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当院救急部の重症熱傷患者における細菌感染 : 最近10年間の成績
http://hdl.handle.net/10191/46438
http://hdl.handle.net/10191/46438422fc9f1-6810-49fc-815f-301f2e11dc30
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
112(12)_777-788.pdf (2.2 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2017-02-14 | |||||
| タイトル | ||||||
| タイトル | 当院救急部の重症熱傷患者における細菌感染 : 最近10年間の成績 | |||||
| タイトル | ||||||
| タイトル | 当院救急部の重症熱傷患者における細菌感染 : 最近10年間の成績 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | burn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | burn wound infection | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | microorganisms | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | MRSA(Methicillinresistant staphylococcus aureus) | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Enterococcus faecalis | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | antibacterial agents | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 熱傷 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 熱傷創感染 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 微生物 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 抗菌療法剤 | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | departmental bulletin paper | |||||
| その他のタイトル | ||||||
| その他のタイトル | Infection in Burn Patients：A Ten Year Experience | |||||
| 著者 |
吉川, 恵次
× 吉川, 恵次× 遠藤, 裕× 佐藤, 一範× 渡辺, 逸平× 篠永., 真弓× 河井, 一浩× 伊藤, 雅章 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103745 | |||||
| 姓名 | Yoshikawa, Keiji | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103746 | |||||
| 姓名 | Endoh, Yutaka | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103747 | |||||
| 姓名 | Sato, Kazunori | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103748 | |||||
| 姓名 | Watanabe, Ippei | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103749 | |||||
| 姓名 | Shinonaga, Mayumi | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103750 | |||||
| 姓名 | Kawai, Kazuhiro | |||||
| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 103751 | |||||
| 姓名 | Ito, Masaaki | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Significant advances in the management for burned patients, such as fluid therapy, burn wound excision, and stress ulcer prevention, have further accentuated infection as more frequent cause of morbidity and mortality. The present study was conducted to clarify the various microbiological aspects in 28 burn patients who were admitted to and survived early shock stage at the Emergency and Critical Care Unit at Niigata University Hospital from 1986 through 1996. Results：1) Cause of all the 3 died patients was the severe infection. 2) The systemic prophylactic antibiotics most commonly used in the early stage of management was cephazolin (CEZ), while povidone iodine and silver sulphadiazine were the most popular topical agents. 3) Burn wound infection (including colonization) was observed in 13 patients (46%). The main organisms from burn wound were MRSA, Enterococcus faecalis, Pseudomonas aeruginosa and Candida albicans. These organisms remained at the wound during the long period of the clinical course. 4) Pneumonia, urinary tract infection, intravenous catheter tip infection, and sepsis (septic symptoms with bacteremia) were observed in 4, 7, 4 and 4 patients, respectively. In many cases, common organisms to those from the burn wound were isolated from their relevant specimens. 5) MRSAs were detected in 9 patients, although there were no succumbed patients, nor patients suffered from MRSA pneumonia or enteritis among them. 6) Culture results showed that all the isolated strains of MRSA and Enterococcus faecalis were vancomycin-sensitive. Comprehensive management including not only the use of adequate topical and systemic antibacterial agents, but debridement of the devitalized tissue, nutritional support which enhance the host defense mechanism, and etc. would be essential to prevent infection of burned patients. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 112, 号 12, p. 777-788, 発行日 1998-12 |
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| 出版者 | ||||||
| 出版者 | 新潟医学会 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00290440 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00182415 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
