GASTROINTESTINAL ENDOSCOPY

Adapted from BSG guidelines 2009

All procedures:

high risk patients (prosthetic heart valve, previous endocarditis, surgically constructed systemic-pulmonary shunt or conduit synthetic vascular graft less than 1 year old)

No longer recommended.
ERCP or ultra sound guided drainage pancreatic pseudocyst or unlikely/unable to achieve complete biliary decompression         Ciprofloxacin PO 750mg 60-90 minutes prior to procedure.

See Antibiotic Prophylaxis in General Surgery for ERCP guidance.
PEG tube insertion All patients
(if patient is already receiving broad-spectrum antibiotics additional prophylaxis is not required)

Co-trimoxazole 480mg/5mL suspension. 10mL (960mg) to be given through PEG tube just after insertion.


Back to C.diff/GI infections selection

 

 

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