経皮内視鏡的胃瘻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 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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Pull法で経皮内視鏡的胃痩造設術(PEG)を施行した29例を対象に,創部感染症,特にメチシリン耐性黄色ブドウ球菌(MRSA)感染とその対策について検討した、I群(Povidoneiodine口腔清拭と術後の抗菌剤投与)8例中,創部感染が4例(50.0%)にみられ,起因菌はすべてMRSAで,3例は咽頭部MRSA陽性者であった,II群(上記処置に加え,咽頭部MRSA陽性者6例にはMupirocin calcium hydrate塗布でMRSA除菌)21例中,創部感染の発生は1例(4.8%)のみであった.Pull法によるPEGでは,著者らの感染対策により創部感染は予防可能であることが示唆された.

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.

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 99(1), 21-26, 2002-01-05

    The Japanese Society of Gastroenterology

参考文献:  18件中 1-18件 を表示

被引用文献:  4件中 1-4件 を表示

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各種コード

  • NII論文ID(NAID)
    10008554019
  • NII書誌ID(NCID)
    AN00192124
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    04466586
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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