{"id":7840,"date":"2021-07-26T08:28:00","date_gmt":"2021-07-25T23:28:00","guid":{"rendered":"http:\/\/www.itaya.or.jp\/?p=7840"},"modified":"2021-07-23T12:35:44","modified_gmt":"2021-07-23T03:35:44","slug":"%e8%85%b8%e5%86%85%e7%b4%b0%e8%8f%8c%e3%81%a8%e7%a4%be%e4%bc%9a%e6%80%a73","status":"publish","type":"post","link":"https:\/\/www.itaya.or.jp\/?p=7840","title":{"rendered":"\u8178\u5185\u7d30\u83cc\u3068\u793e\u4f1a\u60273"},"content":{"rendered":"\n

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\u8178\u5185\u7d30\u83cc\u304c\u793e\u4f1a\u7684\u884c\u52d5\u306b\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b
\u3068\u3044\u3046\u8a71\u3067\u3057\u305f\u3002

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\u3042\u308b\u7a2e\u306e\u7d30\u83cc\uff08Enterococcus faecalis\uff09\u3092\u6442\u53d6\u3055\u305b\u308b\u3068
\u793e\u4f1a\u6027\u304c\u56de\u5fa9\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u307e\u3067\u66f8\u304b\u308c\u3066\u3042\u308a\u3001
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\u3053\u3053\u306e\u3068\u3053\u308d\u3092\u5143\u8ad6\u6587\u3067\u898b\u3066\u307f\u307e\u3059\u3068\u3001
\u30a2\u30f3\u30d4\u30b7\u30ea\u30f3\uff08A)\u30fb\u30d0\u30f3\u30b3\u30de\u30a4\u30b7\u30f3\uff08V)\u30fb
\u30cd\u30aa\u30de\u30a4\u30b7\u30f3\uff08N)\u30fb\u30e1\u30c8\u30ed\u30cb\u30c0\u30be\u30fc\u30eb\uff08M)\u3068\u3044\u3046
4\u7a2e\u985e\u306e\u6297\u751f\u5264\u3092\u3044\u308d\u3044\u308d\u306a\u7d44\u307f\u5408\u308f\u305b
\uff08AVNM\uff0fVNM\uff0fAVM\uff0fAVN)\u3067
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AVM\u306e\u7d44\u307f\u5408\u308f\u305b\u306e\u3060\u3051\u306f\u793e\u4f1a\u6027\u304c\u3042\u308b\u7a0b\u5ea6\u7dad\u6301\u3055\u308c\u308b
\u3068\u3044\u3046\u7d50\u679c\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002

AVNM\u3068AVM\u3092\u6295\u4e0e\u3055\u308c\u305f\u30de\u30a6\u30b9\u7fa4\u3067\u3001
\u4fbf\u306e\u4e2d\u306e\u8178\u5185\u7d30\u83cc\u306e\u5206\u6790\u3092\u3057\u305f\u3068\u3053\u308d\u3001
1\u3064\u306e\u7d30\u83cc\u7fa4\u30fb\u30fb\u30fbEnterococcus\u5c5e\u3060\u3051\u9055\u3063\u3066\u3044\u305f\u305d\u3046\u3067\u3059\u3002
\u305d\u3053\u3067\u3001\u6297\u751f\u5264\u3067\u5b8c\u5168\u306b\u8178\u5185\u7d30\u83cc\u3092\u3084\u3063\u3064\u3051\u305f\u30de\u30a6\u30b9\u306b
Enterococcus\u5c5e\u306b\u5c5e\u3059\u308b\u201dE. faecalis\u201d\u3092\u6295\u4e0e\u3057\u305f\u3068\u3053\u308d\u3001
\u898b\u4e8b\u306b\u793e\u4f1a\u6027\u3082\u56de\u5fa9\u3057\u3001
\u30b9\u30c8\u30ec\u30b9\u30db\u30eb\u30e2\u30f3\u3082\u5897\u52a0\u3057\u306a\u304b\u3063\u305f\u306e\u3067\u3057\u305f\u3002

