ERCP-Related E. coli Infections

In Illinois, infection with New Delhi metallo-β-lactamase–producing Escherichia coli developed in several patients who had recently undergone endoscopic retrograde cholangiopancreatography.

Endoscopic retrograde cholangiopancreatography (ERCP) is used to diagnose and treat certain problems of the bile and pancreatic ducts by way of an upper gastrointestinal endoscopy procedure. Infections with carbapenem-resistant Enterobacteriaceae (CRE) are on the rise and are proving to be very difficult to treat. Might some such infections be related to ERCP?

Between March and July 2013, nine patients with positive cultures for New Delhi metallo-β-lactamase (NDM)–producing Escherichia coli — a relatively new strain of the bacterium — were identified in northeastern Illinois. Of these nine patients, eight had been treated at the same hospital, and six of the eight had undergone ERCP. When the eight patients were compared with 27 control pati…

Reviewing Author

Stephen G. Baum, MD

Disclosures

Consultant/Advisory BoardClinical Infectious Diseases

RoyaltiesUpToDate

Editorial BoardsMedical Letter

Stephen G. Baum, MD

Disclosures

Consultant/Advisory BoardClinical Infectious Diseases

RoyaltiesUpToDate

Editorial BoardsMedical Letter

ERCP-Related E. coli Infections

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Reviewing Author