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What is the infection risk of oesophageal dilatations?

par Bautista-Casasnovas, Adolfo;Varela-Cives, Ramiro;Estévez Martínez, Elina;Jardón Bahía, J.A. J.A.;R-Barca, P.;Dargallo Carbonell, T.;Villanueva Jeremias, A.;Tojo, R.;Cadranel, Samy
Référence European journal of pediatrics, 157, 11, page (901-903)
Publication Publié, 1998

Article révisé par les pairs

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Résumé :

Oesophageal dilatation is the most widely used treatment option for the management of oesophageal strictures. Complications include bleeding, a slight increase in body temperature, thoracic or abdominal pain, oesophageal perforation, brain abscess and bacteraemia. We performed a prospective study to evaluate the frequency of postdilatation bacteraemia in nine patients subjected to a total of 50 dilatations. Bacteraemia was detected in 36 cases (72%). In all but three cases, however, it was transient and not associated with fever or other clinical complications. The organisms most commonly responsible (64%) were alpha-haemolytic streptococci (Streptococcus viridans), probably originating as contaminants from the oropharynx and oesophagus and introduced into the bloodstream during dilatation. Despite the relatively low incidence of bacteraemia-related postdilatation complications, the potential severity of such complications argues for the use of antibiotic prophylaxis as a routine measure prior to oesophageal dilatation. Conclusion. Oesophageal dilatation is associated with a high incidence of bacteraemia. The organisms most commonly responsible were alpha-haemolytic streptococci. We recommend the use of antibiotic prophylaxis as a routine measure prior to oesophageal dilatation.