Bacteremia after Rectal Examination
Authors: BRUCE I. HOFFMAN
Journal: Annals of Internal Medicine (1978)

Brief Reports1 May 1978Bacteremia after Rectal ExaminationBRUCE I. HOFFMAN, M.D., WILLIAM KOBASA, M.S., DONALD KAYE, M.D., F.A.C.P.BRUCE I. HOFFMAN, M.D.Search for more papers by this author, WILLIAM KOBASA, M.S.Search for more papers by this author, DONALD KAYE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-88-5-658 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTransient bacteremia occurs after many manipulations or procedures involving trauma to mucosal surfaces with an indigenous microbial flora. Several investigators have studied the frequency of bacteremia after instrumentation of the lower gastrointestinal tract. Bacteremia has been reported in 0 to 9.5% of patients after sigmoidoscopy (1, 2) and 0 to 4% of patients after colonoscopy (3-5).The present study was undertaken to evaluate the frequency of bacteremia after routine digital rectal examination.Seventy-four subjects, 51 hospitalized patients (at time of admission) and 23 healthy volunteers (medical and nursing students having routine physical examinations), had rectal examinations by their examining physicians....References1. LEFROCKELLISTURCHIKWEINSTEIN JCJL: Transient bacteremia associated with sigmoidoscopy. N Engl J Med 289:467-469, 1973 CrossrefMedlineGoogle Scholar2. ENGELINGENGSULLIVAN-SIGLERBARTLETTGORBACH EBNJS: Bacteremia after sigmoidoscopy: another view (letter). Ann Intern Med 85:77-78, 1976 LinkGoogle Scholar3. NORFLEETMULHOLLANDMITCHELLPHILOWALTERS RDPJE: Does bacteremia follow colonoscopy? Gastroenterology 70:20-21, 1976 CrossrefMedlineGoogle Scholar4. DICKMANFARRELLHIGGSWRIGHTHUMPHRIESWOJCIKCHAPPELKA MRRLTJR: Colonoscopy associated bacteremia. Surg Gynecol Obstet 142:173-176, 1976 MedlineGoogle Scholar5. HARTONGBARNESCALKINS WWW: The absence of bacteremia during colonoscopy. Am J Gastroenterol 67:240-244, 1977 MedlineGoogle Scholar6. HOLDEMANMOORE LW: Anaerobe Laboratory Manual. Blacksburg, Virginia, Virginia Polytechnic Institute, 1972 Google Scholar7. BUCHMANBERGLUND EE: Bacteremia following sigmoidoscopy. Am Heart J 60:863-866, 1960 CrossrefGoogle Scholar8. UNTERMANMILBERGKRANIS DMM: Evaluation of blood cultures after sigmoidoscopy. N Engl J Med 257:773-774, 1957 CrossrefMedlineGoogle Scholar9. GORBACHNAHASLERNERWEINSTEIN SLPL: Studies of intestinal microflora. I. Effects of diet, age, and periodic sampling on numbers of fecal microorganisms in man. Gastroenterology 53:845-855, 1967 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. 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NORFLEET, M.D.Bacteremia after proctoscopy and hemorrhoidal injection sclerotherapy 1 May 1978Volume 88, Issue 5Page: 658-659KeywordsBacteremiaColonoscopyDigital rectal examinationGastrointestinal tract Issue Published: 1 May 1978 PDF downloadLoading ...