The Japanese Journal of Clinical Dialysis Vol.17 No.8(2-5)

Theme Infections Diseases in Hemodialysis Patients -- the Progress of Diagnosis and Therapy
Title The key to infection control for dialysis patients with respiratory assistance devices
Publish Date 2001/07
Author Eiichi Osono Kasukabe Shuwa Second Hospital
Author Satoshi Kurihara Kasukabe Shuwa Hospital
[ Summary ] In diaysis patients, pneumonia is the leading cause of death and Staphylococcus aureus is the most common pathogen seen in respiratory tract infections. As seen in the guidlines from the Center for Disease Control and Prevention(CDC) for infection control, the hands of care workers are the vehicles of pathogens transmitted to infection sites. Hand washing, as well as changing non-steriled disposable gloves should be performed before each time care is given for tracheal tubes or internal origins. While S. aureus frequentry colonize surgical wounds and decubitus and sometimes colonize in the upper respiratory tract, eradication of the colonies with mupirocin ointment and 0.2% gentian violet may also be useful to prevent infections at their origin. Since adequate antibiotic therapy can reduce the mortality associated with bacterial infections, it is important to predict the development of pathogens with local epidemiology and individual data about colonized organisms before exact detection of infectious pathogens can be performed.
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