{"created":"2023-06-19T11:24:06.241207+00:00","id":4760,"links":{},"metadata":{"_buckets":{"deposit":"302ae548-934e-4ef7-8b56-4d0564926c5e"},"_deposit":{"created_by":3,"id":"4760","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4760"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004760","sets":["7","7:23"]},"author_link":["14766"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-05-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"41","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"日本耳鼻咽喉科感染症研究会会誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2012年1月〜7月の間に著者らの施設で鼓膜切開を実施し中耳貯留液の迅速診断を行った小児急性中耳炎中等症および重症症例38例を対象に、肺炎球菌抗原迅速診断キット(ラピラン肺炎球菌HS)の臨床現場での使用法について検討した。その結果、中耳貯留液の培養結果を基準とするラピラン肺炎球菌HSの感受性は50.0%、特異性は93.8%であり、高い特異度からラピラン肺炎球菌HSが陽性の場合には肺炎球菌が原因菌と考え、AMPCまたはCVA/AMPC 1:14製剤を選択することが可能であった。一方、迅速診断が陰性の場合にはインフルエンザ菌が原因菌であり、AMPCが無効であることを想定してセフェム系抗菌薬を選択し86.8%の患者にセフェム系抗菌薬を投与することになった。しかし、迅速診断陰性はAMPCが無効の根拠とはならず、セフェム系抗菌薬選択の根拠ともならないことから抗菌薬の適正使用上、AMPCを第一選択薬とし、その効果を3〜4日後に評価してから抗菌薬の増量やスイッチを考慮する従来の対応が望ましいと考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"著者最終原稿版","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"2014010605","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-3976","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2014010605"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"676"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"562"}]},"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_ab4af688f83e57aa","subitem_version_type":"AM"}]},"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":"14766","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":"5580.pdf","filesize":[{"value":"470.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5580.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4760/files/5580.pdf"},"version_id":"b6ddf255-b5e2-4390-a053-efd4b48f0a1f"}]},"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":"抗菌薬の適正使用とは何か　いつ増量し、いつスイッチするか 耐性菌を増やさないという視点からの考察","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"抗菌薬の適正使用とは何か　いつ増量し、いつスイッチするか 耐性菌を増やさないという視点からの考察","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-01-27"},"publish_date":"2014-01-27","publish_status":"0","recid":"4760","relation_version_is_last":true,"title":["抗菌薬の適正使用とは何か　いつ増量し、いつスイッチするか 耐性菌を増やさないという視点からの考察"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:04:40.725527+00:00"}