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Endoscopy 1997; 29(2): 114-119
DOI: 10.1055/s-2007-1004085
Endoscopic Guidelines

© Georg Thieme Verlag KG Stuttgart · New York

Antibiotic Prophylaxis in Gastrointestinal Endoscopy: A Report by a Working Party for the British Society of Gastroenterology Endoscopy Committee

Written and approved by the British Society of Gastroenterology (September 1996)V. Mani1 , K. Cartwright2 , J. Dooley3 , E. Swarbrick4 , P. Fairclough5 , C. Oakley6
  • 1Dept. of Gastroenterology, Leigh Infirmary, Leigh, Lancashire, United Kingdom
  • 2Public Health Laboratory, Gloucestershire Royal Hospital, Gloucester, United Kingdom
  • 3Dept. of Gastroenterology, Royal Free Hospital, London, United Kingdom
  • 4New Cross Hospital, Wolverhampton, United Kingdom
  • 5St. Bartholomew's Hospital, London, United Kingdom
  • 6Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

- Antibiotic prophylaxis is recommended for endoscopic procedures if the patient is at high risk of endocarditis or of symptomatic bacteraemia as a consequence of immunosuppression or neutropenia. In most circumstances parenteral amoxycillin and gentamicin are recommended. The addition of parenteral metronidazole is recommended in patients with neutropenia. Vancomycin or teicoplanin are recommended in patients allergic to penicillin.

- Antibiotic prophylaxis is recommended for all patients undergoing ERCP with evidence of biliary stasis or pancreatic pseudocyst. Oral ciprofloxacin or parenteral gentamicin (or parenteral quinolone, cephalosporin or ureidopenicillin) are recommended for ERCP.

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