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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
http://hdl.handle.net/10191/4300
203914d5-d887-4e64-bf0d-30b9a7ae3c71
名前 / ファイル | ライセンス | アクション | |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2007-05-10 | |||||
タイトル | ||||||
タイトル | 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 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 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 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | バンコマイシン中等度耐性腸球菌 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 敗血症 | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Clinical Study of Vancomycin Intermediate-Resistant Enterococcus Infection in Hospitalized Patients in Our Surgical Ward | |||||
著者 |
林, 達彦
× 林, 達彦× 浅見, 冬樹× 多々, 孝× 村山, 裕一× 清水, 春夫 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 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. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 117, 号 6, p. 294-299, 発行日 2003-06 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |