Bacteraemia during direct laryngoscopy and endotracheal intubation: A study using a multiple culture, large volume technique

Sheldon Goldstein, G. L. Wolf, S. J. Kim, M. F. Sierra, C. Whitmire, E. M. Tolentino

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Bacteraemia secondary to or orotracheal intubation has been reported to occur in 0-5.3% of patients. Bacteraemia detection is dependent upon several factors including the volume of blood per culture and the number of cultures. Prior studies used small volumes of blood and one or two cultures, and may therefore have underestimated the incidence of bacteraemia. Sixty-two adult patients who underwent direct laryngoscopy and endotracheal intubation were studied. Baseline blood cultures were sterile in all patients. After intubation, four blood cultures were obtained in ten minutes, with 10 ml being evenly divided between aerobic and anaerobic media. Two patients (3.2%) became bacteraemic. This is a lower incidence than occurs in association with other procedures for which The American Heart Association does not recommend administration of prophylactic antibiotics. Therefore, prophylactic antibiotics are not recommended prior to direct laryngoscopy. However when a prophylactic antibiotic is administered prior to surgery, it would be best to administer the antibiotic prior to direct laryngoscopy and intubation.

Original languageEnglish (US)
Pages (from-to)239-244
Number of pages6
JournalAnaesthesia and Intensive Care
Volume25
Issue number3
StatePublished - Jun 1997
Externally publishedYes

Fingerprint

Laryngoscopy
Intratracheal Intubation
Bacteremia
Intubation
Anti-Bacterial Agents
Blood Volume
Incidence
Blood Culture

Keywords

  • Infection: bacteraemia, endocarditis, laryngoscopy, intubation,
  • prophylactic antibiotics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Bacteraemia during direct laryngoscopy and endotracheal intubation : A study using a multiple culture, large volume technique. / Goldstein, Sheldon; Wolf, G. L.; Kim, S. J.; Sierra, M. F.; Whitmire, C.; Tolentino, E. M.

In: Anaesthesia and Intensive Care, Vol. 25, No. 3, 06.1997, p. 239-244.

Research output: Contribution to journalArticle

Goldstein, Sheldon ; Wolf, G. L. ; Kim, S. J. ; Sierra, M. F. ; Whitmire, C. ; Tolentino, E. M. / Bacteraemia during direct laryngoscopy and endotracheal intubation : A study using a multiple culture, large volume technique. In: Anaesthesia and Intensive Care. 1997 ; Vol. 25, No. 3. pp. 239-244.
@article{68e0e91d8d9f4ae59e043df7fc09c621,
title = "Bacteraemia during direct laryngoscopy and endotracheal intubation: A study using a multiple culture, large volume technique",
abstract = "Bacteraemia secondary to or orotracheal intubation has been reported to occur in 0-5.3{\%} of patients. Bacteraemia detection is dependent upon several factors including the volume of blood per culture and the number of cultures. Prior studies used small volumes of blood and one or two cultures, and may therefore have underestimated the incidence of bacteraemia. Sixty-two adult patients who underwent direct laryngoscopy and endotracheal intubation were studied. Baseline blood cultures were sterile in all patients. After intubation, four blood cultures were obtained in ten minutes, with 10 ml being evenly divided between aerobic and anaerobic media. Two patients (3.2{\%}) became bacteraemic. This is a lower incidence than occurs in association with other procedures for which The American Heart Association does not recommend administration of prophylactic antibiotics. Therefore, prophylactic antibiotics are not recommended prior to direct laryngoscopy. However when a prophylactic antibiotic is administered prior to surgery, it would be best to administer the antibiotic prior to direct laryngoscopy and intubation.",
keywords = "Infection: bacteraemia, endocarditis, laryngoscopy, intubation,, prophylactic antibiotics",
author = "Sheldon Goldstein and Wolf, {G. L.} and Kim, {S. J.} and Sierra, {M. F.} and C. Whitmire and Tolentino, {E. M.}",
year = "1997",
month = "6",
language = "English (US)",
volume = "25",
pages = "239--244",
journal = "Anaesthesia and Intensive Care",
issn = "0310-057X",
publisher = "Australian Society of Anaesthetists",
number = "3",

}

TY - JOUR

T1 - Bacteraemia during direct laryngoscopy and endotracheal intubation

T2 - A study using a multiple culture, large volume technique

AU - Goldstein, Sheldon

AU - Wolf, G. L.

AU - Kim, S. J.

AU - Sierra, M. F.

AU - Whitmire, C.

AU - Tolentino, E. M.

PY - 1997/6

Y1 - 1997/6

N2 - Bacteraemia secondary to or orotracheal intubation has been reported to occur in 0-5.3% of patients. Bacteraemia detection is dependent upon several factors including the volume of blood per culture and the number of cultures. Prior studies used small volumes of blood and one or two cultures, and may therefore have underestimated the incidence of bacteraemia. Sixty-two adult patients who underwent direct laryngoscopy and endotracheal intubation were studied. Baseline blood cultures were sterile in all patients. After intubation, four blood cultures were obtained in ten minutes, with 10 ml being evenly divided between aerobic and anaerobic media. Two patients (3.2%) became bacteraemic. This is a lower incidence than occurs in association with other procedures for which The American Heart Association does not recommend administration of prophylactic antibiotics. Therefore, prophylactic antibiotics are not recommended prior to direct laryngoscopy. However when a prophylactic antibiotic is administered prior to surgery, it would be best to administer the antibiotic prior to direct laryngoscopy and intubation.

AB - Bacteraemia secondary to or orotracheal intubation has been reported to occur in 0-5.3% of patients. Bacteraemia detection is dependent upon several factors including the volume of blood per culture and the number of cultures. Prior studies used small volumes of blood and one or two cultures, and may therefore have underestimated the incidence of bacteraemia. Sixty-two adult patients who underwent direct laryngoscopy and endotracheal intubation were studied. Baseline blood cultures were sterile in all patients. After intubation, four blood cultures were obtained in ten minutes, with 10 ml being evenly divided between aerobic and anaerobic media. Two patients (3.2%) became bacteraemic. This is a lower incidence than occurs in association with other procedures for which The American Heart Association does not recommend administration of prophylactic antibiotics. Therefore, prophylactic antibiotics are not recommended prior to direct laryngoscopy. However when a prophylactic antibiotic is administered prior to surgery, it would be best to administer the antibiotic prior to direct laryngoscopy and intubation.

KW - Infection: bacteraemia, endocarditis, laryngoscopy, intubation,

KW - prophylactic antibiotics

UR - http://www.scopus.com/inward/record.url?scp=0030798081&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030798081&partnerID=8YFLogxK

M3 - Article

C2 - 9209603

AN - SCOPUS:0030798081

VL - 25

SP - 239

EP - 244

JO - Anaesthesia and Intensive Care

JF - Anaesthesia and Intensive Care

SN - 0310-057X

IS - 3

ER -