Journal of the Japanese Society of Pediatric Surgeons
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
Case Reports
OPAT is an Effective Treatment in a CRBSI Patient With Hypoganglionosis: Report of a Case
Shota Shinohara Yusuke YamaneKeisuke OzekiTakuya YoshidaYasuaki TauraTaiichiro KosakaSusumu EguchiTakeshi Nagayasu
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JOURNAL OPEN ACCESS

2023 Volume 59 Issue 6 Pages 986-990

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Abstract

A boy aged one year and 11 months, who presented with hypoganglionosis and was given parenteral nutrition at home, required prophylactic ethanol lock therapy (pELT) as a regular outpatient because he had recurrent catheter-related bloodstream infection (CRBSI). Four days before his admission, he had no symptoms and a central venous catheter joint wipe culture was carried out. One day before his admission, he had a high fever. He was subjected to outpatient parenteral antimicrobial therapy (OPAT) using ceftriaxone (CTRX) and ELT because Klebsiella was detected in the wipe culture and his treatment was difficult in his home environment. He was intravenously given CTRX at 60 mg/kg body weight and ELT for two hours so that he could be healed in 10 days. When the condition of the patient is stable and the antimicrobial drug to be used is determined, OPAT in a CRBSI patient can become one of the management options.

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© 2023 The Japanese Society of Pediatric Surgeons

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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