{"_buckets": {"deposit": "51b0bf45-c950-475d-bf88-ef4e12dd162f"}, "_deposit": {"id": "26014", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "26014"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00026014", "sets": ["456", "1332"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Infection by Methicilin-Resistant Staphilococcus Aureus in our hospital"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1993-06", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "64", "bibliographicPageStart": "57", "bibliographicVolumeNumber": "23", "bibliographic_titles": [{"bibliographic_title": "新潟歯学会雑誌"}, {"bibliographic_title": "新潟歯学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "Predisposing factors to MRSA infections, clinical course of patients with symptoms of MRSA infections, bacteriological characteristics of MRSA isolated and MRSA contamination in the hospital were studied because of recent prevalence of MRSA infections in inpatients in our hospital. Since 1989, MRSA has been isolated from 11 patients. With the exception of 3 patients who had been MRSA carriers on admission, all of them were under treatment of oral malignancies. Old age, long-term of hospitalization, use of indwelling catheters, and administration of antibiotics (β-lactums) for an extended period were the features common to most of them. The occurrence of multiple strains like Pseudomonas, Enterococcus, and other Staphilococcus was another characteristic of MRSA infections and chemotherapy with antibiotics sensitive to these strains were not quite effective. MRSA accounted for 3.3% of total strains and 42.9% of the Staphilococcus strain isolated during the prevalent period. Including β-lactums, MRSAs isolated during this period were resistant to most of antibiotics and showed the same pattern of sensitivity to antibiotics, indicating the possibility of hospital-acquired infection. There was, however, no carrier in the staff members studied, but MRSA was detected from MRSA infected patients\u0027 rooms and the dining room of the inpatient ward. Education of staff members and patients, routine careful disinfection procedures, adequate use of antibiotics and isolation of MRSA infected patients are essential to prevent outbreaks of the infection.", "subitem_description_type": "Abstract"}, {"subitem_description": "当院歯科病室におけるMRSA感染患者の継発を機にその感染成立の背景因子､発症症例の治療経過､検出菌の細菌学的特徴および院内のMRSA汚染状況について検索した｡ 1. 当院では平成4年5月までに11名にMRSAが検出されており､入院時保菌者であった3例を除くと原疾患は全例悪性腫瘍で､その治療を受けていた｡これらは高齢者が多く､共通事項として抗生剤の長期投与がなされていること､体内留置カーテルが挿入されていること､菌検出までの入院期間が長いことが挙げられた｡ 2. MRSA感染症発症時にはPseudomonas等との複数菌感染を併発しており､それぞれ感受性のある薬剤を用いて治療を行ったが､十分な治療効果は挙げられなかった｡ 3. MRSAが継発した1991年5月から1992年5月に行われた細菌検査では､MRSAは全分離菌の3.3%､ブドウ球菌の42.9%を占めていた｡また､抗生剤感受性試験の結果､当院で検出されたMRSAは多くの薬剤に対して高度耐性であり､検出時期が重なっていた7例は同じ感受性を示していたことから､院内感染の可能性が示唆された｡ 4. 院内汚染状況検査の結果､保菌者は認められなかったが､環境検査の結果､MRSA患者隔離病室の他､食堂からもMRSAが検出され､院内にMRSAが定着している可能性が示唆された｡ 5. MRSA感染予防対策としては､感染者を出さないと同時に感染が拡大しないよう感染経路を絶つこと､感染が疑われた際に適切な治療を行うことが必要である。", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "153605", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Okada, Tomoko"}]}, {"nameIdentifiers": [{"nameIdentifier": "153606", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kohno, Masaki"}]}, {"nameIdentifiers": [{"nameIdentifier": "153607", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nakajima, Tamio"}]}, {"nameIdentifiers": [{"nameIdentifier": "153608", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamada, Hisako"}]}, {"nameIdentifiers": [{"nameIdentifier": "153609", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kaji, Masataka"}]}, {"nameIdentifiers": [{"nameIdentifier": "153610", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ohashi, Yasushi"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟歯学会"}]}, "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": "AN0018300X", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03850153", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "岡田, 朋子"}], "nameIdentifiers": [{"nameIdentifier": "153599", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "河野, 正己"}], "nameIdentifiers": [{"nameIdentifier": "153600", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "中島, 民雄"}], "nameIdentifiers": [{"nameIdentifier": "153601", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "山田, 日佐子"}], "nameIdentifiers": [{"nameIdentifier": "153602", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鍛冶, 昌孝"}], "nameIdentifiers": [{"nameIdentifier": "153603", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "大橋, 靖"}], "nameIdentifiers": [{"nameIdentifier": "153604", "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": "2019-08-19"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "NS_23(1)_57-64.pdf", "filesize": [{"value": "849.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 849200.0, "url": {"label": "NS_23(1)_57-64.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/26014/files/NS_23(1)_57-64.pdf"}, "version_id": "bd75f498-06a8-4e3b-b05a-e8f434249b43"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "MRSA", "subitem_subject_scheme": "Other"}, {"subitem_subject": "院内感染", "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": "当院歯科病室におけるMRSA感染の検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "当院歯科病室におけるMRSA感染の検討"}, {"subitem_title": "当院歯科病室におけるMRSA感染の検討", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1332"], "permalink_uri": "http://hdl.handle.net/10191/19235", "pubdate": {"attribute_name": "公開日", "attribute_value": "2012-07-30"}, "publish_date": "2012-07-30", "publish_status": "0", "recid": "26014", "relation": {}, "relation_version_is_last": true, "title": ["当院歯科病室におけるMRSA感染の検討"], "weko_shared_id": null}