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Colonoscopy and Infectious Disease

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Book cover Colon Polyps and the Prevention of Colorectal Cancer

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Abstract

The procedures (endoscopic procedures such as colonoscopy and bronchoscopy) related to the examination of the human body and body spaces extend to old ages. As a result of the advancement of endoscopes, which are used in the diagnosis and treatment of gastrointestinal system diseases, it has become possible to perform visual examinations and obtain tissue/fluid samples, and to perform emergent or elective therapeutic interventions concurrently.

One of the complications of the endoscopic procedures of the gastrointestinal system is bacteremia and the potential infections that could develop thereafter. The risk of infection development differs depending on gastrointestinal system region in which the endoscopic procedure is performed, and on type of procedure, and on patient’s previous diseases and treatments.

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References

  1. Block B, Schachschal G, Schmidt H. Ceviri Editoru Unsal B. Ust Gastrointestinal Sistem Endoskopisi (Egitim El Kitabı) s:4. 1st ed. Izmir: Guven Kitapevi; 2009.

    Google Scholar 

  2. Kanra G, Akalın HE. Infeksiyon Hastaliklari Akut Bakteriyal Infeksiyonlara Yaklaşım. 1st ed. Ankara: Gunes Kitapevi; 1991. p. 21.

    Google Scholar 

  3. Banerjee S, Shen B, Nelson DB, et al. Infection control during GI endoscopy. Gastrointest Endosc. 2008;67:781–90.

    Article  PubMed  Google Scholar 

  4. Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993;118:117–28.

    Article  CAS  PubMed  Google Scholar 

  5. Kumar S, Abcarian H, Prasad ML, Lakshmanan S. Bacteremia associated with lower gastrointestinal endoscopy: fact or fiction? I. Colonoscopy. Dis Colon Rectum. 1982;25:131–4.

    Article  CAS  PubMed  Google Scholar 

  6. Coughlin GP, Butler RN, Alp MH, Grant AK. Colonoscopy and bacteremia. Gut. 1977;18:678–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Hartong WA, Barnes WG, Calkins WG. The absence of bacteremia during colonoscopy. Am J Gastroenterol. 1977;67:240–4.

    CAS  PubMed  Google Scholar 

  8. Kiss A, Ferenci P, Graninger W, Pamperl H, Pötzi R, Meryn S. Endotoxaemia following colonoscopy. Endoscopy. 1983;15:24–6.

    Article  CAS  PubMed  Google Scholar 

  9. London MT, Chapman BA, Faoagali JL, Cook HB. Colonoscopy and bacteraemia: an experience in 50 patients. N Z Med J. 1986;99:269–71.

    CAS  PubMed  Google Scholar 

  10. Llach J, Elizalde JI, Bordas JM, Gines A, Almela M, Sans M, Mondelo F, Pique JM. Prospective assessment of the risk of bacteremia in cirrhotic patients undergoing lower gastrointestinal endoscopy. Gastrointest Endosc. 1999;49:214–7.

    Article  CAS  PubMed  Google Scholar 

  11. Goldman GD, Miller SA, Furman DS, Brock D, Ryan JL, McCallum RW. Does bacteremia occur during flexible sigmoidoscopy? Am J Gastroenterol. 1985;80:621–3.

    CAS  PubMed  Google Scholar 

  12. Allison MC, Sandoe JAT, Tighe R, Simpson IA, Hall RJ, Elliott TSJ, prepared on behalf of the Endoscopy Committee of the British Society of Gastroenterology. Antibiotic prophylaxis in gastrointestinal endoscopy. Gut. 2009;58:869–80.

    Google Scholar 

  13. Rodriguez W, Levine JS. Enterococcal endocarditis following flexible sigmoidoscopy. West J Med. 1984;140:951–3.

    CAS  PubMed Central  PubMed  Google Scholar 

  14. Millaire A, Goullard L, Leroy O, et al. Isolated tricuspid endocarditis. Apropos of a case caused by Streptococcus D bovis and faecalis occuring after coloscopy. Ann Cardiol Angeiol. 1991;40:23–7.

    CAS  Google Scholar 

  15. Kovaleva J, Peters FT, van der Mei HC, Degener JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev. 2013;26(2):231–54.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Chu NS, McAlister D, Antonoplos PA. Natural bioburden levels detected on flexible gastrointestinal endoscopes after clinical use and manual cleaning. Gastrointest Endosc. 1998;48:137–42.

    Article  CAS  PubMed  Google Scholar 

  17. Nelson DB, Muscarella LF. Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy. World J Gastroenterol. 2006;12:3953–64.

    PubMed Central  PubMed  Google Scholar 

  18. Beecham 3rd HJ, Cohen ML, Parkin WE. Salmonella typhimurium. Transmission by fiberoptic upper gastrointestinal endoscopy. JAMA. 1979;241:1013–5.

    Article  PubMed  Google Scholar 

  19. Chmel H, Armstrong D. Salmonella oslo. A focal outbreak in a hospital. Am J Med. 1976;60:203–8.

    Article  CAS  PubMed  Google Scholar 

  20. Dwyer DM, Klein EG, Istre GR, Robinson MG, Neumann DA, McCoy GA. Salmonella newport infections transmitted by fiberoptic colonoscopy. Gastrointest Endosc. 1987;33:84–7.

    Article  CAS  PubMed  Google Scholar 

  21. Classen DC, Jacobson JA, Burke JP, Jacobson JT, Evans RS. Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography. Am J Med. 1988;84:590–6.

    Article  CAS  PubMed  Google Scholar 

  22. Low DE, Mieflikier AB, Kennedy JK, Stiver HG. Infectious complications of endoscopic retrograde cholangiopancreatography. A prospective assessment. Arch Intern Med. 1980;140:1076–7.

    Article  CAS  PubMed  Google Scholar 

  23. Doherty DE, Falko JM, Lefkovitz N, Rogers J, Fromkes J. Pseudomonas aeruginosa sepsis following retrograde cholangiopancreatography (ERCP). Dig Dis Sci. 1982;27:169–70.

    Article  CAS  PubMed  Google Scholar 

  24. Siegman-Igra Y, Isakov A, Inbar G, Cahaner J. Pseudomonas aeruginosa septicemia following endoscopic retrograde cholangiopancreatography with a contaminated endoscope. Scand J Infect Dis. 1987;19:527–30.

    Article  CAS  PubMed  Google Scholar 

  25. Fantry GT, Zheng QX, James SP. Conventional cleaning and disinfection techniques eliminate the risk of endoscopic transmission of Helicobacter pylori. Am J Gastroenterol. 1995;90:227–32.

    CAS  PubMed  Google Scholar 

  26. Wu MS, Wang JT, Yang JC, Wang HH, Sheu JC, Chen DS, Wang TH. Effective reduction of Helicobacter pylori infection after upper gastrointestinal endoscopy by mechanical washing of the endoscope. Hepatogastroenterology. 1996;43:1660–4.

    CAS  PubMed  Google Scholar 

  27. Nürnberg M, Schulz HJ, Rüden H, Vogt K. Do conventional cleaning and disinfection techniques avoid the risk of endoscopic Helicobacter pylori transmission? Endoscopy. 2003;35:295–9.

    Article  PubMed  Google Scholar 

  28. Langenberg W, Rauws EA, Oudbier JH, Tytgat GN. Patient-to-patient transmission of Campylobacter pylori infection by fiberoptic gastroduodenoscopy and biopsy. J Infect Dis. 1990;161:507–11.

    Article  CAS  PubMed  Google Scholar 

  29. Mitchell HM, Lee A, Carrick J. Increased incidence of Campylobacter pylori infection in gastroenterologists: further evidence to support person-to-person transmission of C. pylori. Scand J Gastroenterol. 1989;24:396–400.

    Article  CAS  PubMed  Google Scholar 

  30. Wilhoite SL, Ferguson Jr DA, Soike DR, Kalbfleisch JH, Thomas E. Increased prevalence of Helicobacter pylori antibodies among nurses. Arch Intern Med. 1993;153:708–12.

    Article  CAS  PubMed  Google Scholar 

  31. Chong J, Marshall BJ, Barkin JS, McCallum RW, Reiner DK, Hoffman SR, O’Phelan C. Occupational exposure to Helicobacter pylori for the endoscopy professional: a sera epidemiological study. Am J Gastroenterol. 1994;89:1987–92.

    CAS  PubMed  Google Scholar 

  32. Lin SK, Lambert JR, Schembri MA, Nicholson L, Korman MG. Helicobacter pylori prevalence in endoscopy and medical staff. J Gastroenterol Hepatol. 1994;9:319–24.

    Article  CAS  PubMed  Google Scholar 

  33. Potts LF, Lewis SJ, Mountford RA. Prevalence of Helicobacter pylori in respiratory physicians performing bronchoscopy: a comparison with gastroenterologists using the carbon 13 urea breath test. Helicobacter. 1997;2:152–4.

