohwagi Naesigyŏng Hakhoe chi 1999-12, Vol.19 (6), p.925 |
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creator | 김창섭 Chang Seop Kim 이규택 Kyu Taek Lee 이종균 Jong Kyun Lee 심상군 Sang Goon Shim 최문석 Mun Suk Choi 성인경 In Kyung Sung 이풍렬 Poong Lyul Rhee 김재준 Jae Jun Kim 고광철 Kwang Cheol Koh 백승운 Seung Woon Paik 이종철 Jong Chul Rhee 최규완 Kyoo Wan Choi |
description | Background/Aims: Prophylactic antibiotics are used in an attempt to avoid the septic complications of endoscopic retrograde cholangiopancreatography (ERCP). But, there is individual tendency to choose prophylactic antibiotics due to a lack of definite guidelines for prophylactic antibiotics. Therefore, the effectiveness of ciprofloxacin to prevent post ERCP infectious complications was evaluated. Methods: One hundred patients underwent 75 diagnostic ERCPs and 25, therapeutic ERCPs. They were classified randomly into a group of 51 prophylaxis (ciprofloxacin 200 mg i.v. 30 min before the procedure) and 49 controls. Pre- and post-ERCP blood cultures were prospectively performed and surveyed for infectious complications. Results: Sepsis was detected in 4 patients in each group (p>0.05). Two cases were related to diagnostic ERCP and the remaining six cases, therapeutic ERCP (p<0.01). Bacteremia was found in 6 cases, but only two cases (Escherichia coli, Citrobacter freundii) were clinically significant. Conclusions: The frequency of sepsis following ERCP was not significantly reduced by antibiotic prophylaxis (7.8% vs. 8.2%). (Korean J Gastrointest Endosc 19: 925∼929, 1999) |
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But, there is individual tendency to choose prophylactic antibiotics due to a lack of definite guidelines for prophylactic antibiotics. Therefore, the effectiveness of ciprofloxacin to prevent post ERCP infectious complications was evaluated. Methods: One hundred patients underwent 75 diagnostic ERCPs and 25, therapeutic ERCPs. They were classified randomly into a group of 51 prophylaxis (ciprofloxacin 200 mg i.v. 30 min before the procedure) and 49 controls. Pre- and post-ERCP blood cultures were prospectively performed and surveyed for infectious complications. Results: Sepsis was detected in 4 patients in each group (p>0.05). Two cases were related to diagnostic ERCP and the remaining six cases, therapeutic ERCP (p<0.01). Bacteremia was found in 6 cases, but only two cases (Escherichia coli, Citrobacter freundii) were clinically significant. Conclusions: The frequency of sepsis following ERCP was not significantly reduced by antibiotic prophylaxis (7.8% vs. 8.2%). (Korean J Gastrointest Endosc 19: 925∼929, 1999)</description><identifier>ISSN: 1225-7001</identifier><language>kor</language><publisher>대한소화기내시경학회</publisher><subject>Antibiotic prophylaxis ; Endoscopic retrograde cholangiopancreatography</subject><ispartof>Taehan Sohwagi Naesigyŏng Hakhoe chi, 1999-12, Vol.19 (6), p.925</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>김창섭</creatorcontrib><creatorcontrib>Chang Seop Kim</creatorcontrib><creatorcontrib>이규택</creatorcontrib><creatorcontrib>Kyu Taek Lee</creatorcontrib><creatorcontrib>이종균</creatorcontrib><creatorcontrib>Jong Kyun Lee</creatorcontrib><creatorcontrib>심상군</creatorcontrib><creatorcontrib>Sang Goon Shim</creatorcontrib><creatorcontrib>최문석</creatorcontrib><creatorcontrib>Mun Suk Choi</creatorcontrib><creatorcontrib>성인경</creatorcontrib><creatorcontrib>In Kyung Sung</creatorcontrib><creatorcontrib>이풍렬</creatorcontrib><creatorcontrib>Poong Lyul Rhee</creatorcontrib><creatorcontrib>김재준</creatorcontrib><creatorcontrib>Jae