{"created":"2021-03-01T06:24:51.521194+00:00","id":19956,"links":{},"metadata":{"_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","sets":["453:456","471:537:538:1159"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Nosocomial Infection Control Measures for Methicillin-Resistant Staphylococcus aureus (Nosocomial Infections caused by Methicillin-Resistant Staphyllococcus aureus（MRSA）: The Present Problems and The Strategies for Prevention)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1993-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"725","bibliographicPageStart":"718","bibliographicVolumeNumber":"107","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":"Nosocomial infection with Methicillin-resistant Staphylococcus aureus （MRSA） 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） 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） The isolation of infected or colonized patients, and the enforcement of hand-washing, wearing gown, hair-cover during care. c） 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":"著者別名","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":"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":"阿部, 惇"}],"nameIdentifiers":[{"nameIdentifier":"123656","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山川, 能夫"}],"nameIdentifiers":[{"nameIdentifier":"123657","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":"2019-08-16"}],"displaytype":"detail","filename":"107(8)_718-725.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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":"キーワード","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":"メチシリン耐性黄色ブドウ球菌","subitem_subject_scheme":"Other"},{"subitem_subject":"院内感染対策","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":"3）-②市中病院に於けるメチシリン耐性ブドウ球菌の院内感染対策(シンポジウム MRSA感染, 現状と対策, 第480回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"3）-②市中病院に於けるメチシリン耐性ブドウ球菌の院内感染対策(シンポジウム MRSA感染, 現状と対策, 第480回新潟医学会)"},{"subitem_title":"3）-②市中病院に於けるメチシリン耐性ブドウ球菌の院内感染対策(シンポジウム MRSA感染, 現状と対策, 第480回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1159"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-02-04"},"publish_date":"2016-02-04","publish_status":"0","recid":"19956","relation_version_is_last":true,"title":["3）-②市中病院に於けるメチシリン耐性ブドウ球菌の院内感染対策(シンポジウム MRSA感染, 現状と対策, 第480回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:37:41.531438+00:00"}