    Article  CAS  PubMed  Google Scholar 

  34. Rutala WA, Gergen MF, Weber DJ. Inactivation of Clostridium difficile spores by disinfectants. Infect Control Hosp Epidemiol. 1993;14:36–9.

    Article  CAS  PubMed  Google Scholar 

  35. Morgan AG, McAdam WA, Walker BE. Hepatitis B and endoscopy. Br Med J. 1978;1:369.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  36. Chiaramonte M, Farini R, Truscia D, Zampieri L, Di Mario F, Pornaro E, Vecchiati U, Naccarato R. Risk of hepatitis B virus infection following upper gastrointestinal endoscopy: a prospective study in an endemic area. Hepatogastroenterology. 1983;30:189–91.

    CAS  PubMed  Google Scholar 

  37. Villa E, Pasquinelli C, Rigo G, Ferrari A, Perini M, Ferretti I, Gandolfo M, Rubbiani L, Antonioli A, Barchi T. Gastrointestinal endoscopy and HBV infection: no evidence for a causal relationship. A prospective controlled study. Gastrointest Endosc. 1984;30:15–7.

    Article  CAS  PubMed  Google Scholar 

  38. Kobayashi H, Tsuzuki M, Koshimizu K, Toyama H, Yoshihara N, Shikata T, Abe K, Mizuno K, Otomo N, Oda T. Susceptibility of hepatitis B virus to disinfectants or heat. J Clin Microbiol. 1984;20:214–6.

    CAS  PubMed Central  PubMed  Google Scholar 

  39. Ciancio A, Manzini P, Castagno F, et al. Digestive endoscopy is not a major risk factor for transmitting hepatitis C virus. Ann Intern Med. 2005;142:903–9.

    Article  PubMed  Google Scholar 

  40. Mikhail NN, Lewis DL, Omar N, et al. Prospective study of crossinfection from upper-GI endoscopy in a hepatitis C-prevalent population. Gastrointest Endosc. 2007;65:584–8.

    Article  PubMed  Google Scholar 

  41. Bronowicki JP, Venard V, Botté C, Monhoven N, Gastin I, Choné L, Hudziak H, Rihn B, Delanoë C, LeFaou A, Bigard MA, Gaucher P. Patient-to-patient transmission of hepatitis C virus during colonoscopy. N Engl J Med. 1997;337:237–40.

    Article  CAS  PubMed  Google Scholar 

  42. Hanson PJ, Gor D, Jeffries DJ, Collins JV. Elimination of high titer HIV from fibreoptic endoscopes. Gut. 1990;31:657–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  43. Axon AT, Beilenhoff U, Bramble MG, et al. Variant Creutzfeldt-Jakob disease (vCJD) and gastrointestinal endoscopy. Endoscopy. 2001;33:1070–80.

    Article  CAS  PubMed  Google Scholar 

  44. Lo Passo C, Pernice I, Celeste A, Perdichizzi G, Todaro-Luck F. Transmission of Trichosporon asahii esophagitis by a contaminated endoscope. Mycoses. 2001;44:13–21.

    Article  CAS  PubMed  Google Scholar 

  45. Singh S, Singh N, Kochhar R, Mehta SK, Talwar P. Contamination of an endoscope due to Trichosporon beigelii. J Hosp Infect. 1989;14:49–53.

    Article  CAS  PubMed  Google Scholar 

  46. Cole EC, Rutala WA, Nessen L, et al. Effect of methodology, dilution and exposure time on the tuberculocidal activity of glutaraldehydebased disinfectants. Appl Environ Microbiol. 1990;56:1813–7.

    CAS  PubMed Central  PubMed  Google Scholar 

  47. Bond WW, Favero MS, Petersen NJ, et al. Inactivation of hepatitis B virus by intermediate-to-high-level disinfectant chemicals. J Clin Microbiol. 1983;18:535–8.

    CAS  PubMed Central  PubMed  Google Scholar 

  48. Rey JF, Halfon P, Feryn JM, et al. Risque de transmission du virus de l’hepatite C par l’endoscopie digestive. Gastroenterol Clin Biol. 1995;19:346–9.

    CAS  PubMed  Google Scholar 

  49. Cleaning and disinfection of equipment for gastrointestinal endoscopy. Report of a Working Party of the British Society of Gastroenterology Endoscopy Committee. Gut. 1998;42(4):585–93.

