Downloads: 196

Files in This Item:
File Description SizeFormat 
24_0249.pdf352.6 kBAdobe PDFView/Open
Title: 脊髄捐傷患者における緑膿菌尿路感染症に関する臨床的,細菌学的検査成績およびその対策
Other Titles: CLINICAL AND BACTERIOLOGICAL STUDY ON URINARY TRACT INFECTION WITH PSEUDOMONAS AERUGINOSA IN PATIENTS WITH SPINAL CORD INJURY THE CONTROL AND PREVENTION OF WARD-ACQUIRED PSEUDOMONAS INFECTION
Authors: 佐藤, 義基  KAKEN_name
山, 博  KAKEN_name
中新井, 邦夫  KAKEN_name
Author's alias: Satoh, Yoshiki
Yama, Hiroshi
Nakaarai, Kunio
Issue Date: Mar-1978
Publisher: 京都大学医学部泌尿器科学教室
Journal title: 泌尿器科紀要
Volume: 24
Issue: 3
Start page: 249
End page: 255
Abstract: The chronic urinary tract infection is a serious problem in patiel1ts with spinal cord injury. In recent years, due to development of antibiotics, fatal cases are decreasing. On contrary, incurable and antibiotics resistant urinary tract infections are increasing. Especially, infections with Pseudomonas aeruginosa have become increasingly common in patients with spinal cord injury. In order to combat incurable urinary tract infections with Pseudomonas aeruginosa, which are common in the special ward for patients with spinal cord injury, we carried out several clinical and bacteriological studies as follows. 1) Effect of 3'-4'-dideoxykanamycin B (DKB) administration to Pseudomonas infected patients. 2) Effect of daily bladder irrigation using Polymixin B sulfate solution (500 thousand units/100/ml) 3) Culture of falling bacteria in the ward. 4) Pseudomonas infections in bedsores. 5) Pseudomonas infection at the external urethral orifice. As a result of above mentioned studies, we concluded that urinary tract infections with Pseudomonas aeruginosa in this ward were a ward-acquired infection with Same strain and origins of infection were mainly contaminated urine and secretion from the external urethral orifice. And, as a route of infections, the contact infection was suspected. Then we carried out the following programs as the control and prevention of ward-acquired Pseudomonas infection. 1) Putting on gloves when man contacts with urine or penis 2) Daily bladder irrigation using Polymixin B solution to patients with indwelling catheter 3) Apply an ointment of gentamicin sulfate to the external urethral orifice twice a day for catheter indwelled patients 4) Use of amphoteric surface active agent (TEGO-51) as a disinfectant solution. After the practices of above mentioned programs, the rate of Pseudomonas infection decreased remarkably from 60% to 30%.
URI: http://hdl.handle.net/2433/122184
Appears in Collections:Vol.24 No.3

Show full item record

Export to RefWorks


Export Format: 


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.