icon fsr

文献詳細

雑誌文献

臨床外科69巻11号

2014年10月発行

文献概要

増刊号 ERAS時代の周術期管理マニュアル Ⅳ 術中・術後合併症とその管理 6.腎・尿路系

尿路感染症

著者: 渡邊良平1 草地信也1

所属機関: 1東邦大学医療センター大橋病院外科

ページ範囲:P.312 - P.317

文献購入ページに移動
最近の知見と重要ポイント

□尿道カテーテル留置は,尿路感染症のリスクとなるため24時間以内に可能な限り抜去する.

□尿道カテーテル留置中に尿路感染症と診断されたときは,カテーテルを抜去もしくは交換後に抗菌薬を投与する.

□尿道カテーテルを留置しないことが,尿路感染症の最大の予防策であるが,留置が必要な患者では予防策を徹底する.

参考文献

1)Chenoweth CE, Gould CV, Saint S:Diagnosis, management, and prevention of catheter-associated urinary tract infections. Infect Dis Clin North Am 28:105-119, 2014
2)Kennedy EH, Greene MT, Saint S:Estimating hospital costs of catheter-associated urinary tract infection. J Hosp Med 8:519-522, 2013
3)Gould CV, Umscheid CA, Agarwal RK:Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 31:319-326, 2010
4)Wong ES:Guideline for prevention of catheter-associated urinary tract infections. Am J Infect Control 11:28-36, 1983
5)Jensen KM, Månsson W, Bakke A, et al:Reconstructive urology in the nordic countries:a hospital questionnaire survey. Scand J Urol Nephrol 35:186-189, 2001
6)Raz R, Schiller D, Nicolle LE:Chronic indwelling catheter replacement before antimicrobial therapy for symptomatic urinary tract infection. J Urol 164:1254-1258, 2000
7)Kunin CM, McCormack RC:Prevention of catheter-induced urinary-tract infections by sterile closed drainage. N Engl J Med 274:1155-1161, 1966
8)Garibaldi RA, Burke JP, Dickman ML, et al:Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 291:215-219, 1974
9)Schaeffer AJ, Story KO, Johnson SM:Effect of silver oxide/trichloroisocyanuric acid antimicrobial urinary drainage system on catheter-associated bacteriuria. J Urol 139:69-73, 1988
10)Jain P, Parada JP, David A, et al:Overuse of the indwelling urinary tract catheter in hospitalized medical patients. Arch Intern Med 155:1425-1429, 1995
11)Riley DK, Classen DC, Stevens LE, et al:A large randomized clinical trial of a silver-impregnated urinary catheter:lack of efficacy and staphylococcal superinfection. Am J Med 98:349-356, 1995
12)Warren JW:Catheter-associated urinary tract infections. Int J Antimicrob Agents 17:299-303, 2001
13)Ehrenkranz NJ, Alfonso BC:Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infect Control Hosp Epidemiol 12:654-662, 1991
14)McPhail MJ, Abu-Hilal M, Johnson CD:A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery. Br J Surg 93:1038-1044, 2006
15)Lloyd LK, Kuhlemeier KV, Fine PR, et al:Initial bladder management in spinal cord injury:does it make a difference? J Urol 135:523-527, 1986
16)Dunn TS, Figge J, Wolf D:A comparison of outcomes of transurethral versus suprapubic catheterization after Burch cystourethropexy. Int Urogynecol J Pelvic Floor Dysfunct 16:60-62;discussion 62, 2005
17)Weld KJ, Dmochowski RR:Effect of bladder management on urological complications in spinal cord injured patients. J Urol 163:768-772, 2000

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?