{"created":"2021-03-01T06:31:33.046149+00:00","id":26014,"links":{},"metadata":{"_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"},"item_7_alternative_title_1":{"attribute_name":"\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_alternative_title":"Infection by Methicilin-Resistant Staphilococcus Aureus in our hospital"}]},"item_7_biblio_info_6":{"attribute_name":"\u66f8\u8a8c\u60c5\u5831","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1993-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"64","bibliographicPageStart":"57","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c"},{"bibliographic_title":"\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"\u6284\u9332","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 (\u03b2-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 \u03b2-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' 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":"\u5f53\u9662\u6b6f\u79d1\u75c5\u5ba4\u306b\u304a\u3051\u308bMRSA\u611f\u67d3\u60a3\u8005\u306e\u7d99\u767a\u3092\u6a5f\u306b\u305d\u306e\u611f\u67d3\u6210\u7acb\u306e\u80cc\u666f\u56e0\u5b50\uff64\u767a\u75c7\u75c7\u4f8b\u306e\u6cbb\u7642\u7d4c\u904e\uff64\u691c\u51fa\u83cc\u306e\u7d30\u83cc\u5b66\u7684\u7279\u5fb4\u304a\u3088\u3073\u9662\u5185\u306eMRSA\u6c5a\u67d3\u72b6\u6cc1\u306b\u3064\u3044\u3066\u691c\u7d22\u3057\u305f\uff61 1. \u5f53\u9662\u3067\u306f\u5e73\u62104\u5e745\u6708\u307e\u3067\u306b11\u540d\u306bMRSA\u304c\u691c\u51fa\u3055\u308c\u3066\u304a\u308a\uff64\u5165\u9662\u6642\u4fdd\u83cc\u8005\u3067\u3042\u3063\u305f3\u4f8b\u3092\u9664\u304f\u3068\u539f\u75be\u60a3\u306f\u5168\u4f8b\u60aa\u6027\u816b\u760d\u3067\uff64\u305d\u306e\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u305f\uff61\u3053\u308c\u3089\u306f\u9ad8\u9f62\u8005\u304c\u591a\u304f\uff64\u5171\u901a\u4e8b\u9805\u3068\u3057\u3066\u6297\u751f\u5264\u306e\u9577\u671f\u6295\u4e0e\u304c\u306a\u3055\u308c\u3066\u3044\u308b\u3053\u3068\uff64\u4f53\u5185\u7559\u7f6e\u30ab\u30fc\u30c6\u30eb\u304c\u633f\u5165\u3055\u308c\u3066\u3044\u308b\u3053\u3068\uff64\u83cc\u691c\u51fa\u307e\u3067\u306e\u5165\u9662\u671f\u9593\u304c\u9577\u3044\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u305f\uff61 2. MRSA\u611f\u67d3\u75c7\u767a\u75c7\u6642\u306b\u306fPseudomonas\u7b49\u3068\u306e\u8907\u6570\u83cc\u611f\u67d3\u3092\u4f75\u767a\u3057\u3066\u304a\u308a\uff64\u305d\u308c\u305e\u308c\u611f\u53d7\u6027\u306e\u3042\u308b\u85ac\u5264\u3092\u7528\u3044\u3066\u6cbb\u7642\u3092\u884c\u3063\u305f\u304c\uff64\u5341\u5206\u306a\u6cbb\u7642\u52b9\u679c\u306f\u6319\u3052\u3089\u308c\u306a\u304b\u3063\u305f\uff61 3. MRSA\u304c\u7d99\u767a\u3057\u305f1991\u5e745\u6708\u304b\u30891992\u5e745\u6708\u306b\u884c\u308f\u308c\u305f\u7d30\u83cc\u691c\u67fb\u3067\u306f\uff64MRSA\u306f\u5168\u5206\u96e2\u83cc\u306e3.3%\uff64\u30d6\u30c9\u30a6\u7403\u83cc\u306e42.9%\u3092\u5360\u3081\u3066\u3044\u305f\uff61\u307e\u305f\uff64\u6297\u751f\u5264\u611f\u53d7\u6027\u8a66\u9a13\u306e\u7d50\u679c\uff64\u5f53\u9662\u3067\u691c\u51fa\u3055\u308c\u305fMRSA\u306f\u591a\u304f\u306e\u85ac\u5264\u306b\u5bfe\u3057\u3066\u9ad8\u5ea6\u8010\u6027\u3067\u3042\u308a\uff64\u691c\u51fa\u6642\u671f\u304c\u91cd\u306a\u3063\u3066\u3044\u305f7\u4f8b\u306f\u540c\u3058\u611f\u53d7\u6027\u3092\u793a\u3057\u3066\u3044\u305f\u3053\u3068\u304b\u3089\uff64\u9662\u5185\u611f\u67d3\u306e\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u305f\uff61 4. \u9662\u5185\u6c5a\u67d3\u72b6\u6cc1\u691c\u67fb\u306e\u7d50\u679c\uff64\u4fdd\u83cc\u8005\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u304c\uff64\u74b0\u5883\u691c\u67fb\u306e\u7d50\u679c\uff64MRSA\u60a3\u8005\u9694\u96e2\u75c5\u5ba4\u306e\u4ed6\uff64\u98df\u5802\u304b\u3089\u3082MRSA\u304c\u691c\u51fa\u3055\u308c\uff64\u9662\u5185\u306bMRSA\u304c\u5b9a\u7740\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u305f\uff61 5. MRSA\u611f\u67d3\u4e88\u9632\u5bfe\u7b56\u3068\u3057\u3066\u306f\uff64\u611f\u67d3\u8005\u3092\u51fa\u3055\u306a\u3044\u3068\u540c\u6642\u306b\u611f\u67d3\u304c\u62e1\u5927\u3057\u306a\u3044\u3088\u3046\u611f\u67d3\u7d4c\u8def\u3092\u7d76\u3064\u3053\u3068\uff64\u611f\u67d3\u304c\u7591\u308f\u308c\u305f\u969b\u306b\u9069\u5207\u306a\u6cbb\u7642\u3092\u884c\u3046\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"\u8457\u8005\u5225\u540d","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":"\u51fa\u7248\u8005","attribute_value_mlt":[{"subitem_publisher":"\u65b0\u6f5f\u6b6f\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":"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":"\u8457\u8005","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"\u5ca1\u7530, \u670b\u5b50"}],"nameIdentifiers":[{"nameIdentifier":"153599","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u6cb3\u91ce, \u6b63\u5df1"}],"nameIdentifiers":[{"nameIdentifier":"153600","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u4e2d\u5cf6, \u6c11\u96c4"}],"nameIdentifiers":[{"nameIdentifier":"153601","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u5c71\u7530, \u65e5\u4f50\u5b50"}],"nameIdentifiers":[{"nameIdentifier":"153602","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u935b\u51b6, \u660c\u5b5d"}],"nameIdentifiers":[{"nameIdentifier":"153603","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"\u5927\u6a4b, \u9756"}],"nameIdentifiers":[{"nameIdentifier":"153604","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":"2019-08-19"}],"displaytype":"detail","filename":"NS_23(1)_57-64.pdf","filesize":[{"value":"849.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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":"\u30ad\u30fc\u30ef\u30fc\u30c9","attribute_value_mlt":[{"subitem_subject":"MRSA","subitem_subject_scheme":"Other"},{"subitem_subject":"\u9662\u5185\u611f\u67d3","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":"\u5f53\u9662\u6b6f\u79d1\u75c5\u5ba4\u306b\u304a\u3051\u308bMRSA\u611f\u67d3\u306e\u691c\u8a0e","item_titles":{"attribute_name":"\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_title":"\u5f53\u9662\u6b6f\u79d1\u75c5\u5ba4\u306b\u304a\u3051\u308bMRSA\u611f\u67d3\u306e\u691c\u8a0e"},{"subitem_title":"\u5f53\u9662\u6b6f\u79d1\u75c5\u5ba4\u306b\u304a\u3051\u308bMRSA\u611f\u67d3\u306e\u691c\u8a0e","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["453/456","432/1291/1292/1332"],"pubdate":{"attribute_name":"\u516c\u958b\u65e5","attribute_value":"2012-07-30"},"publish_date":"2012-07-30","publish_status":"0","recid":"26014","relation_version_is_last":true,"title":["\u5f53\u9662\u6b6f\u79d1\u75c5\u5ba4\u306b\u304a\u3051\u308bMRSA\u611f\u67d3\u306e\u691c\u8a0e"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2021-03-01T11:56:15.977548+00:00"}