{"created":"2021-03-01T06:18:05.001753+00:00","id":13707,"links":{},"metadata":{"_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":["453:456","471:537:538:1050"]},"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","filename":"KJ00000142513.pdf","filesize":[{"value":"1.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-05-10"},"publish_date":"2007-05-10","publish_status":"0","recid":"13707","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_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:46:01.644010+00:00"}