[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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[in Japanese]

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The purpose of this study was to determine whether the nutritional factors related to weight change during hospitalization differ depending on the presence or absence of inflammation after hip fracture surgery.
A total of 223 patients aged 60 years or older who underwent hip fracture surgery at our hospital were included in the study. The patients were divided into two groups, a high inflammation group （CRP ≥ 3mg/dL） and a low inflammation group （CRP＜3mg/dL）, using the CRP level on postoperative day 7±2. Multivariable regression analysis was used to examine the relationship between three types of nutrient intake during the first week after surgery and weight change one month after surgery. The mean age of the patients was 85.1 years and 165 were women. The low‐inflammation group consisted of 148 patients and the high‐inflammation group of 75 patients. Nutritional factors significantly associated with weight loss were low carbohydrate and fat intake in the high inflammation group, and low energy sufficiency in the low inflammation group.Our findings suggest that for patients with hip fractures, carbohydrate or fat intake when inflammation is high and energy sufficiency when inflammation is low are important for weight loss during hospitalization.

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We report a pediatric case of refractory elbow subcutaneous abscess with atopic dermatitis and malnutrition. The condition was successfully treated with aggressive nutritional therapy in addition to surgical treatment. The patient was a 7‐year‐old boy with atopic dermatitis who had an unbalanced diet. He frequently scratched his left elbow owing to atopic dermatitis. His elbow was red and swollen because of scratching for 2 weeks before hospitalization. Despite receiving treatment involving drainage and antibiotics, his subcutaneous abscess did not improve, and a left axillary subcutaneous abscess newly appeared. The patient’s treatment resistance was attributed to nutritional disorders due to an unbalanced diet. We performed aggressive nutritional therapy combining enteral nutrition and supplemental parenteral nutrition. His abscess and atopic condition gradually improved. For complex infections associated with malnutrition, aggressive nutritional therapy combined with medical and surgical treatment is suggested to improve nutritional status, enhance immune function, and promote infection control.

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