AIR ENEMA FOR REDUCTION OF INTUSSUSCEPTION IN CHILDREN - RISK OF BACTEREMIA

PURPOSE: To evaluate the incidence of bacteremia in children undergoin g air enema for the diagnosis and reduction of intussusception. MATERI ALS AND METHODS: Twenty-seven children who underwent air enema for the diagnosis and treatment of intussusception were evaluated to identify the incidence of transient bacteremia and fever associated with the p rocedure. Blood cultures were obtained prior to the manipulation (poin t 0), immediately after completion of the procedure (point 1), and 2 h ours later (point 2). RESULTS: The results of six of 81 sets of blood cultures were positive for bacterial pathogens. Three of them that wer e obtained at point 0 and two at point 1 grew common skin contaminants . A sixth blood culture drawn at point 1 was positive for Staphylococc us aureus. No patient had more than one positive blood culture result, and all recovered without antimicrobial therapy. Five patients had te mperature elevations to greater than or equal to 38 degrees C followin g the enema. Only one of the patients was febrile at admission, and no ne had positive blood culture results. CONCLUSION: The risk of bactere mia from enteric pathogens following air enema for reduction of intuss usception in children appears to be low.