\u3053\u306e\u8ad6\u6587\u3067\u306f\u3001\u201dE.faecalis\u304c\u6297\u751f\u5264\u3067\u8178\u5185\u7d30\u83cc\u304c\u3044\u306a\u304f\u306a\u3063\u305f
\u30de\u30a6\u30b9\u306e\u793e\u4f1a\u7684\u6d3b\u52d5\u3092\u5897\u52a0\u3055\u305b\u308b\u3053\u3068\u3092\u660e\u3089\u304b\u306b\u3057\u3066\u3044\u307e\u3059\u304c\u3001
\u4ed6\u306e\u7d30\u83cc\u304c\u540c\u69d8\u306e\u307e\u305f\u306f\u76f8\u4e57\u52b9\u679c\u3092\u6301\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092
\u6392\u9664\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u201d\u3068\u3082\u66f8\u3044\u3066\u3042\u308a\u3001
\u3044\u304f\u3064\u304b\u306e\u8178\u5185\u5fae\u751f\u7269\u53e2\u306e\u30e1\u30f3\u30d0\u30fc\u304c\u305d\u306e\u5f79\u5272\u3092
\u306b\u306a\u3063\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002

E.faecalis\u306f\u8178\u7ba1\u5e38\u5728\u83cc\u53e2\u306e\u4e00\u3064\u3067\u3001\u666e\u6bb5\u306f\u60aa\u3055\u3092\u3057\u307e\u305b\u3093\u3002
\u305f\u3060\u3001\u62b5\u6297\u529b\u304c\u843d\u3061\u3066\u304f\u308b\u3068\u65e5\u548c\u898b\u611f\u67d3\u75c7\u306e\u75c5\u539f\u4f53\u306b\u306a\u308a\u3001
\u5fc3\u5185\u819c\u708e\u3001\u5c3f\u8def\u611f\u67d3\u75c7\u3001\u8179\u8154\u30fb\u9aa8\u76e4\u5185\u611f\u67d3\u75c7\u306a\u3069\u3092
\u5f15\u304d\u8d77\u3053\u3059\u305d\u3046\u3067\u3059\u3002

E.faecalis\u306f\u533b\u85ac\u54c1\u3060\u3068\u4e73\u9178\u83cc\u88fd\u5264\u306b\u542b\u307e\u308c\u3066\u3044\u307e\u3059\uff08\u203b\uff09\u3002
\u30d3\u30aa\u30d5\u30a7\u30eb\u30df\u30f3R\uff08E.faecalis 129 BIO 3B-R\uff09
\u30a8\u30f3\u30c6\u30ed\u30ce\u30f3R\uff08E. faecalis BIO-4R\uff09
\u30ec\u30d9\u30cb\u30f3\uff08E. faecalis PCR\uff09
\u30d3\u30aa\u30b9\u30ea\u30fc\uff08E. faecium\uff09\u306b\u3082\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002
\uff08\u5404\u85ac\u5264\u306e\u6dfb\u4ed8\u6587\u66f8\u306b\u306fE.faecalis\u3068\u306f\u66f8\u304b\u308c\u3066\u306a\u304f\u3066\u3001
Streptococcus faecalis\u3068\u306a\u3063\u3066\u3044\u308b\u3082\u306e\u304c\u591a\u3044\u3067\u3059\u3002
\u3053\u308c\u306f\u3069\u3046\u3082\u85ac\u5264\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u305f\u6642\u304c\u305d\u308c\u3067\u627f\u8a8d\u3055\u308c\u305f\u305f\u3081\u3001
\u73fe\u5728\u3001\u5206\u985e\u304c\u5909\u308f\u3063\u3066\u3082\u305d\u306e\u307e\u307e\u306b\u306a\u3063\u3066\u3044\u308b\u306e\u304b\u3068\u601d\u3044\u307e\u3059\u3002\uff09

\u203b\u53c2\u8003\u6587\u732e\uff1a\u30d3\u30aa\u30d5\u30a7\u30eb\u30df\u30f3R\u30fb\u30a8\u30f3\u30c6\u30ed\u30ce\u30f3R\u30fb\u30ec\u30d9\u30cb\u30f3\u306b\u3064\u3044\u3066\u306f\u3001
\u201d\u8010\u6027\u4e73\u9178\u83cc\u88fd\u5264\u306b\u5bfe\u3059\u308b\u6297 MRSA \u85ac\u306e\u85ac\u5264\u611f\u53d7\u6027
\u2015\u8010\u6027\u4e73\u9178\u83cc\u88fd\u5264\u306b\u542b\u307e\u308c\u308b\u3000Enterococcus faecalis \u306f linezolid \u306b\u8010\u6027\u3092\u793a\u3059\u201d\u3000\u65e5\u672c\u5316\u5b66\u7642\u6cd5\u5b66\u4f1a\u96d1\u8a8c Vol. 67 No. 4 p.483<\/a>

