WordNet
- (physical chemistry) a sample of matter in which substances in different phases are in equilibrium; "in a static system oil cannot be replaced by water on a surface"; "a system generating hydrogen peroxide"
- instrumentality that combines interrelated interacting artifacts designed to work as a coherent entity; "he bought a new stereo system"; "the system consists of a motor and a small computer"
- a group of independent but interrelated elements comprising a unified whole; "a vast system of production and distribution and consumption keep the country going" (同)scheme
- a complex of methods or rules governing behavior; "they have to operate under a system they oppose"; "that language has a complex system for indicating gender" (同)system of rules
- a group of physiologically or anatomically related organs or parts; "the body has a system of organs for digestion"
- a procedure or process for obtaining an objective; "they had to devise a system that did not depend on cooperation"
- the living body considered as made up of interdependent components forming a unified whole; "exercise helped him get the alcohol out of his system"
- (medicine) the invasion of the body by pathogenic microorganisms and their multiplication which can lead to tissue damage and disease
- (phonetics) the alteration of a speech sound under the influence of a neighboring sound
- the pathological state resulting from the invasion of the body by pathogenic microorganisms
- (international law) illegality that taints or contaminates a ship or cargo rendering it liable to seizure
- moral corruption or contamination; "ambitious men are led astray by an infection that is almost unavoidable"
- an incident in which an infectious disease is transmitted (同)contagion, transmission
- transfer to another track, of trains
- a conductor having low resistance in parallel with another device to divert a fraction of the current (同)electrical shunt, bypass
- implant consisting of a tube made of plastic or rubber; for draining fluids within the body
- a passage by which a bodily fluid (especially blood) is diverted from one channel to another; "an arteriovenus shunt"
- provide with or divert by means of an electrical shunt
- in or near a center or constituting a center; the inner area; "a central position"
- a workplace that serves as a telecommunications facility where lines from telephones can be connected together to permit communication (同)telephone exchange, exchange
- easily agitated; "a nervous addict"; "a nervous thoroughbred"
- of or relating to the nervous system; "nervous disease"; "neural disorder" (同)neural
PrepTutorEJDIC
- 〈C〉(関連した部分から成る)『体系』,系統,組織[網],装置 / 〈C〉(教育・政治などの)『制度』,機構;《the~》体制 / 〈C〉(思想・学問などの)『体系』,学説 / 〈C〉(…の)『方法』,方式,やり方《+of doing》 / 〈U〉正しい方針(筋道,順序) / 〈U〉《the~》(身体の)組織,系統 / 〈U〉《the~,one's~》身体,全身
- 〈U〉(病気の)伝染;感染 / 〈C〉伝染病
- 〈人・物〉‘を'わきにどかす;〈話題など〉‘を'他へそらす / (別の軌道に)〈車両〉‘を'入れ換える / 〈電流〉‘を'わきへそらす;〈分路〉‘を'置く / わきへそれる / 〈車両が〉分岐線に移行する / 〈U〉わきへそれること / 〈C〉転てつ器;(電気の)分路
- 『中心の』,中央の,中心からの / 『主要な』,中心的な(main) / (音声が)中舌音の / 電話交換局(《英》[telephone]exchange)
- 『神経の』 / 『神経質な』,神経過敏な / 『心配な』,不安な
UpToDate Contents
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- 1. 髄液シャント術に用いたシャントシステムの感染 infections of cerebrospinal fluid shunts and other devices
- 2. 中枢神経系のカンジダ感染症 candida infections of the central nervous system
- 3. 小児の水頭症：マネージメントと予後 hydrocephalus in children management and prognosis
- 4. 感染性心内膜炎または感染した脳室心房シャントにおける腎疾患 renal disease in the setting of infective endocarditis or an infected ventriculoatrial shunt
- 5. グラム陰性桿菌性髄膜炎：治療 gram negative bacillary meningitis treatment
English Journal
- Dual intraventricular plus systemic antibiotic therapy for the treatment of Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae ventriculitis.
- Nevrekar S1, Cunningham KC, Greathouse KM, Panos NG.Author information 1Alexian Brothers Medical Center, Elk Grove Village, IL, USA.AbstractOBJECTIVE: To report a case of Klebsiella pneumoniae carbapenemase (KPC)-producing K pneumoniae ventriculitis successfully treated with dual intraventricular plus systemic antibiotic therapy.
- The Annals of pharmacotherapy.Ann Pharmacother.2014 Feb;48(2):274-8. doi: 10.1177/1060028013510487. Epub 2013 Nov 6.
- OBJECTIVE: To report a case of Klebsiella pneumoniae carbapenemase (KPC)-producing K pneumoniae ventriculitis successfully treated with dual intraventricular plus systemic antibiotic therapy.CASE SUMMARY: A 43-year-old woman with a ventriculoperitoneal shunt was transferred from a nursing home with
- PMID 24259634
- Chryseobacterium indologenes central nervous system infection in infancy: an emergent pathogen?
