WordNet

mark with a tip; "tip the arrow with the small stone"
remove the tip from; "tip artichokes"
an indication of potential opportunity; "he got a tip on the stock market"; "a good lead for a job" (同)lead, steer, confidential information, wind, hint
the extreme end of something; especially something pointed
give a tip or gratuity to in return for a service, beyond the compensation agreed on; "Remember to tip the waiter"; "fee the steward" (同)fee, bung
cause to tilt; "tip the screen upward"
grow in a special preparation; "the biologist grows microorganisms"
(biology) the growing of microorganisms in a nutrient medium (such as gelatin or agar); "the culture of cells in a Petri dish"
the raising of plants or animals; "the culture of oysters"
a particular society at a particular time and place; "early Mayan civilization" (同)civilization, civilisation
the attitudes and behavior that are characteristic of a particular social group or organization; "the developing drug culture"; "the reason that the agency is doomed to inaction has something to do with the FBI culture"
the tastes in art and manners that are favored by a social group
shrub with terminal tufts of elongated leaves used locally for thatching and clothing; thick sweet roots are used as food; tropical southeastern Asia, Australia and Hawaii (同)Cordyline terminalis
the syllable naming the seventh (subtonic) note of any musical scale in solmization (同)te, si
a thin flexible tube inserted into the body to permit introduction or withdrawal of fluids or to keep the passageway open

PrepTutorEJDIC

(…の)『先』,はし,先端《+of+名》 / 『先端に付ける物(部分)』 / …‘に'先を付ける / …‘の'先をおおう(飾る)
『チップ』,心付け,祝儀 / (…に関する,特に専門家からの)内報,秘密情報《+for(on)+名+from+名》 / (…についての)(役に立つ)ヒント,助言《+on+名(wh-句)》,(…という)ヒント《+that 節》 / 〈人〉‘に'『チップをやる』 / (…について)〈人〉‘に'内報する,秘密の情報を与える《+off+名(+名+off)+about+名》 / チップをやる
…‘を'傾ける / …‘を'ひっくり返す《+over(up)+名,+名+over(up)》 / (あいさつのために)〈帽子〉‘を'持ち上げる,‘に'さわる / 《英》(容器から…に)…‘を'あける(empty)《+名+out of+名+into+名》 / 傾く / ひっくり返る《+over》 / 傾けること;傾斜 / 《英》ごみ捨て場
〈U〉『教養』;修養;教化 / 〈C〉〈U〉『文化』(主として精神面をさし,生活・習慣・物の考え方などを含む)Greek cultureギリシア文化 / 〈U〉(…の)『耕作』;『栽培』,養殖,培養《+『of』+『名』》
シ(全音階の第7音)
カテーテル,(特に)導尿管(体内液の排出・導入に用いる細い管)

UpToDate Contents

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1. 血管内カテーテル感染症の診断 diagnosis of intravascular catheter related infections
2. トンネル型のカフ付き血液透析カテーテル関連菌血症 tunneled cuffed hemodialysis catheter related bacteremia
3. 血管内カテーテル感染症治療 treatment of intravascular catheter related infections
4. 血管内カテーテル感染症の予防 prevention of intravascular catheter related infections
5. 脊髄麻酔：手技 spinal anesthesia technique

English Journal

Outbreak of Tsukamurella Species Bloodstream Infection among Patients at an Oncology Clinic, West Virginia, 2011-2012.

