Infect Chemother.  2008 Oct;40(5):266-270. 10.3947/ic.2008.40.5.266.

Investigation of Prophylactic Antibiotic Usage for Interventional Radiology in Korea

• Park KH
• Jung SI
• Jang MO
• Chang NK
• Kim JK

• KMID: 2285050
• DOI: http://doi.org/10.3947/ic.2008.40.5.266

Abstract

Every interventional procedure can result in infectious complication even though its incidence is very low. Increases in both indication of procedures and number of immunocompromised patients are likely to result in increase of infectious complications. However, no randomized controlled trials to evaluate the effectiveness of prophylactic antibiotics in interventional procedures have ever been performed. This study was performed to investigate the actual pattern of practice and awareness of medical providers concerning the antibiotic prophylaxis following vascular and nonvascular interventional procedures. A questionnaire regarding prophylactic antibiotic usage was sent to the interventional radiologists in 40 hospitals. A total of 12.2-30.3% responders used prophylactic antibiotics for vascular procedure. More than 80-90% of responders answered that vascular procedures except catheter insertion, are not clear indications of prophylactic antibiotics. In contrast, 31.3% and 51.5% of responders used prophylactic antibiotics for genitourinary and biliary drainage respectively. About 60-70% of responders considered both genitourinary and biliary drainage as clear indications of antibiotic prophylaxis. Further study assessing the appropriate antibiotic usage in interventional procedures is warranted.

Keyword

Interventional radiology; Antibiotic prophylaxis; Infection

MeSH Terms

Anti-Bacterial Agents
Antibiotic Prophylaxis
Catheters
Drainage
Immunocompromised Host
Incidence
Korea
Radiology, Interventional
Surveys and Questionnaires
Anti-Bacterial Agents

Figure

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  Figure 1 Questionnare used to investigate the actual conditions and awareness of antibiotic usage for interventional radiology.

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  Figure 2 Prophylactic antibiotic usage according to different types of interventional procedures. Abbreviations: BD, biliary drainage; GUD, genitourinary drainage; TUN, tunned catheter; IVC filter, inferior vena cava filter; pph, peripheral; APL, angioplasty; ART, arteriography.

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  Figure 3 Interventionalr radiologists' perceptions concerning which type of interventional procedures are clear indications of antibiotic prophylaxis.

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