{"created":"2023-07-27T06:52:44.185193+00:00","id":46833,"links":{},"metadata":{"_buckets":{"deposit":"9c90a9bd-692a-49cd-a145-8c006000b84d"},"_deposit":{"created_by":17,"id":"46833","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"46833"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00046833","sets":["1132:1137:3467:3641"]},"author_link":["81610","81611","81612","21766","32","81613","77295","45746","81614","81615"],"item_7_alternative_title_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"クリティカルコロナイゼーション状態の褥瘡の局所管理に関する前向き調査"}]},"item_7_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"32","bibliographicPageStart":"23","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"Journal of wellness and health care "},{"bibliographic_title":"Journal of wellness and health care ","bibliographic_titleLang":"en"}]}]},"item_7_creator_34":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小柳, 礼恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"北村, 言"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"仲上, 豪二朗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"真田, 弘美"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"須釜, 淳子"}],"nameIdentifiers":[{},{},{},{}]}]},"item_7_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Aims\nCritical colonization has attracted attention as a cause of delayed healing of pressure ulcers. However, there is no clear strategy for local wound management in such cases. Here, we prospectively investigated exudate, infection, and pressure ulcer status in a critical colonization state to determine the optimal strategy for local wound management of such pressure ulcers.\nMethods\nThis prospective cohort study was conducted in three facilities: a university hospital, a general hospital, and a long-term care hospital. Subjects were patients with pressure ulcers at a depth deeper than the dermis with a diagnosis of critical colonization by a dermatologist or wound ostomy continence nurse. Patients were divided into three groups according to local wound management: Group A, hydrating ointment with infection control or low exudate-absorption dressing material; Group B, high exudate-absorption dressing material; and Group C, hydrating ointment with exudate-absorption and infection control. Exudate, the moisture of the surrounding wound skin, stratum corneum hydration, area of biofilm, bacterial count, and wound severity assessed by DESIGN-R, were measured at baseline and at 1 week. The relative changes in these variables at 1 week were calculated for the analysis. \nResults\nOverall, 16 patients were classified into Group A (n = 7), Group B (n = 5), and Group C (n = 4). The patients in all three groups ranged in age from 78 to 86 years old and ≥ 50% were male. At baseline, the median proportion of wound area covered by the biofilm was similar between the three groups (0.50, 0.59, and 0.30, respectively). The median total DESIGN-R score in Group A was lower than those in the other groups (12, 24, and 21.5, respectively). With regard to the changes after 1 week, the proportion of wound area covered by the biofilm in Group C was larger than those in the other groups (-0.18, -0.27, and -0.87, respectively). However, the change in total DESIGN-R score in Group C was smaller than those in the other groups (-0.12, -0.11, and -0.01, respectively).\nConclusion\nChanges in infection and pressure ulcer status in cases of critical colonization were described according to local wound management. However, due to the small number of patients, it was not possible to determine the most appropriate local wound management for pressure ulcers in a critical colonization state.","subitem_description_type":"Abstract"},{"subitem_description":"【目的】クリティカルコロナイゼーションは、褥瘡の治癒遅延の原因として、最近注目を受けている。しかし、クリティカルコロナイゼーション状態への局所管理に関する対策は明らかでない。この研究において、私たちは、クリティカルコロナイゼーション状態の褥瘡の局所管理の最適な方法を検討するために、滲出液、感染と褥瘡状態を前向きに調査した。【方法】本研究は、前向きコホート研究であり、大学病院、総合病院、長期ケア病院の 3施設で実施した。対象者は、皮膚科医師または皮膚・排泄ケア認定看護師によって真皮より深い褥瘡で、かつクリティカルコロナイゼーション状態であると判断された褥瘡を有する入院患者である。患者は、局所管理方法によって 3 つの群に分けられた：A 群（補水と感染制御作用がある外用薬または滲出液吸収作用の低いドレッシング材）;B 群（滲出液吸収作用が高いドレッシング材）;C 群（滲出液吸収作用と感染制御作用がある外用薬）。滲出液、褥瘡周囲皮膚と健常皮膚の角質水分量、バイオフィルム面積、褥瘡表面の細菌数と DESIGN-R による褥瘡状態得点を、ベースラインと 1 週間後に測定した。これらの変数の 1 週間後の変化量の相対値により分析した。【結果】全 16 例の患者は、A 群（n = 7 ）、B 群（n = 5 ）、C 群（n = 4 ）に分類された。\n3 群の年齢の中央値は 78 〜 86 歳であった。また患者の 50% 以上は男性だった。ベースライン時に、バイオフィフムの面積が創面の面積に占める割合の中央値は同程度であった(0.50 vs. 0.59 vs. 0.30)。さらに、A 群のDESIGN-R 総点の中央値は、他の群より低かった（12 vs. 24 vs. 21.5）。一方、 1 週間後の変化量の相対値は、バイオフィフムの面積が創面の面積に占める割合は C 群が他の群より大きかった（-0.18 vs.  -0.27 vs. -0.87）。DESIGN-R の合計点は C 群が他の群より低かった（-0.12 vs. -0.11 vs. -0.01）。【結論】本研究では、褥瘡の局所管理方法別に、バイオフィルムの面積、バイオフィルムの面積が創面の面積に占める割合、褥瘡表面の細菌数、DESIGN-R による創傷治癒過程を記述した。しかし、症例数が少なく、クリティカルコロナイゼーションの褥瘡の管理方法を明らかにすることはできなかった。　","subitem_description_type":"Abstract"}]},"item_7_heading_33":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"Original Article","subitem_heading_language":"en"}]},"item_7_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00053161","subitem_identifier_reg_type":"JaLC"}]},"item_7_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"ウェルネス・ヘルスケア学会 "}]},"item_7_publisher_19":{"attribute_name":"出版者（別名）","attribute_value_mlt":[{"subitem_publisher":"Wellness and Health Care Society "}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2434-1509","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Koyanagi, Hiroe"}],"nameIdentifiers":[{"nameIdentifier":"81610","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kitamura, Aya"}],"nameIdentifiers":[{"nameIdentifier":"81611","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakagami, Gojiro"}],"nameIdentifiers":[{"nameIdentifier":"45746","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sanada, Hiromi"}],"nameIdentifiers":[{"nameIdentifier":"21766","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"50143920","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=50143920"},{"nameIdentifier":"50143920","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000050143920"}]},{"creatorNames":[{"creatorName":"Sugama, Junko"}],"nameIdentifiers":[{"nameIdentifier":"77295","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"00203307","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=00203307"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-02-01"}],"displaytype":"detail","filename":"24341509-42-2-23-32.pdf","filesize":[{"value":"3.0 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"24341509-42-2-23-32","url":"https://kanazawa-u.repo.nii.ac.jp/record/46833/files/24341509-42-2-23-32.pdf"},"version_id":"1bd72810-b641-454a-a9ff-a0b80d912912"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"critical colonization","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"biofilm","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pressure ulcer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"exudate","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"infection control","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Prospective Study on Local Wound Management of Pressure Ulcers in a Critical Colonization State","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Prospective Study on Local Wound Management of Pressure Ulcers in a Critical Colonization State"}]},"item_type_id":"7","owner":"17","path":["3641"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-02-01"},"publish_date":"2019-02-01","publish_status":"0","recid":"46833","relation_version_is_last":true,"title":["Prospective Study on Local Wound Management of Pressure Ulcers in a Critical Colonization State"],"weko_creator_id":"17","weko_shared_id":-1},"updated":"2023-07-27T16:25:12.259875+00:00"}