ID 113411
タイトル別表記
Infection risk in hemodialysis patient
著者
Honjo, Airi Tokushima University
Tsunedomi, Akari Tokushima University
Hatayama, Sho Tokushima University
Sato, Yuri Tokushima University
Kido, Junko Tokushima University
Nishisaka, Risa Tokushima University
Yoshimoto, Ayumi Tokushima University
Yamashita, Tomoko Tokushima University
Amano, Sachie Tokushima University
Maetani-Yasui, Miki Tokushima University|Osaka Prefecture University
Iba, Hitomi Tokushima University|Nagasaki International University
Harada, Yumi Tokushima University
キーワード
Bacterial infection
Bacterial contamination
Hemodialysis device
Methicillin Resistant Staphylococcus
資料タイプ
学術雑誌論文
抄録
Chronic care patients undergoing hemodialysis for treatment of end-stage renal failure experience higher rates of bloodstream-associated infection due to the patients' compromised immune system and management of the bloodstream through catheters. Staphylococcus species are a common cause of hemodialysis catheter-related bloodstream infections. We investigated environmental bacterial contamination of dialysis wards and contamination of hemodialysis devices to determine the source of bacteria for these infections. All bacterial samples were collected by the swab method and the agarose stamp method. And which bacterium were identified by BBL CRYSTAL Kit or 16s rRNA sequences. In our data, bacterial cell number of hemodialysis device was lower than environment of patient surrounds. But Staphylococcus spp. were found predominantly on the hemodialysis device (46.8%), especially on areas frequently touched by healthcare-workers (such as Touch screen). Among Staphylococcus spp., Staphylococcus epidermidis was most frequently observed (42.1% of Staphylococcus spp.), and more surprising, 48.2% of the Staphylococcus spp. indicated high resistance for methicillin. Our finding suggests that hemodialysis device highly contaminated with bloodstream infection associated bacteria. This study can be used as a source to assess the risk of contamination-related infection and to develop the cleaning system for the better prevention for bloodstream infections in patients with hemodialysis.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
66
1-2
開始ページ
148
終了ページ
152
並び順
148
発行日
2019-02
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
生物資源系
理工学系