Bacteremia after Sigmoidoscopy: Another View

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Abstract
A recent report suggested that sigmoidoscopy was frequently associated with transient bacteremia (1). To test this hypothesis, our study was undertaken to determine the incidence of bacteremia in patients with cirrhosis undergoing sigmoidoscopy for routine diagnostic purposes. Cirrhotic patients were selected because such patients have an increased incidence of "spontaneous" bacteremia, presumably due to defective clearing mechanisms in the diseased liver. This provided an opportunity to observe the influence of this procedure in high-risk persons. Fifty-four patients who were undergoing sigmoidoscopy for routine diagnostic purposes were selected for study. All patients had cirrhosis with ascites, abnormal findings on liver function

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