See I1, Nguyen DB, Chatterjee S, Shwe T, Scott M, Ibrahim S, Moulton-Meissner H, McNulty S, Noble-Wang J, Price C, Schramm K, Bixler D, Guh AY.Author information 1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.AbstractObjective. To determine the source and identify control measures of an outbreak of Tsukamurella species bloodstream infections at an outpatient oncology facility. Design. Epidemiologic investigation of the outbreak with a case-control study. Methods. A case was an infection in which Tsukamurella species was isolated from a blood or catheter tip culture during the period January 2011 through June 2012 from a patient of the oncology clinic. Laboratory records of area hospitals and patient charts were reviewed. A case-control study was conducted among clinic patients to identify risk factors for Tsukamurella species bloodstream infection. Clinic staff were interviewed, and infection control practices were assessed. Results. Fifteen cases of Tsukamurella (Tsukamurella pulmonis or Tsukamurella tyrosinosolvens) bloodstream infection were identified, all in patients with underlying malignancy and indwelling central lines. The median age of case patients was 68 years; 47% were male. The only significant risk factor for infection was receipt of saline flush from the clinic during the period September-October 2011 (P = .03), when the clinic had been preparing saline flush from a common-source bag of saline. Other infection control deficiencies that were identified at the clinic included suboptimal procedures for central line access and preparation of chemotherapy. Conclusion. Although multiple infection control lapses were identified, the outbreak was likely caused by improper preparation of saline flush syringes by the clinic. The outbreak demonstrates that bloodstream infections among oncology patients can result from improper infection control practices and highlights the critical need for increased attention to and oversight of infection control in outpatient oncology settings.
Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America.Infect Control Hosp Epidemiol.2014 Mar;35(3):300-6. doi: 10.1086/675282.
Objective. To determine the source and identify control measures of an outbreak of Tsukamurella species bloodstream infections at an outpatient oncology facility. Design. Epidemiologic investigation of the outbreak with a case-control study. Methods. A case was an infection in which Tsukamurel
PMID 24521597

Loss of antimicrobial effect of trisodium citrate due to 'lock' spillage from haemodialysis catheters.

Schilcher G1, Schneditz D, Ribitsch W, Horina JH, Hoenigl M, Valentin T, Rosenkranz AR, Krause R.Author information 1Clinical Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.AbstractBACKGROUND: Due to its reported antimicrobial effects, hypertonic citrate (46.7%) is a widely used catheter lock solution, but following instillation, citrate inevitably spills into the systemic circulation. This process is mainly driven by hydraulic effects during instillation and density differences between blood and lock solution. Hence, in haemodialysis catheters, intra-luminal citrate concentration ranges from 0% (at the tip in catheters with side holes), 3% (between the side holes and the highest point of the catheter) to 46.7% (at the Luer end) with possible differences in antimicrobial effects. We investigated in vitro the antimicrobial effect of pure citrate 46.7%, citrate 46.7% diluted with saline and blood to a net concentration of 3% (=citrate 3%), and of citrate-free blood, simulating in vivo conditions in different catheter sections.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.Nephrol Dial Transplant.2014 Feb 9. [Epub ahead of print]
BACKGROUND: Due to its reported antimicrobial effects, hypertonic citrate (46.7%) is a widely used catheter lock solution, but following instillation, citrate inevitably spills into the systemic circulation. This process is mainly driven by hydraulic effects during instillation and density differenc
PMID 24516230

Diagnosis of venous access port colonization requires cultures from multiple sites: should guidelines be amended?

Bouza E1, Martín-Rabadán P2, Echenagusia A3, Camúñez F3, Rodríguez-Rosales G3, Simó G3, Echenagusia M3, Guembe M4; GEIDI study group.Author information 1Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria del Hospital Gregorio Marañón, Department of Medicine, Universidad Complutense, Madrid, Spain; Red Española de Investigación en Patología Infecciosa (REIPI), RD06/0008/1025, Madrid, Spain. Electronic address: ebouza@microb.net.2Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria del Hospital Gregorio Marañón, Department of Medicine, Universidad Complutense, Madrid, Spain; Red Española de Investigación en Patología Infecciosa (REIPI), RD06/0008/1025, Madrid, Spain.3Department of Vascular Interventional Radiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.4Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria del Hospital Gregorio Marañón, Department of Medicine, Universidad Complutense, Madrid, Spain. Electronic address: mariaguembe@hotmail.com.AbstractData on microbiological management of withdrawn venous access ports (VAPs) are scarce. The aim of our study was to assess the validity of Gram stain and culture performed on VAPs to detect colonization and VAP-related bloodstream infection (VAP-RBSI). We prospectively performed cultures of the following: catheter tip (roll-plate and sonication), port content aspirate before and after sonication, port sonication fluid (PSF), and port internal surface biofilm (ISB). The gold standard of VAP colonization was positivity of at least 1 of the cultures mentioned above. We collected 223 VAPs in which no single culture had validity values reliable enough to predict colonization and VAP-RBSI. The best validity values were those obtained when cultures of catheter tip (roll-plate), PSF, and port ISB were combined. Cultures from several areas on the VAP are necessary to ensure suitable assessment of colonization and VAP-RBSI.
Diagnostic microbiology and infectious disease.Diagn Microbiol Infect Dis.2014 Feb;78(2):162-7. doi: 10.1016/j.diagmicrobio.2013.11.004. Epub 2013 Nov 14.
Data on microbiological management of withdrawn venous access ports (VAPs) are scarce. The aim of our study was to assess the validity of Gram stain and culture performed on VAPs to detect colonization and VAP-related bloodstream infection (VAP-RBSI). We prospectively performed cultures of the follo
PMID 24316016

