[No routine antibiotic prophylaxis necessary in endoscopic retrograde cholangiopancreatography].
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.
van de Meeberg
P C
PC
Academisch Ziekenhuis, afd., Gastro-enterologie, Utrecht.
van Berge Henegouwen
G P
GP
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
D000900:Anti-Bacterial Agents