TRANSIENT bacteremia following dental manipulation,1 genitourinary instrumentation,2 sigmoidoscopy,3 bronchoscopy,4 barium enema,5 percutaneous liver biopsy,6 tonsillectomy, and massage of such loci as infected boils and carbuncles7 may produce bacterial endocarditis in patients with congenital or rheumatic heart disease. On the basis of these findings, the American Heart Association has recommended antimicrobial chemoprophylaxis for patients with cardiovascular abnormalities undergoing these procedures. This communication reports a prospective study showing that transient bacteremia with definable characteristics may follow nasotracheal suctioning (NTS).
Sixty-eight patients hospitalized for various reasons at the West Virginia University Medical Center intensive care unit (ICU) underwent NTS as ordered by their attending physicians. Thirty healthy medical students served as controls. The design and intent of the study was explained to each patient or member of the family.
All subjects had nasopharyngeal cultures taken before they underwent NTS. The cultures were
LeFrock JL, Klainer AS, Wu W, Turndorf H. Transient Bacteremia Associated With Nasotracheal Suctioning. JAMA. 1976;236(14):1610–1611. doi:10.1001/jama.1976.03270150044033