    Google Scholar 

  50. Muscarella LF. Inconsistencies in endoscope-reprocessing and infection-control guidelines: the importance of endoscope drying. Am J Gastroenterol. 2006;101:2147–54.

    Article  PubMed  Google Scholar 

  51. Muscarella LF. High-level disinfection or “sterilization” of endoscopes? Infect Control Hosp Epidemiol. 1996;17:183–7.

    Article  CAS  PubMed  Google Scholar 

  52. Pang J, Perry P, Ross A, et al. Bacteria-free rinse water for endoscope disinfection. Gastrointest Endosc. 2002;56:402–6.

    Article  PubMed  Google Scholar 

  53. Alfa MJ, Sitter DL. In-hospital evaluation of contamination of duodenoscopes: a quantitative assessment of the effect of drying. J Hosp Infect. 1991;19:89–98.

    Article  CAS  PubMed  Google Scholar 

  54. Riley R, Beanland C, Bos H. Establishing the shelf life of flexible colonoscopes. Gastroenterol Nurs. 2002;25:114–9.

    Article  PubMed  Google Scholar 

  55. Rejchrt S, Cermak P, Pavlatova L, et al. Bacteriologic testing of endoscopes after high-level disinfection. Gastrointest Endosc. 2004;60:76–8.

    Article  PubMed  Google Scholar 

  56. Nelson DB. Infectious disease complications of GI endoscopy: part I, endogenous infections. Gastrointest Endosc. 2003;57:546–56.

    Article  PubMed  Google Scholar 

  57. Bianco JA, Pepe MS, Higano C, et al. Prevalence of clinically relevant bacteraemia after upper gastrointestinal endoscopy in bone marrow transplant recipients. Am J Med. 1990;89:134–6.

    Article  CAS  PubMed  Google Scholar 

  58. Rigilano J, Mahapatra R, Barnhill J, et al. Enterococcal endocarditis following sigmoidoscopy and mitral valve prolapse. Arch Intern Med. 1984;144:850–1.

    Article  CAS  PubMed  Google Scholar 

  59. Norfleet R. Infectious endocarditis after fiberoptic sigmoidoscopy. J Clin Gastroenterol. 1991;13:448–51.

    Article  CAS  PubMed  Google Scholar 

  60. Giusti de Marle M, Sgreccia A, Carmenini E, et al. Infective endocarditis from Enterococcus faecalis complicating colonoscopy in Heyde’s syndrome. Postgrad Med J. 2004;80:619–20.

    Article  CAS  PubMed  Google Scholar 

  61. Heiro M, Nikoskelainen J, Engblom E, et al. Eikenella corrodens prosthetic-valve endocarditis in a patient with ulcerative colitis. Scand J Infect Dis. 2000;32:324–5.

    Article  CAS  PubMed  Google Scholar 

  62. Avlami A, Kordossis T, Vrizidis N, et al. Lactobacillus rhamnosus endocarditis complicating colonoscopy. J Infect. 2001;42:283–5.

    Article  CAS  PubMed  Google Scholar 

  63. Habib G, Hoen B, Tornos P, Thuny F, Prendergast P, Vilacosta I, Moreillon P, de Jesus AM, Thilen U, Lekakis J, Lengyel M, Müller L, Naber CK, Nihoyannopoulos N, Moritz A, Zamorano JL, ESC Committee for Practice Guidelines. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009;30:2369–413.

    Article  PubMed  Google Scholar 

  64. Centers for Disease Control. Protection against viral hepatitis: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR Recomm Rep. 1990;39:1–26.

    Google Scholar 

  65. Koretz RL, Chin K. Is endoscopy hazardous to your liver? Dig Dis Sci. 1987;32:759–62.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Infection Diseases Department, Buca Seyfi Demirsoy State Hospital, Izmir, Turkey

    Serpil Ertem MD

  2. Emergency Medicine Department, Buca Seyfi Demirsoy State Hospital, Izmir, Turkey

    Mebrure Evnur Uyar MD

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Correspondence to Serpil Ertem MD .

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  1. Department of Surgery, Izmir Buca Hospital, Buca, Izmir, Turkey

    Omer Engin

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Ertem, S., Uyar, M.E. (2015). Colonoscopy and Infectious Disease. In: Engin, O. (eds) Colon Polyps and the Prevention of Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-17993-3_6

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  • DOI: https://doi.org/10.1007/978-3-319-17993-3_6

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