著者

岩出 珠幾 高見澤 滋 好沢 克

出版者

信州医学会

雑誌

信州医学雑誌 (ISSN:00373826)

巻号頁・発行日

vol.65, no.1, pp.31-35, 2017-02-10 (Released:2017-03-01)

参考文献数

15

---

Purpose : Evaluation of the drainage of perianal abscesses at first visit by a retrospective study of the treatment of perianal abscess in infants. Methods : The study included 15 infants who were treated for perianal abscess between April 2008 and April 2015. We divided the sample into two groups based on whether or not the abscess was drained at their first visit. The group without drainage included six patients who were treated with the herbal medicine Juzen-taiho-to without drainage. The drainage group included nine patients who were treated with Juzen-taiho-to with drainage. The age of onset/visit, body weight at the time of visit, dose of Juzen-taiho-to, number of hospital visits, duration of treatment, and recurrence rate were compared between the two groups. Results : There were no differences in the age of onset/visit, body weight at the time of visit, dose of Juzen-taiho-to, number of hospital visits, and duration of treatment between the two groups. The recurrence rate in the group without drainage was higher than that in the drainage group (33% vs 0%, p<0.05). Conclusions : Our results support the drainage of perianal abscesses in infants at their first visit to reduce the risk of recurrence.

著者

岩出 珠幾 住田 亙 渡邉 芳夫

出版者

日本臨床外科学会

雑誌

日本臨床外科学会雑誌 (ISSN:13452843)

巻号頁・発行日

vol.72, no.6, pp.1374-1377, 2011 (Released:2011-12-25)

参考文献数

16

---

中心静脈カテーテル:central venous catheter(CVC)を留置されている患者において,カテーテル関連血流感染症:Catheter-related blood stream infection(CRBSI)で,真菌感染を認めた場合にCVCの抜去を余儀なくされる.今回われわれはエタノールロック療法:Ethanol-lock therapy(ELT)を用いてCVCを抜去せず真菌感染がコントロールできた症例を経験した.患者は19歳,女性.生後1カ月時に慢性特発性偽性腸閉塞症と診断され,CVCでの高カロリー輸液を必要とし,これまでにMRSAやP. aeruginosaによるCRBSIを頻回に発症していた.某年8月に発熱で入院,CVCからの逆流血培養でCandida parapsilosis(C. parapsilosis)検出した.ELTおよびfluconazole(FLCZ)の経静脈投与にて治療し,CVCを抜去することなく感染コントロール可能であった.CRBSIに対するELTの有効性が海外および本邦で報告されており,それらの文献的考察も含めて報告する.