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October 4, 1976

Transient Bacteremia Associated With Nasotracheal Suctioning

Author Affiliations

From the departments of medicine (Drs LeFrock and Klainer) and anesthesiology (Drs Wu and Turndorf), West Virginia University Medical Center, Morgantown, WVa. Dr LeFrock is now with the Albany Medical College of Union University, Albany, NY; Dr Klainer is with Rutgers Medical School and Morristown Memorial Hospital, NJ; and Drs Wu and Turndorf are with New York University.

JAMA. 1976;236(14):1610-1611. doi:10.1001/jama.1976.03270150044033

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).


Subjects.—  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.

Culture Studies.—  All subjects had nasopharyngeal cultures taken before they underwent NTS. The cultures were