著者

北爪 博文 岡田 正 金 昌雄 山下 裕 山崎 芳郎 井村 賢治 信友 政明 中尾 量保 川島 康生 山本 賢司 ヤマモト ケンジ

出版者

特定非営利活動法人 日本小児外科学会

雑誌

日本小児外科学会雑誌 (ISSN:0288609X)

巻号頁・発行日

vol.18, no.5, pp.1003-1007, 1982

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Total parenteral nutrition (TPN) has gained wide acceptance as valuable adjunct in the care of critically ill patients. However, the risk of catheter-related sepsis is still of continued concern. The investigation on the current state of TPN and incidence of catheter-related sepsis was performed by the questionnaire method to 1,064 general hospitals throughout Japan in 1980. Replies submitted to the questionnaire were obtained from 569 hospitals (53.5%). Catheter-related sepsis was defined as an episode of sepsis, for which no anatomic locus could be identified, that is resolved on removal of the catheter. This time, catheter-related sepsis in pediatric patients seen in 126 hospitals was especially reviewed and analyzed. Catheter-related sepsis in 1979 was associated with 16.2% of catheters and occurred in 13.0% of patients. This incidence was little higher comparing with 11.2% in adult patients. The predominant organism of catheter-tip culture was Staph. epidermidis. The aseptic technique provided at each institution was also investigated. By this analysis, futher need for a precise protocol delivered by an experienced team is emphasized to minimize the incidence of catheter-related sepsis.