title: [No routine antibiotic prophylaxis necessary in endoscopic retrograde cholangiopancreatography].
abstract: Acute cholangitis is a serious complication and cause of death in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Some centres have adopted a policy of administering antibiotics before every ERCP procedure. The results of a recent clinical trial failed to support this policy. Antibiotic prophylaxis should be restricted to patients expected to develop incomplete drainage of the bile duct and to endocarditis prophylaxis.
authors.affiliation: Academisch Ziekenhuis, afd., Gastro-enterologie, Utrecht.
authors.forename: P C
authors.initials: PC
authors.lastname: van de Meeberg
authors.forename: G P
authors.initials: GP
authors.lastname: van Berge Henegouwen
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods*; D002761:Cholangitis / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D011292:Premedication
chemical_list: D000900:Anti-Bacterial Agents