Incidence of infectious complications after an ultrasound-guided intervention

Patrick Cervini, Gina K. Hesley, Rodney L. Thompson, Priya Sampathkumar, John M. Knudsen

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECTIVE. The objective of our study was to determine the incidence of infectious complications of common ultrasound-guided procedures including fine-needle aspiration (FNA), drain placement, biopsy, pseudoaneurysm thrombin injection, thoracentesis, and paracentesis. SUBJECTS AND METHODS. The infection prevention and control (IPAC) committee at the Mayo Clinic, Rochester, MN, conducts surveillance of selected infections including radiology procedures. When a positive culture, hospital admission, or operating room visit for infection is identified, the patient's electronic records are thoroughly reviewed by an infection control practitioner looking for information about prior interventions. Similarly, the department of radiology prospectively follows all patients who have undergone ultrasound-guided hepatic, renal, and pancreatic biopsies for complications 24 hours, 3 months, and 12 months after biopsy. We reviewed 2 years of these data to determine the incidence of infections after common ultrasound-guided procedures. RESULTS. We performed 13,534 ultrasound-guided procedures from January 2006 to December 2007. There were 11 likely and three possible procedure-related infections for an overall incidence of 0.1% (14/13,534). The infections consisted of five abscesses, four bloodstream infections, four cases of peritonitis, and one urinary tract infection. The highest incidence of infections occurred after ultrasound-guided biopsy (0.2%, 10/5,487), with biopsy of a hepatic transplant having the highest incidence (1.0%, 2/192). No infections occurred after thoracentesis and FNA despite the large number of procedures performed (2,489 and 2,340, respectively). Nearly all patients improved on antibiotics. One patient died 5 days after paracentesis; however, death was likely due to multiorgan failure in the setting of fulminant liver failure with hepatorenal syndrome. CONCLUSION. The incidence of a serious infectious complication after ultrasoundguided intervention is low. Radiologists can use these data to provide more accurate information to patients when asking for consent before procedures and to reassure their patients.

Original languageEnglish (US)
Pages (from-to)846-850
Number of pages5
JournalAmerican Journal of Roentgenology
Volume195
Issue number4
DOIs
StatePublished - Oct 2010

Fingerprint

Incidence
Infection
Biopsy
Paracentesis
Fine Needle Biopsy
Radiology
Infection Control Practitioners
Hepatorenal Syndrome
Acute Liver Failure
Liver
False Aneurysm
Operating Rooms
Infection Control
Peritonitis
Urinary Tract Infections
Thrombin
Abscess
Anti-Bacterial Agents
Transplants
Kidney

Keywords

  • Bacteremia
  • Infectious complications
  • Ultrasound
  • Ultrasound-guided procedures

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Cervini, P., Hesley, G. K., Thompson, R. L., Sampathkumar, P., & Knudsen, J. M. (2010). Incidence of infectious complications after an ultrasound-guided intervention. American Journal of Roentgenology, 195(4), 846-850. https://doi.org/10.2214/AJR.09.3168

Incidence of infectious complications after an ultrasound-guided intervention. / Cervini, Patrick; Hesley, Gina K.; Thompson, Rodney L.; Sampathkumar, Priya; Knudsen, John M.

In: American Journal of Roentgenology, Vol. 195, No. 4, 10.2010, p. 846-850.

Research output: Contribution to journalArticle

Cervini, P, Hesley, GK, Thompson, RL, Sampathkumar, P & Knudsen, JM 2010, 'Incidence of infectious complications after an ultrasound-guided intervention', American Journal of Roentgenology, vol. 195, no. 4, pp. 846-850. https://doi.org/10.2214/AJR.09.3168
Cervini, Patrick ; Hesley, Gina K. ; Thompson, Rodney L. ; Sampathkumar, Priya ; Knudsen, John M. / Incidence of infectious complications after an ultrasound-guided intervention. In: American Journal of Roentgenology. 2010 ; Vol. 195, No. 4. pp. 846-850.
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