論文

査読有り
2019年2月

Bacterial Contamination of Hemodialysis Devices in Hospital Dialysis Wards

JOURNAL OF MEDICAL INVESTIGATION
  • Takaaki Shimohata
  • Kazuaki Mawatari
  • Takashi Uebanso
  • Airi Honjo
  • Akan Tsunedomi
  • Sho Hatayama
  • Yuri Sato
  • Junko Kido
  • Risa Nishisaka
  • Ayumi Yoshimoto
  • Tomoko Yamashita
  • Sachie Amano
  • Miki Maetani-Yasui
  • Hitomi Ibe
  • Yumi Harada
  • Mutsumi Nakahashi
  • Sonoko Yasui-Yamada
  • Yasuhiro Hamada
  • Tadahiko Nakagawa
  • Masahiro Sogabe
  • Takahiro Emoto
  • Masatake Akutagawa
  • Toshiya Okahisa
  • Yohsuke Kinouchi
  • Akira Takahashi
  • 全て表示

66
1-2
開始ページ
148
終了ページ
152
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2152/jmi.66.148
出版者・発行元
UNIV TOKUSHIMA SCH MEDICINE

Chronic care patients undergoing hemodialysis for treatment of end-stage renal failure experience higher rates of bloodstream-associated infection due to the patients' compromised immune system and management of the bloodstream through catheters. Staphylococcus species are aconunon cause of hemodialysis catheter related bloodstream infections. We investigated environmental bacterial contamination of dialysis wards and contamination of hemodialysis devices to determine the source of bacteria for these infections. All bacterial samples were collected by the swab method and the agarose stamp method. And which bacterium were identified by BBL CRYSTAL Kit or 16s rRNA sequences. In our data, bacterial cell number of hemodialysis device was lower than environment of patient surrounds. But Staphylococcus spp. were found predominantly on the hemodialysis device (46.8%), especially on areas frequently touched by healthcare-workers (such as Touch screen). Among Staphylococcus spp., Staphylococcus epidermidis was most frequently observed (42.1% of Staphylococcus spp.), and more surprising, 48.2% of the Staphylococcus spp. indicated high resistance for methicillin. Our finding suggests that hemodialysis device highly contaminated with bloodstream infection associated bacteria. This study can be used as a source to assess the risk of contamination-related infection and to develop the cleaning system for the better prevention for bloodstream infections in patients with hemodialysis.

リンク情報
DOI
https://doi.org/10.2152/jmi.66.148
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31064928
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000467744400030&DestApp=WOS_CPL
ID情報
  • DOI : 10.2152/jmi.66.148
  • ISSN : 1343-1420
  • eISSN : 1349-6867
  • PubMed ID : 31064928
  • Web of Science ID : WOS:000467744400030

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