結腸癌患者の術後感染管理に及ぼす経口腸管洗浄剤 (ニフレック®) の影響

徳昭 北田, 聡子 関戸, 睦展 吉岡, 隆之 辻, 雅克 渡, 和夫 黒田
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Abstract

We examined that the influences of pre-treatment with the peroral intestinal irrigator (Niflec®) for the 69 post-operative patients of colon cancer from June 1995 to June 1997.Number of irrigation methods have been increasing administrated at the Takarazuka City Hos-pital since 1995. The Niflec® irrigator was used for the 39 patients.In the patient group, in which such these irrigator were used, the administrative periods of theantibiotics significantly decreased. On the other hand, the hospital-stay of the these patients alsoshorted.In our investigation, the 1st and 2nd generation cephems were considered to be the first choicein post-operative infection control. Those drugs were thus used as the antibiotics of choice forthe infection control according to the species of the bacterium and their amounts. MRSAs wasnot detected.The results obtained from this survey suggest that pre-treatment of patients with a peroral in-testinal irrigator is therefore an effective treatment for post-operative infection control.
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口服肠管清洗剂(niflex®)对结肠癌患者术后感染管理的影响
我们对1995年6月至1997年6月69例结肠癌术后患者经口灌肠器(Niflec®)预处理的影响进行了研究。自1995年以来,宝冢市医院管理的灌溉方法越来越多。39例患者使用Niflec®冲洗器。在使用这些冲洗器的患者组中,抗生素的给药时间明显缩短。另一方面,这些病人的住院时间也缩短了。在我们的研究中,第1代和第2代头孢醚被认为是术后感染控制的首选。因此,根据细菌的种类和数量,这些药物被用作控制感染的首选抗生素。未检测到mrsa。本调查结果提示术前经口肠内冲洗器是术后感染控制的有效方法。
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