5 0 0 0 OA 院内感染予防と口腔ケアの重要性
- 著者
- 渋谷 恭之
- 出版者
- 社団法人 日本口腔外科学会
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.56, no.6, pp.346-351, 2010-06-20 (Released:2013-10-19)
- 参考文献数
- 14
The current foundation of preventing nosocomial infection in dental settings are “Guidelines for infection control in dental health-care settings” announced in 2003 by Centers for Disease Control and Prevention (CDC). These guidelines employ a concept of standard precaution in clinical dentistry, and had a great influence on “Guideline for infection control in dental prosthetics” established in 2007 by Japan Prosthodontic Society and “Guideline for infection control in dentistry” announced by the dental division of the infection control conference of the national university hospitals in 2008. On the other hand, there have been many reports about oral care, for instance, ‘1) oral care prevents aspiration-related pneumonia', ‘2) oral care decreases the onset rate of the influenza to a one-tenth, (oral care decreases significantly neuraminidase and protease which bacteria produce) ', ‘3) oral care reduces a side effect in the oral cavity by the chemoradiotherapy', ‘4) oral care prevents ventilator-associated pneumonia in ICU', ‘5) oral care is useful for symptom relief in terminal illness', and an importance of oral care has been widely noticed in late years.
インプラント治療においてオッセオインテグレーションは必須の現象であるにもかかわらず、その分子メカニズムは明らかにされていない。一方、オッセオインテグレーションを獲得したチタンと骨の界面にある糖鎖はチタン上の石灰化や生体適合性などに影響を与え、オッセオインテグレーション獲得に重要な役割を果たしていると考えられる。本研究の目的は、チタンと骨のPGs層に含まれる糖鎖がオッセオインテグレーションにおける機能を分子生物学的手法で明らかにすることである。その結果、糖鎖を利用した分子マーカーを同定することにより、チタン製インプラント治療の検査項目の開発や成功率の高いインプラント製品の開発を最終目的とする。
1 0 0 0 OA 顎下部膿瘍からLemierre症候群に至ったと考えられた1例
- 著者
- 深川 智恵 古土井 春吾 高橋 英哲 山田 周子 渋谷 恭之 古森 孝英
- 出版者
- 社団法人 日本口腔外科学会
- 雑誌
- 日本口腔外科学会雑誌 (ISSN:00215163)
- 巻号頁・発行日
- vol.56, no.10, pp.605-608, 2010-10-20 (Released:2013-10-31)
- 参考文献数
- 9
- 被引用文献数
- 1
Lemierre syndrome is a potentially life-threatening disease caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein, frequently associated with abscess formation in distant organs.We report the case of a 78-year-old woman who received surgical therapy, chemotherapy, and radiation therapy for malignant lymphoma in 2001. She visited our hospital because of a swelling and pain of the left submandibular region in August 2009. The patient was immediately hospitalized to control the pain and infection. PET images showed tracer uptake in the lung. Bilateral multiple septic emboli of the thorax were detected on CT. On the basis of these findings, Lemierre syndrome was diagnosed. The patient was treated with antibiotics intravenously, and surgical drainage was performed. All symptoms improved, and she was discharged after 32 days.