Case Report
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World J Gastroenterol. May 14, 2013; 19(18): 2835-2840
Published online May 14, 2013. doi: 10.3748/wjg.v19.i18.2835
Two case reports of gastroendoscopy-associated Acinetobacter baumannii bacteremia
Chang-Hua Chen, Shun-Sheng Wu, Chieh-Chen Huang
Chang-Hua Chen, Section of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan
Shun-Sheng Wu, Section of Gastroenterology, Department of Internal Medicine, Changhua Christian Hospital, Changhua 500, Taiwan
Chieh-Chen Huang, Department of Life Science, College of Life Science, National Chung Hsing University, Taichung 402, Taiwan
Author contributions: Chen CH, Wu SS and Huang CC contributed equally to clinical management; Chen CH and Huang CC designed research and performed research; Chen CH wrote the paper; Huang CC revised the paper.
Supported by A Grant from the Changhua Christian Hospital, partially
Correspondence to: Chieh-Chen Huang, PhD, Professor, Department of Life Science, College of Life Science, National Chung Hsing University, 250 Kuo-Kuang Road, Taichung 402, Taiwan. cchuang@dragon.nchu.edu.tw
Telephone: +886-4-22840416 Fax: +886-4-722874740
Received: February 6, 2012
Revised: March 11, 2013
Accepted: March 13, 2013
Published online: May 14, 2013
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.

Keywords: Endoscopy, Acinetobacter baumannii, Bacteremia, Antibiotic prophylaxis

Core tip: 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. Gastroenterologists should give more attention to gastroendoscopy-related infections, and increased clinical alertness may be the best way to reduce the impact from these types of infections.