- Olbrich P1, Rivero-Garvía M, Falcón-Neyra MD, Lepe JA, Cisneros JM, Marquez-Rivas J, Neth O.Author information 1Department of Paediatric Infectious Diseases and Immunodeficiency, Hospital Infantil Universitario Virgen del Rocio, Av Manuel Siurot s/n, 41013, Seville, Spain.AbstractThe isolation of Chryseobacterium indologenes as a causative micro-organism in human diseases is rare. Risk factors for infections caused by this pathogen include very young and very old age, indwelling devices, immune suppression and recent use of broad-spectrum antibiotics. Most cases suffer from bacteraemia or nosocomial pneumonia, whilst infection of the central nervous system (CNS) is extremely rare. We present a term-born infant diagnosed prenatally with holoprosencephaly and obstructive hydrocephalus, requiring post-natal ventriculoperitoneal shunt insertion. At 6 weeks of age, he suffered from Escherichia coli meningitis, showing satisfactory clinical response with antimicrobial therapy. Aged 11 months, he suffered from hyper-drainage syndrome, resulting in the removal of the shunt system. He represented 11 days post-operatively, with low-grade fever, irritability and cerebrospinal fluid (CSF) leakage. C. indologenes from CSF was isolated and antimicrobial therapy with ceftazidime and trimethoprim-sulfamethoxazole for 3 weeks resulted in good clinical response. This is the first documented community-acquired CNS infection due to C. indologenes in an infant without concomitant indwelling device or previous antibiotic pressure.
- Infection.Infection.2014 Feb;42(1):179-83. doi: 10.1007/s15010-013-0479-y. Epub 2013 May 25.
- The isolation of Chryseobacterium indologenes as a causative micro-organism in human diseases is rare. Risk factors for infections caused by this pathogen include very young and very old age, indwelling devices, immune suppression and recent use of broad-spectrum antibiotics. Most cases suffer from
- PMID 23709293
- Systematic review of efficacy, pharmacokinetics, and administration of intraventricular vancomycin in adults.
- Ng K1, Mabasa VH, Chow I, Ensom MH.Author information 1Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada, Karen.Ng2@vch.ca.AbstractCentral nervous system infections requiring treatment with intraventricular (IVT) vancomycin are becoming increasingly common with advent of intracranial devices and increasing prevalence of multi-drug resistant and nosocomial organisms. Administering vancomycin via IVT route bypasses the blood-brain barrier to allow localized and controlled delivery directly to the desired site of action, achieving high concentrations for more reliable bactericidal action. This article systematically reviews current literature on IVT vancomycin in adults, compiles current knowledge, and integrates available evidence to serve as a practical reference.Medline (1946-July 2012), Embase (1974-July 2012), and International Pharmaceutical Abstracts (1970-July 2012) were searched using terms vancomycin, intraventricular, shunt infection, cerebrospinal fluid, and intraventriculitis. Seventeen articles were included in this review. Indications for IVT vancomycin included meningitis unresponsive to intravenous antibiotics, ventriculitis, and intracranial device infections. No serious adverse effects following IVT vancomycin have been reported. Dosages reported in literature ranged from 0.075-50 mg/day, with the most evidence for dosages of 5 to 20 mg/day. Duration of therapy most commonly ranged from 7 to 21 days. Therapeutic drug monitoring was reported in 11 studies, with CSF vancomycin levels varying widely from 1.1 to 812.6 mg/L, without clear relationships between CSF levels and efficacy or toxicity. Using IVT vancomycin to treat meningitis, ventriculitis, and CNS device-associated infections appears safe and effective based on current evidence. Optimal regimens are still unclear, and dosing of IVT vancomycin requires intricate consideration of patient specific factors and their impact on CNS pathophysiology. Higher-quality clinical trials are necessary to characterize the disposition of vancomycin within CNS, and to determine models for various pathophysiological conditions to facilitate better understanding of effects on pharmacokinetic and pharmacodynamic parameters.
- Neurocritical care.Neurocrit Care.2014 Feb;20(1):158-71. doi: 10.1007/s12028-012-9784-z.
- Central nervous system infections requiring treatment with intraventricular (IVT) vancomycin are becoming increasingly common with advent of intracranial devices and increasing prevalence of multi-drug resistant and nosocomial organisms. Administering vancomycin via IVT route bypasses the blood-brai
- PMID 23090839
Japanese Journal
- Analysis of Cases of Central Nervous System Fungal Infections Reported in Japan between January 1979 and June 1989.
- Mori Takeshi,EBE Tsukasa
- Internal Medicine 31(2), 174-179, 1992
- … Data from 129 cases of central nervous systemic fungal infections reported in Japan between January 1979 and June 1989 were analyzed. … Candidal meningitis occurred secondary to a shunt infection ; …
- NAID 130000770222
- Propionibacterium acnes : Pathogen in central nervous system shunt infections
- BEELER BA
- Am J Med 61, 935-938, 1976
- NAID 30008550550
Related Links
- Cerebrospinal fluid (CSF) shunts are used in the setting of hydrocephalus to divert CSF to another part of the body for absorption. The approach to management of shunt infections is discussed here. Indications for shunt placement ...
- Background Ventriculoperitoneal (VP) shunts are used for intracranial pressure management and temporary cerebrospinal fluid (CSF) drainage. Infection of the central nervous system (CNS) is a major cause of morbidity ...
Related Pictures
★リンクテーブル★
| リンク元 | 「中枢神経系シャント感染症」 |
| 関連記事 | 「nervous」「central」「infection」「system」「shunt」 |
「中枢神経系シャント感染症」
「nervous」
- adj.
- 神経の、心配な、神経質な
- 関
- anxiety、anxious、anxiously、care、concern、fear、nerve、nervi、nervousness、nervus、neural、neuro、neuron、neuroticism、trouble、uneasy、worrisome、worry
「central」
- adj.
- 中心の、中心的な、中心性の、中枢的な、中枢性の、中枢の、中枢神経性の
「infection」
- n.
「system」
- n.
「shunt」
- vt.
- ～をそらす
- n.
- 短絡、分路、(医療)吻合術、シャント、
- →シャント