Cholangitis primary prevention: Difference between revisions

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{{Cholangitis}}
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==Overview==
==Overview==
Although reestablishing biliary drainage is the mainstay of treatment, [[antibiotics]] play an important role in the management of cholangitis.
There are no established measures for the primary prevention of cholangitis in otherwise healthy people, Giving antibiotics in people undergoing biliary procedures like [[endoscopic retrograde cholangiopancreatography]] ([[ERCP]]) may benefit from antibiotics.


==Primary Prevention==
==Primary Prevention==
*Treatment of [[gallstones]], [[tumors]], and infestations of parasites may reduce the risk for some people.  
* There are no established measures for the primary prevention of cholangitis in otherwise healthy people.
**A metal or plastic [[stent]] within the bile system may be needed to prevent recurrence.  
* Treatment of [[gallstones]], [[tumors]], and infestations of parasites may reduce the risk for some people.
*Patients with compromised [[biliary systems]] prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages.<ref name="pmid7986900">{{cite journal |vauthors=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ |title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis |journal=Clin. Infect. Dis. |volume=19 |issue=2 |pages=279–86 |year=1994 |pmid=7986900 |doi= |url=}}</ref>
* Patients undergoing [[ERCP]] should have prophylactic antibiotics.<ref name="pmid1406012">{{cite journal| author=Sauter G, Ruckdeschel G, Sauerbruch T| title=[Antibiotic prevention and therapy of infectious complications in ERCP]. | journal=Leber Magen Darm | year= 1992 | volume= 22 | issue= 5 | pages= 173-6 | pmid=1406012 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1406012  }} </ref>
 
*Patients with compromised biliary systems prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages<ref name="urlAscending cholangitis Prevention - Epocrates Online">{{cite web |url=https://online.epocrates.com/diseases/34544/Ascending-cholangitis/Prevention |title=Ascending cholangitis Prevention - Epocrates Online |format= |work= |accessdate=}}</ref><ref name="pmid7986900">{{cite journal| author=van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ| title=Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis. | journal=Clin Infect Dis | year= 1994 | volume= 19 | issue= 2 | pages= 279-86 | pmid=7986900 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7986900  }} </ref><ref name="pmid10695743">{{cite journal| author=Lillemoe KD| title=Surgical treatment of biliary tract infections. | journal=Am Surg | year= 2000 | volume= 66 | issue= 2 | pages= 138-44 | pmid=10695743 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10695743  }} </ref><ref name="pmid7716962">{{cite journal| author=Cybulski Z, Solarski J, Majewski W| title=[Infection as a risk factor in biliary system surgery]. | journal=Wiad Lek | year= 1994 | volume= 47 | issue= 15-16 | pages= 619-24 | pmid=7716962 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7716962  }} </ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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Latest revision as of 20:55, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2], Farwa Haideri [3]

Overview

There are no established measures for the primary prevention of cholangitis in otherwise healthy people, Giving antibiotics in people undergoing biliary procedures like endoscopic retrograde cholangiopancreatography (ERCP) may benefit from antibiotics.

Primary Prevention

  • There are no established measures for the primary prevention of cholangitis in otherwise healthy people.
  • Treatment of gallstones, tumors, and infestations of parasites may reduce the risk for some people.
  • Patients undergoing ERCP should have prophylactic antibiotics.[1]
  • Patients with compromised biliary systems prone to developing recurrent cholangitis may benefit from antibiotic maintenance therapy, given daily in lower-than-therapeutic dosages[2][3][4][5]

References

  1. Sauter G, Ruckdeschel G, Sauerbruch T (1992). "[Antibiotic prevention and therapy of infectious complications in ERCP]". Leber Magen Darm. 22 (5): 173–6. PMID 1406012.
  2. "Ascending cholangitis Prevention - Epocrates Online".
  3. van den Hazel SJ, Speelman P, Tytgat GN, Dankert J, van Leeuwen DJ (1994). "Role of antibiotics in the treatment and prevention of acute and recurrent cholangitis". Clin Infect Dis. 19 (2): 279–86. PMID 7986900.
  4. Lillemoe KD (2000). "Surgical treatment of biliary tract infections". Am Surg. 66 (2): 138–44. PMID 10695743.
  5. Cybulski Z, Solarski J, Majewski W (1994). "[Infection as a risk factor in biliary system surgery]". Wiad Lek. 47 (15–16): 619–24. PMID 7716962.


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