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• W4382986632 abstract "Multi-drug resistant (MDR) bacterial infections represent one of the most challenging public health issues. Some studies highlighted a growing risk of transmission of carbapenem-resistant Enterobacteriaceae and other MDR infections in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) [ 1 O'Horo JC Farrell A Sohail MR Safdar N. Carbapenem-resistant Enterobacteriaceae and endoscopy: An evolving threat. Am J Infect Control. 2016; 44: 1032-1036 Abstract Full Text Full Text PDF PubMed Scopus (33) Google Scholar , 2 Smith ZL Oh YS Saeian K Edmiston Jr, CE Khan AH Massey BT Dua KS. Transmission of carbapenem-resistant Enterobacteriaceae during ERCP: time to revisit the current reprocessing guidelines. Gastrointest Endosc. 2015; 81: 1041-1045 Abstract Full Text Full Text PDF PubMed Scopus (80) Google Scholar , 3 Du M Suo J Liu B Xing Y Chen L Liu Y. Post-ERCP infection and its epidemiological and clinical characteristics in a large Chinese tertiary hospital: a 4-year surveillance study. Antimicrob Resist Infect Control. 2017; 6: 131 Crossref PubMed Scopus (13) Google Scholar ]. Recent evidence reports that a thorough protocol of endoscope reprocessing and screening of patients for MDR might reduce the risk of biofilm accumulation and colonization [ [4] Petersen BT Koch J Ginsberg GG. Infection using ERCP endoscopes. Gastroenterology. 2016; 151: 46-50 Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar , [5] Neves MS da Silva MG Ventura GM Côrtes PB Duarte RS de Souza HS. Effectiveness of current disinfection procedures against biofilm on contaminated GI endoscopes. Gastrointest Endosc. 2016; 83: 944-953 Abstract Full Text Full Text PDF PubMed Scopus (36) Google Scholar . However, the risk factors for developing an infection in this setting are poorly characterized. Particularly, patient stratification according to age, comorbidities, type of surgery, and use of prophylactic antibiotic is still uncertain. Starting from these premises, in this single-centre study we aimed to evaluate the effectiveness of infection control measures in preventing MDR bacterial infections in patients undergoing ERCP. We estimated the prevalence of periprocedural infections occurring after the implementation of an infection surveillance protocol. As a secondary aim, we analyzed the impact of potential risk factors and we evaluated the adherence of the hospital physicians in implementing the infectious control procedures." @default.
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• W4382986632 date "2023-10-01" @default.
• W4382986632 modified "2023-10-18" @default.
• W4382986632 title "Prevalence and risk factors for multi-drug resistant bacterial infections in patients undergoing endoscopic retrograde cholangiopancreatography" @default.
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• W4382986632 doi "https://doi.org/10.1016/j.dld.2023.06.018" @default.
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