{"created":"2023-06-19T11:23:57.451978+00:00","id":4591,"links":{},"metadata":{"_buckets":{"deposit":"b7f85dea-29d4-47c4-9beb-4b266cab8bb5"},"_deposit":{"created_by":3,"id":"4591","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4591"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004591","sets":["7","7:23"]},"author_link":["14229"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-05-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"127","bibliographicPageEnd":"22","bibliographicPageStart":"17","bibliographic_titles":[{"bibliographic_title":"ENTONI"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"小児反復性中耳炎は2009年小児急性中耳炎診療ガイドラインで「過去6ヵ月以内に3回以上、12ヵ月以内に4回以上の急性中耳炎に罹患」と定義された。臨床上は更に、各急性中耳炎の間には急性炎症が完全に消失するタイプと、鼓膜所見が改善せず(semi-hot ear)、比較的短期間の間に再燃を繰り返すタイプに分けられる。反復化には低年齢、集団保育、母乳栄養の期間、そして耐性菌など複数のリスクファクターが関与している。抗菌薬選択は基本的にはガイドラインを参考に行うが、それで制御が困難な場合には静注抗菌薬を用いた除菌、鼓膜換気チューブ留置が有効である。2009〜2010年に発売された小児用経口カルバペネム薬とレスピラトリーキノロン薬はPRSPやBLNARによる難治性中耳炎にも効果が期待できる。濫用は早期の耐性菌出現を招く恐れがあり、それぞれの抗菌薬の特性を活かし適応を絞って用いるべきである。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2067","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011202257"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"765"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1099"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"林, 達哉","creatorNameLang":"ja"},{"creatorName":"ハヤシ, タツヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14229","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":"2021-07-06"}],"displaytype":"detail","filename":"5384.pdf","filesize":[{"value":"9.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5384.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4591/files/5384.pdf"},"version_id":"b96a2569-88e4-492f-92d1-6c9b8e3f9a3d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"反復性中耳炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"急性中耳炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"危険因子","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"鼓膜換気チューブ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"テビペネム・ピボキシル","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"トスフロキサシン","subitem_subject_language":"ja","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"【小児の耳鼻咽喉科疾患-私の工夫-】 小児反復性中耳炎の外来治療","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【小児の耳鼻咽喉科疾患-私の工夫-】 小児反復性中耳炎の外来治療","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-22"},"publish_date":"2013-08-22","publish_status":"0","recid":"4591","relation_version_is_last":true,"title":["【小児の耳鼻咽喉科疾患-私の工夫-】 小児反復性中耳炎の外来治療"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T08:56:36.163757+00:00"}