Jun Kim</creatorcontrib><creatorcontrib>고광철</creatorcontrib><creatorcontrib>Kwang Cheol Koh</creatorcontrib><creatorcontrib>백승운</creatorcontrib><creatorcontrib>Seung Woon Paik</creatorcontrib><creatorcontrib>이종철</creatorcontrib><creatorcontrib>Jong Chul Rhee</creatorcontrib><creatorcontrib>최규완</creatorcontrib><creatorcontrib>Kyoo Wan Choi</creatorcontrib><title>내시경적 역행성 담췌관조영술 시 예방적 항생제 투여의 유용성</title><title>Taehan Sohwagi Naesigyŏng Hakhoe chi</title><addtitle>대한소화기내시경학회지</addtitle><description>Background/Aims: Prophylactic antibiotics are used in an attempt to avoid the septic complications of endoscopic retrograde cholangiopancreatography (ERCP). But, there is individual tendency to choose prophylactic antibiotics due to a lack of definite guidelines for prophylactic antibiotics. Therefore, the effectiveness of ciprofloxacin to prevent post ERCP infectious complications was evaluated. Methods: One hundred patients underwent 75 diagnostic ERCPs and 25, therapeutic ERCPs. They were classified randomly into a group of 51 prophylaxis (ciprofloxacin 200 mg i.v. 30 min before the procedure) and 49 controls. Pre- and post-ERCP blood cultures were prospectively performed and surveyed for infectious complications. Results: Sepsis was detected in 4 patients in each group (p>0.05). Two cases were related to diagnostic ERCP and the remaining six cases, therapeutic ERCP (p<0.01). Bacteremia was found in 6 cases, but only two cases (Escherichia coli, Citrobacter freundii) were clinically significant. Conclusions: The frequency of sepsis following ERCP was not significantly reduced by antibiotic prophylaxis (7.8% vs. 8.2%). (Korean J Gastrointest Endosc 19: 925∼929, 1999)</description><subject>Antibiotic prophylaxis</subject><subject>Endoscopic retrograde cholangiopancreatography</subject><issn>1225-7001</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNotjLtKw1AYgM-gYKl9ApfzAoFzv4xSvEHBpc7l5AahCtJMblYdInXVBkkhHQstVAk49YWaP-_Qik7f8n3fAWpRxqSnCaFHqJOmiU-4IVoxRVvopn6qYFJsvzdQjjFMV83HK7x84XpSwc_btnqE-RryMWQl3msY8qxeL37V5n0FzzMoC9xkS5guYZZjKEr4XOzzY3QYu9s06vyzjfrnZ_3upde7vrjqnva8oWDak5EillGp4zD0A2ZVIEOjeehMEEScS-qkdsQKE0hqtS-iOJZWEuYEU0b5Pm-jk7_tMEnTwf0ouXOjhwE1wioj-A42GWIq</recordid><startdate>19991230</startdate><enddate>19991230</enddate><creator>김창섭</creator><creator>Chang Seop Kim</creator><creator>이규택</creator><creator>Kyu Taek Lee</creator><creator>이종균</creator><creator>Jong Kyun Lee</creator><creator>심상군</creator><creator>Sang Goon Shim</creator><creator>최문석</creator><creator>Mun Suk Choi</creator><creator>성인경</creator><creator>In Kyung Sung</creator><creator>이풍렬</creator><creator>Poong Lyul Rhee</creator><creator>김재준</creator><creator>Jae Jun Kim</creator><creator>고광철</creator><creator>Kwang Cheol Koh</creator><creator>백승운</creator><creator>Seung Woon Paik</creator><creator>이종철</creator><creator>Jong Chul Rhee</creator><creator>최규완</creator><creator>Kyoo Wan Choi</creator><general>대한소화기내시경학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>19991230</creationdate><title>내시경적 역행성 담췌관조영술 시 예방적 항생제 투여의 유용성</title><author>김창섭 ; Chang Seop Kim ; 이규택 ; Kyu Taek Lee ; 이종균 ; Jong Kyun Lee ; 심상군 ; Sang Goon Shim ; 최문석 ; Mun Suk Choi ; 성인경 ; In Kyung Sung ; 이풍렬 ; Poong Lyul Rhee ; 김재준 ; Jae Jun Kim ; 고광철 ; Kwang Cheol Koh ; 백승운 ; Seung Woon Paik ; 이종철 ; Jong Chul Rhee ; 최규완 ; Kyoo Wan Choi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k427-5e6092157fddbc296c5d873da8cce3351a57a0948c5197b4eff59502a42686bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>1999</creationdate><topic>Antibiotic prophylaxis</topic><topic>Endoscopic