title: Bacteremia after diagnostic conventional laparoscopy and minilaparoscopy: a prospective study in 100 patients.
abstract: OBJECTIVE
  Diagnostic laparoscopy under sedoanalgesia is a valuable tool in the work-up of liver diseases and is helpful as a staging procedure. The rate of bacteremia caused by this procedure is unknown, in particular when performed as minilaparoscopy.
  
  
  METHODS
  A 100 consecutive patients having undergone diagnostic laparoscopy carried out either conventionally (group I, n=50) or as minilaparoscopy (group II, n=50) were prospectively enrolled in this study. Blood cultures were drawn before and within 5 minutes after the procedure. Risk factors for bacteremia were evaluated.
  
  
  RESULTS
  Bacterial growth occurred in 4 blood cultures drawn immediately after laparoscopy. No patient developed fever or other signs of infection in the follow-up. Risk factors predisposing to bacteremia could not be identified.
  
  
  CONCLUSIONS
  Conventional diagnostic laparoscopy under sedoanalgesia and minilaparoscopy are associated with a low rate of bacteremia as in diagnostic upper endoscopy.
authors.affiliation: Department of Internal Medicine C, Ludwigshafen Hospital, Academic Hospital of the University of Mainz, Germany. weickeru@klilu.de
authors.forename: Uwe
authors.initials: U
authors.lastname: Weickert
authors.forename: Stephan
authors.initials: S
authors.lastname: Vetter
authors.forename: Ulrich
authors.initials: U
authors.lastname: Burkhardt
authors.forename: Axel
authors.initials: A
authors.lastname: Eickhoff
authors.forename: Anette
authors.initials: A
authors.lastname: Bühl
authors.forename: Jürgen Ferdinand
authors.initials: JF
authors.lastname: Riemann
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000453:epidemiology* / Q000382:microbiology*; D001769:Blood / Q000382:microbiology; D003470:Culture Media; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000382:microbiology; D006095:Gram-Positive Cocci / Q000145:classification / Q000302:isolation & purification; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
chemical_list: D003470:Culture Media