This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (73)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Jack Le Frock, MD; Charles A. Ellis, MD; Albert S. Klainer, MD; Louis Weinstein, MD, PhD

Arch Intern Med. 1975;135(6):835-837.

Abstract
A group of 175 patients had barium enema. Pour-plate blood cultures were obtained immediately before and after the procedure and 5, 10, 15, and 30 minutes later. Bacteremia was demonstrable in 20 (11.4%) patients. In some, blood cultures were positive for as long as 15 minutes after barium enema; all were negative at 30 minutes. Among the bacteria associated with the 20 episodes of bacteremia were Escherichia coli, Klebsiella, enterococci, Proteus morganii, Bacteroides, and Veillonella. The incidence of bacteremia among patients with ulcerative colitis, regional enteritis, rectal polyps, colonic or rectal carcinoma, nonspecific diarrhea, or other lower intestinal tract disorders was not much different from patients free of rectosigmoid disease. The results of this study suggest that a history of recent barium enema may be important in patients who have endocarditis.

Author Affiliations
From the Infectious Disease Service and the Department of Medicine, West Virginia University Medical Center, Morgantown (Drs. Le Frock and Klainer), and Tufts-New England Medical Center Hospital, Boston (Drs. Ellis and Weinstein).

Footnotes
Received for publication Aug 23, 1974; accepted Nov 3.

Read before the 74th annual meeting of the American Society for Microbiology, Chicago, May, 1974.

Reprint requests to West Virginia University Medical Center, Morgantown, WV 26506 (Dr. Le Frock).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Incidence of Bacteremia During Skin Surgery
Sabetta and Zitelli
Arch Dermatol 1987;123:213-215.
ABSTRACT  

Sepsis and Meningitis Associated with Anal Dilation in a Newborn Infant
Kasik et al.
CLIN PEDIATR 1984;23:509-510.
 

Antibiotics Before Endoscopy
NORFLEET
ANN INTERN MED 1983;98:416-416.
ABSTRACT  

Is There Postdefecation Bacteremia?
Slavin and Goldwyn
Arch Surg 1979;114:937-938.
ABSTRACT  

Transient Bacteremia Associated With Nasotracheal Suctioning
LeFrock et al.
JAMA 1976;236:1610-1611.
ABSTRACT