経皮内視鏡的胃ろう造設術における創部感染とその対策に関する検討　　特に咽頭部メチシリン耐性黄色ブドウ球菌陽性例について

DOI PubMed 被引用文献4件 参考文献18件

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  • The prophylaxis of wound infection in pull-percutaneous endoscopic gastrostomy: Correlation with methcillin resistant staphylococcus aureus positive patient in the throat.

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In this study, we elucidated the efficacy of our prophylactic method for wound infection in pullpercutaneous endoscopic gastrostomy (PEG). The total 29 patients received the pull-PEG. The first 8 patients received the oral sterilization with povidone iodine and antibiotics at the time of pull-PEG (Group-D. The frequency of wound infection in this group was 50.0% (4/8). It was revealed that all infections were induced by methcillin resistant staphylococcus aureus (MRSA). 3 patients were MRSA positive in the throat. In Group-II, we eradicated MRSA in the throat before the pull-PEG by combination mupirocin calcium hydrate with the Group-I treatment. In contrast to Group-I, the frequency of wound infection was significantly reduced in Group-II 48%: 1/21). The results showed that our eradication method was very useful for prevention of the wound infection in pull-PEG treatment.

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