Tokyo Medical University HospitalInfection Control & Prevension Department

CV

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Tokyo Medical University HospitalInfection Control & Prevension Department

2

Tokyo Medical University HospitalInfection Control & Prevension Department

Tmax

J Clin Miclobiol 2008;46:1381-5

3

Tokyo Medical University HospitalInfection Control & Prevension Department

CV

CV2

4

Tokyo Medical University HospitalInfection Control & Prevension Department

1

2

1

0102030405060708090100

1 2 3

%

73.2

93.996.9

5

Tokyo Medical University HospitalInfection Control & Prevension Department

2

CNS

6

Tokyo Medical University HospitalInfection Control & Prevension Department

3

2

4

7

Tokyo Medical University HospitalInfection Control & Prevension Department

30ml

1 10ml 220ml 2 =40ml

8

Tokyo Medical University HospitalInfection Control & Prevension Department

20mL 2or

or

2

9

Tokyo Medical University HospitalInfection Control & Prevension Department

10

Tokyo Medical University HospitalInfection Control & Prevension Department

11

Tokyo Medical University HospitalInfection Control & Prevension Department

12

12

Tokyo Medical University HospitalInfection Control & Prevension Department

13

Tokyo Medical University HospitalInfection Control & Prevension Department

14

Tokyo Medical University HospitalInfection Control & Prevension Department

5%Am J Med 1992;92:53-60

J Clin Microbiol 1992;30:1462-8

15

Tokyo Medical University HospitalInfection Control & Prevension Department

J Pediatr 1995;127:263-8

3Occult

Bacteremia

16

Tokyo Medical University HospitalInfection Control & Prevension Department

Occult BacteremiaAge 3-36Mo

BT 39WBC 15,000

Pediatr Clin North Am 1999;46:1073-109

90 51

75 253-6

17

Tokyo Medical University HospitalInfection Control & Prevension Department

kgmL mL %

1.0 50-99 2 1 2 41.1-2.0 100-200 2 2 4 42.1-12.7 200 4/2 2 6 312.8-36.3 800 10 2 20 2.536.3 2200 20 2 40 1.8

J Cli Micr 2000;38:2181-51mL

2mL 2

3mL 2

5mL 2

10mL 2

18

Tokyo Medical University HospitalInfection Control & Prevension Department

emergencyor

19

Tokyo Medical University HospitalInfection Control & Prevension Department

S. aureus 87.2 S. pneumoniae 100

Enterococcus spp. 69.9 S. epidermidis 12.4

E. coli 99.3 Klebsiella pneumoniae 100

Enterobacter cloacae 100 H. influenzae 100

Pseudomonas aeruginosa 96.4 Candida albicans 90

Clin Infect Dis 1997;24:584-602

20

Tokyo Medical University HospitalInfection Control & Prevension Department

130%

21

Tokyo Medical University HospitalInfection Control & Prevension Department

1 10 3

22