title: Two case reports of gastroendoscopy-associated Acinetobacter baumannii bacteremia.
abstract: Two cases of gastroendoscopy-associated Acinetobacter baumannii (A. baumannii) bacteremia were discovered at the study hospital. The first case was a 66-year-old woman who underwent endoscopic retrograde cholangiopancreatography and endoscopic retrograde papillotomy, and then A. baumannii bacteremia occurred. The second case was a 70-year-old female who underwent endoscopic retrograde biliary drainage due to obstruction of intra-hepatic ducts, and bacteremia occurred due to polymicrobes (Escherichia coli, viridans streptococcus, and A. baumannii). After a literature review, we suggest that correct gastroendoscopy technique and skill in drainage procedures, as well as antibiotic prophylaxis, are of paramount importance in minimizing the risk of gastroendoscopy-associated bacteremia.
authors.affiliation: Section of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan.
authors.forename: Chang-Hua
authors.initials: CH
authors.lastname: Chen
authors.forename: Shun-Sheng
authors.initials: SS
authors.lastname: Wu
authors.forename: Chieh-Chen
authors.initials: CC
authors.lastname: Huang
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D002983:Clinical Competence; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acinetobacter baumannii; Antibiotic prophylaxis; Bacteremia; Endoscopy