Relationship of lower intestinal endoscopy to bacteremia

Aim: In this study, we aimed to investigate the frequency of bacteremia that may occur after colonoscopy with the blood culture taken immediately after the procedure in patients who underwent colonoscopy and, if bacteremia, which bacteria reproduced. Material and Metod: Among the patients who applied to the General Surgery Department, 56 patients between the ages of 19 and 75 with colonoscopy indication were included in the study. Patients' age, gender, other diseases, if any, smoking, alcohol use, and reasons for requesting colonoscopy were recorded in the patient evaluation form. In the patients who underwent bowel cleansing after an appropriate diet, vascular access was established, oxygen (2–3 lt/min) was administered by a mask, they were monitored, and their heart rate and oxygen saturations were monitored. Conscious sedation was used for pain control. Colonoscopy was performed with one hand method. Starting from the anus and going up to the cecum with colonoscopy, the colon was checked with examination and the procedure was completed by returning to the anus. Processing time saved. Immediately after the procedure was completed, 10 ml of blood was collected from the patients in a sterile way by intravenous route. The blood taken was placed in a blood culture tube and sent to the Microbiology Laboratory for the presence of bacteremia. Findings: Of the patients, 31 (55.4%) were female and 25 (44.6%) were male. The study sample was homogeneous in terms of gender (p=0.504). There was no other system disease diagnosed in 41 (73.2%) of the patients, and it was present in 15 (26.8%) patients. Colonoscopy procedure time was 17.6 minutes on average, vascular access time was 23.2 minutes, bowel cleansing was 2.1 days, and fasting time was 12.8 hours. The rate of 44 patients (79%) without growth in blood culture was significantly lower than the rate of 12 (21%) patients with growth (p<0.001). There was no statistical difference in terms of reproduction between patients with and without another system disease (p>0.05). Staphylococcus Aureus in 5 (41.7%) patients, Escherichia Coli in 1 (8.3%), Coagulase Negative Staphylococcus in 5 (41.7%) patients with growth after colonoscopy, and 1 (8.3%) ) reproduced Candida Albicans. iv Conclusion: Transient bacteremia is rare during the colonoscopy procedure, but the high rate of 21% can be attributed to the lack of bacteremia studies in colonoscopy for a long time, the changes in the world or the low number of patients. Key Words: Colonoscopy, Bacteremia