{"_buckets": {"deposit": "6228adca-1615-43ee-bbe2-2397bedacb38"}, "_deposit": {"id": "13707", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "13707"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00013707", "sets": ["456", "1050"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Clinical Study of Vancomycin Intermediate-Resistant Enterococcus Infection in Hospitalized Patients in Our Surgical Ward"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2003-06", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "6", "bibliographicPageEnd": "299", "bibliographicPageStart": "294", "bibliographicVolumeNumber": "117", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌"}, {"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "バンコマイシン(VCM)自然耐性遺伝子のvanC型をもつE.casseliflavusとE.gallinarumの2菌は,VCM中等度耐性腸球菌(VIRE)である.VanC型は耐性発現が非伝達性であるために現在,院内感染対策菌とは考えられていない.今回,我々はVIRE腸炎から敗血症を発症した症例を経験した.これらの症例の臨床的特徴を明らかにし,問題点を検討した.入院症例651例で,入院時と1日4回以上の下痢出現時に便または直腸スワブ検体の培養検査を行い,VCMの最小発育阻止濃度が4μg/ml以上の腸球菌をVIREとした.33例(5.1%)にVIREが検出され,他菌種合併が17例に認められた.25例(75.8%)で頻回な下痢を認め,VIRE単独の2例と,他菌種合併の3例でbacterial translocationを介したと考えられる敗血症を認めた.VIREは他菌種合併例が多いが,単独例においても腸炎の臨床症状を呈し,敗血症の危険性が認められた.", "subitem_description_type": "Abstract"}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "林, 達彦"}], "nameIdentifiers": [{"nameIdentifier": "89756", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "浅見, 冬樹"}], "nameIdentifiers": [{"nameIdentifier": "89757", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "多々, 孝"}], "nameIdentifiers": [{"nameIdentifier": "89758", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "村山, 裕一"}], "nameIdentifiers": [{"nameIdentifier": "89759", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "清水, 春夫"}], "nameIdentifiers": [{"nameIdentifier": "89760", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-07"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00000142513.pdf", "filesize": [{"value": "1.7 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1700000.0, "url": {"label": "KJ00000142513.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/13707/files/KJ00000142513.pdf"}, "version_id": "c9b1f66b-1e5e-4e1e-b6c8-3b5406cf6c22"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "バンコマイシン中等度耐性腸球菌", "subitem_subject_scheme": "Other"}, {"subitem_subject": "敗血症", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "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": "外科病棟入院患者における,バンコマイシン中等度耐性腸球菌(VIRE)感染の臨床的意義の検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "外科病棟入院患者における,バンコマイシン中等度耐性腸球菌(VIRE)感染の臨床的意義の検討"}, {"subitem_title": "外科病棟入院患者における,バンコマイシン中等度耐性腸球菌(VIRE)感染の臨床的意義の検討", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1050"], "permalink_uri": "http://hdl.handle.net/10191/4300", "pubdate": {"attribute_name": "公開日", "attribute_value": "2007-05-10"}, "publish_date": "2007-05-10", "publish_status": "0", "recid": "13707", "relation": {}, "relation_version_is_last": true, "title": ["外科病棟入院患者における,バンコマイシン中等度耐性腸球菌(VIRE)感染の臨床的意義の検討"], "weko_shared_id": null}