| Project/Area Number |
12671500
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Anesthesiology/Resuscitation studies
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| Research Institution | Jichi Medical School |
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Principal Investigator |
KASUDA Haruyuki Jichi Medical School, Associate Prof, 医学部, 助教授 (20090590)
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| Co-Investigator(Kenkyū-buntansha) |
HIRAI Yoshikazu Jichi Medical School, Prof, 医学部, 教授 (00127581)
IKENO Shigeo Jichi Medical School, Assistant Prof, 医学部, 助手 (60265270)
FUKUDA Hirokasu Jichi Medical School, Assistant Prof, 医学部, 講師 (10245061)
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| Project Period (FY) |
2000 – 2002
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| Project Status |
Completed (Fiscal Year 2002)
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| Budget Amount *help |
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2002: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2001: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2000: ¥1,800,000 (Direct Cost: ¥1,800,000)
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| Keywords | surgical site infection / catheter-related infection / gastrointestinal surgery / orthopedic surgery / opthalmic surgery / risk factor / antimicrobial prophylaxis / duration of operation / 手術部位感染 / SSI / 抗菌薬の予防投与 / 手術創の汚染度 |
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| Research Abstract |
1.Surgical site infection (SSI)
(1)SSI : Rates of SSI in gastrointestinal tract surgery were high; 12.5,17.9 and 18.2 % in GAST,COLN and RECT, respectively. Rates of SSI in orthopedic surgery were on the average 2.5,2.8 and 1.9 % in SPIN,JOlT and BONE, respectively. Rates of SSI in opthalmic surgery were low, 0.1 %.
Relation of SSJ and risk factors : Duration of operation, hypothermia and surgical wound class tend to increase rates of SSI in gastrointestinal tract surgery. Implants and surgical wound class tend to increase rates of SSI in orthopedic surgery. Nothing in opthalmic surgery.
(2)In successive opthalmic surgeries, short time scrubs did not increase rates of SSI.
(3)Antimicrobial prophylaxis We investigated antimicrobial prophylaxis in 12 clinical departments and educated about an effective selection of antibiotics in 4 clinical departments.
2.Catheter-related infections
(1)Proper methods of 80 central venous catheterizations did not bring about catheter-related infections.
(2)Effect of 0.5% chlorhexidine ethanol is not different from 10% povidone iodine in reducing catheter colonization associated with short-term epidural catheter placement.
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