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ID 52402
JaLCDOI
フルテキストURL
Thumnail 68_2_57.pdf 775 KB
著者
Hagiya, Hideharu Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Naito, Hiromichi Emergency Unit and Critical Care Center, Tsuyama Central Hospital
Hagioka, Shingo Emergency Unit and Critical Care Center, Tsuyama Central Hospital
Okahara, Shuji Emergency Unit and Critical Care Center, Tsuyama Central Hospital
Morimoto, Naoki Emergency Unit and Critical Care Center, Tsuyama Central Hospital
Kusano, Nobuchika Department of Infectious Disease, Okayama University Hospital
Otsuka, Fumio Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences 科研費研究者番号
抄録
The effect of antibiotics during the perioperative period of percutaneous dilatational tracheostomy (PDT) is still controversial. A total of 297 patients who underwent the PDT procedure were divided into 2 groups:those administered antibiotics perioperatively and those not administered antibiotics. Wound infections were noted in 7 cases (incidence rate, 2.36%) and no death was recorded. Of the 69 patients without antibiotics, 5 developed wound infections (incidence rate, 7.25%), while only 2 of the 228 patients with antibiotics developed wound infections (incidence rate, 0.88%) (p=0.002;risk ratio, 8.82;95% confidence interval, 1.67-46.6). Of the 7 cases of wound infection, 5 cases occurred during the early period after PDT (within 7 days). Collectively, the present results suggest that prophylactic administration of antibiotics may prevent the incidence of PDT-induced wound infection, especially in the early phase after the PDT procedures. The need for antibiotics in PDT should be reconsidered.
キーワード
airway management
critically ill patient
percutaneous dilatational tracheostomy
surgical site infection
Amo Type
Original Article
発行日
2014-04
出版物タイトル
Acta Medica Okayama
68巻
2号
出版者
Okayama University Medical School
開始ページ
57
終了ページ
62
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT