臨牀透析 Vol.34 No.6(4)


特集名 透析室の感染症へどう対応するか
題名 腎臓病患者の発熱に対する感染症の重要性
発刊年月 2018年 06月
著者 大坪 茂 東都三軒茶屋クリニック
【 要旨 】 発熱の原因として,感染症,悪性腫瘍,アレルギー,膠原病などが挙げられる.血液透析患者においては透析操作に伴う発熱も鑑別として挙がってくる.血液透析患者において発熱を認めた際,頻度が多い感染症に注意が必要である.とくに,施設内蔓延のリスクのあるインフルエンザ,ノロウイルス,肺結核は早期診断,早期対策が重要である.透析医療では,しっかりとした感染対策の遵守が重要である.
Theme Dealing with infections in hemodialysis facilities
Title Infections are an important cause of fever in patients with chronic kidney disease
Author Shigeru Otsubo Tohto Sangenjaya Clinic
[ Summary ] Infections, malignant tumors, allergies, and collagen diseases are known causes of fever. Among patients undergoing hemodialysis, dialysis-associated fever (such as allergic reactions against the dialyzer) is a known cause of fever. Infection should be suspected as a cause of fever among patients undergoing hemodialysis. Of note, early diagnosis and treatment is essential in those presenting with influenza, norovirus, and pulmonary tuberculosis because these infections could cause pandemic outbreaks among hospitals/healthcare facilities. Infection control is important in a hemodialysis unit/setting.
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