Japanese Journal

A Case Series of Bacillus Cereus Septicemia in Patients with Hematological Disease

Uchino Yoshihito,Iriyama Noriyoshi,Matsumoto Ken,Hirabayashi Yukio,Miura Katsuhiro,Kurita Daisuke,Kobayashi Yujin,Yagi Mai,Kodaira Hitomi,Hojo Atsuko,Kobayashi Sumiko,Hatta Yoshihiro,Takeuchi Jin
Internal Medicine 51(19), 2733-2738, 2012
… In seven of 10 patients, central venous (CV) catheter tips were removed and routinely cultured. … Catheter tip cultures were positive for B. …
NAID 130002062020

A Case of Pacemaker Extrusion: Successful Extraction of "A Trapped Lead" Using Endovascular Snare System and Vacuum-Assisted Wound Closure

Kondo Yusuke,Hashiguchi Naoki,Kanaeda Tomonori,Nakano Masahiro,Hiranuma Yasunori,Ueda Marehiko,Kobayashi Yoshio
Journal of Arrhythmia 27(Supplement), PE4_090-PE4_090, 2011
… Blood cultures were negative but wound swabs grew Methicillin-sensitive Staphylococcus aureus. … Computed tomography detected the lead tip with mass was adherent to the surrounding tissue in superior vena cava. … Thus, we attempted to retrieve the fibrosis using a three-wire snare catheter. …
NAID 130002129738

中心静脈栄養用皮下埋込ポートの感染によって脳膿瘍と脾膿瘍を合併したCrohn病の1例

高橋賢一,舟山裕士,福島浩平,柴田近,橋本明彦,長尾宗紀,羽根田祥,渡辺和宏,工藤克昌,佐々木巖
日本消化器外科学会雑誌 38(10), 1607-1611, 2005-10-01
症例は40歳の男性で, 栄養吸収障害および難治性の小腸皮膚瘻を有する小腸大腸型Crohn病に対し皮下埋込みポートによる在宅中心静脈栄養(以下, HPN)を施行中であった.発熱を自覚したが受診せず, 1週間後に意識障害を来し緊急入院となった.髄液検査にて細菌性髄膜炎と診断し, 抗菌剤による治療を開始した.血液培養にてグラム陽性球菌が同定されたためカテーテル敗血症を疑い, 中心静脈カテーテルを抜去した …
NAID 110001868309

「カテーテル先端培養」

　　[★]

英: catheter tip culture, catheter tip cultures
関: カテーテル

「tip」

　　[★]

vt.

傾ける(up)。倒す、ひくり返す(over)。(帽子を)ちょっとあげて(前方に傾けて)挨拶する(to)。(中身を)あける、(ごみなどを)(ドサッと)捨てる(out, into)

Higher LPS levels tip the endo thelium toward a net procoagulant phenotype.(BPT.103)

Often clinical manifestations occur only in the presence of precipitating factors that increase the cardiac workload and tip the balanced state into one of decompensation.(PHD.240)