Risk factors for infections after endoscopic retrograde cholangiopancreatography (ERCP): a retrospective cohort analysis of US Medicare Fee-For-Service claims, 2015–2021

ABSTRACT:

Objective

Contaminated reprocessed duodenoscopes pose a serious threat to patients in the endoscopy unit. Despite manufacturer changes to reprocessing guidelines, 20% of reprocessed duodenoscopes meet criteria for quarantine-level contamination based on microbiological or ATP testing. We aimed to examine risk factors for postendoscopic retrograde cholangiopancreatography (ERCP) infection.

Design

Retrospective cohort analysis.

Setting

US Medicare Fee-For-Service claims (2015–2021) and all-payer data (2017).

Participants

In the Medicare data, 823 575 ERCP procedures were included. The all-payer five-state data, 16 609 procedures were included.

Interventions

ERCP was identified by Current Procedural Terminology and International Classification of D

SUBMITTER: Hutfless S 

PROVIDER: S-EPMC9472111 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature