{"_buckets": {"deposit": "6c486bfd-f09d-45fa-b42f-55fc475d42df"}, "_deposit": {"id": "19956", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "19956"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00019956"}, "item_7_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "Nosocomial Infection Control Measures for Methicillin-Resistant Staphylococcus aureus (Nosocomial Infections caused by Methicillin-Resistant Staphyllococcus aureus\uff08MRSA\uff09: The Present Problems and The Strategies for Prevention)"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1993-08", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "8", "bibliographicPageEnd": "725", "bibliographicPageStart": "718", "bibliographicVolumeNumber": "107", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c"}, {"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Nosocomial infection with Methicillin-resistant Staphylococcus aureus \uff08MRSA\uff09 have emerged as nationalwide problem mainly in large hospitals since mid 1980s. The emergence and the spread of MRSA strains in Japan have been regarded as a result of extensive broad-spectrum antibiotiocs, especially so-called the 3rd generation cephems which may evocate drug-resistant mutants. The strict infection control measure for MRSA in our hospital has been planned since we encountered a large outbreak of nosocomial MRSA infection in inpatients in 1988. The major control measures were as follows: a\uff09 The surveillance of MRSA spread by periodic colonizations from symptomatic or asymptomic patients, medical personnels, and enviroinments such as room floors, walls and door-knobs, as well as the ordinary colonization from patients with infectious disease. b\uff09 The isolation of infected or colonized patients, and the enforcement of hand-washing, wearing gown, hair-cover during care. c\uff09 The control usage of antibiotics, especially the 3rd generation cephems and the restrictive use of prophylactic regimens. These hospitalwide efforts of more stringend control measures were followed by decreasing incidence of infected or colonized patients, as well as reduced ratio of MRSA amoung Staphylococcus aurreus in 4 years. In some circumstances, these measures may fail to eradicate or control the spread or outbreak of MRSA due to a variety of factors such as the noncompliance, the repeated reintroduction of new strains from community or other hospitals, or the intolerance for comsumative demerits. There is a limit to control MRSA spread in single hospital. Thus the immediate establishment of regional or national concensus, as well as institution-specific strategies to control the nosocomial spread of this organism is urgently necessary.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "123658", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Abe, Atsushi"}]}, {"nameIdentifiers": [{"nameIdentifier": "123659", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamkawa, Yoshio"}]}]}, "item_7_publisher_7": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u65b0\u6f5f\u533b\u5b66\u4f1a"}]}, "item_7_select_19": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "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": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u963f\u90e8, \u60c7"}], "nameIdentifiers": [{"nameIdentifier": "123656", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "\u5c71\u5ddd, \u80fd\u592b"}], "nameIdentifiers": [{"nameIdentifier": "123657", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-16"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "107(8)_718-725.pdf", "filesize": [{"value": "1.5 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1500000.0, "url": {"label": "107(8)_718-725.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/19956/files/107(8)_718-725.pdf"}, "version_id": "4406d6e0-5066-4276-aeed-7ae5735c4245"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "methicillin-Resistant Staphylococcus aureus", "subitem_subject_scheme": "Other"}, {"subitem_subject": "nosocomial infection control measures", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u9662\u5185\u611f\u67d3\u5bfe\u7b56", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "3\uff09-\u2461\u5e02\u4e2d\u75c5\u9662\u306b\u65bc\u3051\u308b\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u30d6\u30c9\u30a6\u7403\u83cc\u306e\u9662\u5185\u611f\u67d3\u5bfe\u7b56(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 MRSA\u611f\u67d3, \u73fe\u72b6\u3068\u5bfe\u7b56, \u7b2c480\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "3\uff09-\u2461\u5e02\u4e2d\u75c5\u9662\u306b\u65bc\u3051\u308b\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u30d6\u30c9\u30a6\u7403\u83cc\u306e\u9662\u5185\u611f\u67d3\u5bfe\u7b56(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 MRSA\u611f\u67d3, \u73fe\u72b6\u3068\u5bfe\u7b56, \u7b2c480\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)"}, {"subitem_title": "3\uff09-\u2461\u5e02\u4e2d\u75c5\u9662\u306b\u65bc\u3051\u308b\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u30d6\u30c9\u30a6\u7403\u83cc\u306e\u9662\u5185\u611f\u67d3\u5bfe\u7b56(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 MRSA\u611f\u67d3, \u73fe\u72b6\u3068\u5bfe\u7b56, \u7b2c480\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["453/456", "471/537/538/1159"], "permalink_uri": "http://hdl.handle.net/10191/37594", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_value": "2016-02-04"}, "publish_date": "2016-02-04", "publish_status": "0", "recid": "19956", "relation": {}, "relation_version_is_last": true, "title": ["3\uff09-\u2461\u5e02\u4e2d\u75c5\u9662\u306b\u65bc\u3051\u308b\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u30d6\u30c9\u30a6\u7403\u83cc\u306e\u9662\u5185\u611f\u67d3\u5bfe\u7b56(\u30b7\u30f3\u30dd\u30b8\u30a6\u30e0 MRSA\u611f\u67d3, \u73fe\u72b6\u3068\u5bfe\u7b56, \u7b2c480\u56de\u65b0\u6f5f\u533b\u5b66\u4f1a)"], "weko_shared_id": null}