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Antibiotic prophylaxis and infectious complications in patients on peritoneal dialysis undergoing lower gastrointestinal endoscopy

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Gastroenterology Report 2020年第5期8卷 407-409,I0003页

作者： William T.Clarke Venkata R.Satyam david i.fudman Samantha Zullow Kashika G.Goyal Katerina LByanova Christopher Huang Joseph D.Feuerstein Division of Gastroenterology Department of MedicineBeth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Department of Medicine Boston Medical CenterBoston University School of MedicineBostonMAUSA Present affiliation:Division of Digestive and Liver Diseases Department of Internal MedicineUniversity of Texas Southwestern Medical CenterDallasTXUSA Present affiliation:Division of Gastroenterology and Hepatology New York University Langone Medical CenterNew York University School of MedicineNew YorkNYUSA Department of Medicine Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Section of Gastroenterology Department of MedicineBoston Medical CenterBoston University School of MedicineBostonMAUSA

introduction Peritoneal dialysis(PD)is widely used for the treatment of endstage renal *** treated with PD have similar outcomes to those treated with hemodialysis[1].However,PDrelated infections including peritonitis have been reported at 1.66 episodes per patient per year[2].One possible source of peritonitis is gastrointestinal(Gi)endoscopic *** 2005,the international Society for Peritoneal Dialysis(iSPD)published guidelines suggesting antibiotics be given to PD patients prior to colonoscopy[3].This suggestion was mostly based on expert opinion and a theoretical concern that patients undergoing colonoscopy are at increased risk for enteric peritonitis from bacterial translocation across the bowel *** there is no direct evidence to support this theory,case reports have suggested a risk of transient bacteremia associated with colonoscopy.

关键词：预防性抗生素消化道内镜检查感染性并发症

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