retrograde cholangiopancreatography</topic><toplevel>online_resources</toplevel><creatorcontrib>김창섭</creatorcontrib><creatorcontrib>Chang Seop Kim</creatorcontrib><creatorcontrib>이규택</creatorcontrib><creatorcontrib>Kyu Taek Lee</creatorcontrib><creatorcontrib>이종균</creatorcontrib><creatorcontrib>Jong Kyun Lee</creatorcontrib><creatorcontrib>심상군</creatorcontrib><creatorcontrib>Sang Goon Shim</creatorcontrib><creatorcontrib>최문석</creatorcontrib><creatorcontrib>Mun Suk Choi</creatorcontrib><creatorcontrib>성인경</creatorcontrib><creatorcontrib>In Kyung Sung</creatorcontrib><creatorcontrib>이풍렬</creatorcontrib><creatorcontrib>Poong Lyul Rhee</creatorcontrib><creatorcontrib>김재준</creatorcontrib><creatorcontrib>Jae Jun Kim</creatorcontrib><creatorcontrib>고광철</creatorcontrib><creatorcontrib>Kwang Cheol Koh</creatorcontrib><creatorcontrib>백승운</creatorcontrib><creatorcontrib>Seung Woon Paik</creatorcontrib><creatorcontrib>이종철</creatorcontrib><creatorcontrib>Jong Chul Rhee</creatorcontrib><creatorcontrib>최규완</creatorcontrib><creatorcontrib>Kyoo Wan Choi</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>Taehan Sohwagi Naesigyŏng Hakhoe chi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>김창섭</au><au>Chang Seop Kim</au><au>이규택</au><au>Kyu Taek Lee</au><au>이종균</au><au>Jong Kyun Lee</au><au>심상군</au><au>Sang Goon Shim</au><au>최문석</au><au>Mun Suk Choi</au><au>성인경</au><au>In Kyung Sung</au><au>이풍렬</au><au>Poong Lyul Rhee</au><au>김재준</au><au>Jae Jun Kim</au><au>고광철</au><au>Kwang Cheol Koh</au><au>백승운</au><au>Seung Woon Paik</au><au>이종철</au><au>Jong Chul Rhee</au><au>최규완</au><au>Kyoo Wan Choi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>내시경적 역행성 담췌관조영술 시 예방적 항생제 투여의 유용성</atitle><jtitle>Taehan Sohwagi Naesigyŏng Hakhoe chi</jtitle><addtitle>대한소화기내시경학회지</addtitle><date>1999-12-30</date><risdate>1999</risdate><volume>19</volume><issue>6</issue><spage>925</spage><pages>925-</pages><issn>1225-7001</issn><abstract>Background/Aims: Prophylactic antibiotics are used in an attempt to avoid the septic complications of endoscopic retrograde cholangiopancreatography (ERCP). But, there is individual tendency to choose prophylactic antibiotics due to a lack of definite guidelines for prophylactic antibiotics. Therefore, the effectiveness of ciprofloxacin to prevent post ERCP infectious complications was evaluated. Methods: One hundred patients underwent 75 diagnostic ERCPs and 25, therapeutic ERCPs. They were classified randomly into a group of 51 prophylaxis (ciprofloxacin 200 mg i.v. 30 min before the procedure) and 49 controls. Pre- and post-ERCP blood cultures were prospectively performed and surveyed for infectious complications. Results: Sepsis was detected in 4 patients in each group (p>0.05). Two cases were related to diagnostic ERCP and the remaining six cases, therapeutic ERCP (p<0.01). Bacteremia was found in 6 cases, but only two cases (Escherichia coli, Citrobacter freundii) were clinically significant. Conclusions: The frequency of sepsis following ERCP was not significantly reduced by antibiotic prophylaxis (7.8% vs. 8.2%). (Korean J Gastrointest Endosc 19: 925∼929, 1999)</abstract><pub>대한소화기내시경학회</pub><tpages>5</tpages></addata></record> |
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language | kor |
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source | KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals |
subjects | Antibiotic prophylaxis Endoscopic retrograde cholangiopancreatography |
title | 내시경적 역행성 담췌관조영술 시 예방적 항생제 투여의 유용성 |
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