Antibiotic Prophylaxis in Gastrointestinal Endoscopy
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چکیده
Antibiotic prophylaxis is recommended for endoscopic procedures if the patient is at high risk of endocarditis and there is a high risk of bacteraemia as a consequence of the procedure. The high risk procedures are oesophageal dilatation, laser or argon beam ablation of a tumour and variceal injection. Antibiotic prophylaxis is also recommended if symptomatic bacteraemia is potentially life threatening as a consequence of immunosuppression or neutropenia. In most circumstances parenteral amoxycillin and gentamicin are recommended. Antibiotic prophylaxis should also be considered in moderate risk patients undergoing a high risk procedure. The addition of parenteral metronidazole is recommended in patients with neutropenia. Vancomycin or teicoplanin are recommended in patients allergic to penicillin.
منابع مشابه
Antibiotic prophylaxis in gastrointestinal endoscopy.
Revised 19 January 2009 Accepted 27 January 2009
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