Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a key therapeutic procedure in diseases of the pancreas or bile ducts. The understanding and effective management of the risks associated with the procedure, especially in the context of possible infectious complications, is crucia...
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MDPI AG
2024-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/24/2806 |
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| author | Michał Kowalski Adam Przybyłkowski |
| author_facet | Michał Kowalski Adam Przybyłkowski |
| author_sort | Michał Kowalski |
| collection | DOAJ |
| description | Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a key therapeutic procedure in diseases of the pancreas or bile ducts. The understanding and effective management of the risks associated with the procedure, especially in the context of possible infectious complications, is crucial for patients’ safety. The aim of this review was to analyze the results of studies on antibiotic prophylaxis for infectious complications of ERCP, pancreatoscopy, and cholangioscopy. Methods: This study is a review of the articles available in PubMed, Medline, and Embase published in the last 30 years. Results: Nineteen studies and six sets of guidelines on antibiotic prophylaxis before ERCP were retrieved. Conclusions: Based on the available studies and recommendations, it can be concluded that antibiotic prophylaxis before ERCP is beneficial for immunocompromised patients or those at risk of bacterial endocarditis. In other groups of patients, antibiotic prophylaxis reduces the risk post-ERCP bacteremia but does not significantly reduce the risk of cholangitis and infectious complications. The effectiveness of antibiotic prophylaxis in patients at risk of incomplete biliary drainage needs to be verified in further studies. |
| format | Article |
| id | doaj-art-5182e980e9a94d0397b3a1edcac3e786 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-5182e980e9a94d0397b3a1edcac3e7862024-12-27T14:20:48ZengMDPI AGDiagnostics2075-44182024-12-011424280610.3390/diagnostics14242806Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A ReviewMichał Kowalski0Adam Przybyłkowski1Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-097 Warsaw, PolandDepartment of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-097 Warsaw, PolandBackground: Endoscopic retrograde cholangiopancreatography (ERCP) is a key therapeutic procedure in diseases of the pancreas or bile ducts. The understanding and effective management of the risks associated with the procedure, especially in the context of possible infectious complications, is crucial for patients’ safety. The aim of this review was to analyze the results of studies on antibiotic prophylaxis for infectious complications of ERCP, pancreatoscopy, and cholangioscopy. Methods: This study is a review of the articles available in PubMed, Medline, and Embase published in the last 30 years. Results: Nineteen studies and six sets of guidelines on antibiotic prophylaxis before ERCP were retrieved. Conclusions: Based on the available studies and recommendations, it can be concluded that antibiotic prophylaxis before ERCP is beneficial for immunocompromised patients or those at risk of bacterial endocarditis. In other groups of patients, antibiotic prophylaxis reduces the risk post-ERCP bacteremia but does not significantly reduce the risk of cholangitis and infectious complications. The effectiveness of antibiotic prophylaxis in patients at risk of incomplete biliary drainage needs to be verified in further studies.https://www.mdpi.com/2075-4418/14/24/2806endoscopic retrograde cholangiopancreatographysepsisantibiotic prophylaxischolangitisinfectionsadult |
| spellingShingle | Michał Kowalski Adam Przybyłkowski Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review Diagnostics endoscopic retrograde cholangiopancreatography sepsis antibiotic prophylaxis cholangitis infections adult |
| title | Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review |
| title_full | Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review |
| title_fullStr | Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review |
| title_full_unstemmed | Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review |
| title_short | Prevention of Bacterial Infection in Biliary and Pancreatic Endoscopy—A Review |
| title_sort | prevention of bacterial infection in biliary and pancreatic endoscopy a review |
| topic | endoscopic retrograde cholangiopancreatography sepsis antibiotic prophylaxis cholangitis infections adult |
| url | https://www.mdpi.com/2075-4418/14/24/2806 |
| work_keys_str_mv | AT michałkowalski preventionofbacterialinfectioninbiliaryandpancreaticendoscopyareview AT adamprzybyłkowski preventionofbacterialinfectioninbiliaryandpancreaticendoscopyareview |