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European Heart Journal 1993 14(7):936-940;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The European Society of Cardiology

Incidence of bacteraemia or fever during transoesophageal echocardiography: a prospective study of 82 patients

R. ROUDAUT, M. CL. LARTIGUE, J. TEXIER-MAUGEIN* and M. DALLOCCHIO

Service de Cardiologie, Hôpital Cardiologique CHU de Bordeaux 33604 Pessac, France
* Service de Bacteriologie, Pr. Bebear CHU de Bordeaux 33604 Pessac, France

Received 1 May 1992; revised 18 February 1993; .

Correspondence: Raymond Roudaut, Service de Cardiologie, Hôpital Cardiologique, CHU de Bordeaux, 33604 Pessac, France

Abstract

The incidence of bacteraemia during transoesophageal echocardiography (TEE) was evaluated in a prospective study of 82 consecutive patients. Three series of blood cultures were carried out for each patient: from group 1 (n=44), prior to the examination, at the end of the examination and 15min afterwards. For group 2 (n=38), blood cultures were performed prior to the examination, 10 min after the start and immediately after the end. A single positive blood culture was detected in two patients. For the first patient, blood culture at the end of the examination demonstrated Corynebacteria, and for the second, Staphylococcus epidermidis was identified on cultures taken during the examination. During the first 24 h, a transient subfebrile temperature was recorded in 15% of the patients, including the patient with the Corynebacteriapositive blood culture. By mid-term (6 months) no patient had developedendocarditis. Ourfindings suggest that antibiotic prophylaxis during TEE is not warranted.

Key Words: Bacteraemia • endoscopy • infective endocarditis • transoesophageal echocardiography


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