Gastroenterological Endoscopy. Группа авторов
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Название: Gastroenterological Endoscopy

Автор: Группа авторов

Издательство: Ingram

Жанр: Медицина

Серия:

isbn: 9783131470133

isbn:

СКАЧАТЬ Although the American Association of Orthopedic Surgeons (AAOS) initially recommended antibiotic prophylaxis for patients with total joint replacement before invasive procedure that may cause bacteremia, this recommendation was subsequently withdrawn since it was not based on clinical evidence.

      8.9 Patients Receiving Peritoneal Dialysis

      Patients on continuous ambulatory peritoneal dialysis can develop peritonitis due to translocation of microorganisms across the bowel wall.65 Endoscopic procedures in these patients can result in peritonitis. A retrospective study found that peritonitis developed in 6.3% of patients after colonoscopy without antibiotic prophylaxis and did not occur in patients who received prophylactic antibiotics.66 The International Society for Peritoneal Dialysis (ISPD) recommended administration of antibiotics such as ampicillin (1 g) plus a single dose of an aminoglycoside, with or without metronidazole, given intravenously immediately before endoscopic procedures.67 An alternative suitable strategy is the administration of prophylactic antibiotics by the intraperitoneal route the night before the endoscopic procedure. The ISPD recommended that the abdomen be emptied of fluid prior to the procedure.67

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