\u6297\u751f\u5264\u3092\u98f2\u3080\u3068\u304a\u8179\u3092\u58ca\u3057\u3084\u3059\u3044\u4eba\u3067\u306f\u3001
\u6297\u751f\u5264\u3068\u4e00\u7dd2\u306b\u3053\u3046\u3057\u305f\u4e73\u9178\u83cc\u88fd\u5264\u3092\u6442\u308b\u3053\u3068\u3067\u3001
\u8178\u5185\u7d30\u83cc\u53e2\u306e\u64b9\u4e71\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u5834\u5408\u304c\u591a\u3044\u3067\u3059\u3002
\uff08\u3053\u306e\u305f\u3081\u4e0a\u306e\u4e73\u9178\u83cc\u88fd\u5264\u306e\u4e2d\u306b\u306f\u6297\u751f\u5264\u6295\u4e0e\u6642\u306a\u3069\u3057\u304b
\u3000\u4fdd\u967a\u8acb\u6c42\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u306a\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059\uff09

\u4ea4\u611f\u795e\u7d4c\u306e\u7dca\u5f35\u306b\u5bfe\u3057\u3066\u8178\u5185\u7d30\u83cc\u53e2\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u6574\u3048\u308b\uff1a
\u6700\u8fd1\u3067\u306f\u5065\u5eb7\u30b5\u30a4\u30c8\u3067\u306f\u5f53\u305f\u308a\u524d\u306e\u3053\u3068\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001
\u305d\u306e\u3042\u305f\u308a\u306e\u79d1\u5b66\u7684\u306a\u88cf\u4ed8\u3051\u304c\u3082\u3063\u3068\u9032\u3093\u3067\u3001
\u3055\u3089\u306b\u306f\u6cbb\u7642\u6cd5\u3068\u3057\u3066\u3082\u78ba\u7acb\u3055\u308c\u308b\u3068\u3044\u3044\u3067\u3059\u306d\u3002

\u8178\u5185\u6d3b\u52d5\u304c\u3057\u3063\u304b\u308a\u3059\u308c\u3070\u3001
\u80cc\u5074\u8ff7\u8d70\u795e\u7d4c\u306f\u9069\u5ea6\u306a\u72b6\u614b\u304c\u4fdd\u305f\u308c\u3001
\u4ea4\u611f\u795e\u7d4c\u306f\u9069\u5ea6\u306b\u6d3b\u6027\u5316\u306b\u3068\u3069\u307e\u308a\u3001
\u8179\u5074\u8ff7\u8d70\u795e\u7d4c\u306b\u3088\u3063\u3066\u3001\u307f\u3093\u306a\u304c\u5b89\u5fc3\u30fb\u5b89\u5168\u3092\u611f\u3058\u3066
\u793e\u4f1a\u3068\u307b\u3069\u3088\u304f\u7e4b\u304c\u3063\u3066\u5feb\u9069\u306a\u751f\u6d3b\u304c\u304a\u304f\u308c\u307e\u3059\u3002

\u3053\u308c\u306f\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\u306e\u3088\u3046\u306a\u8178\u75be\u60a3\u3060\u3051\u3067\u306a\u304f\u3001
\u8033\u9cf4\u308a\u3084\u5f8c\u9f3b\u6f0f\u3001\u54bd\u5589\u982d\u7570\u5e38\u611f\u75c7\u306a\u3069\u3067\u3082
\u81ea\u5f8b\u795e\u7d4c\u306e\u4e0d\u8abf\u3068\u3044\u3046\u70b9\u3067\u306f\u540c\u3058\u306a\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002
\u8033\u9f3b\u54bd\u5589\u79d1\u9818\u57df\u3067\u3082\u8178\u5185\u7d30\u83cc\u53e2\u306b\u7559\u610f\u3059\u308b
\u305d\u3093\u306a\u6642\u4ee3\u304c\u304d\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002
<\/p>\n","protected":false},"excerpt":{"rendered":"

\u524d\u56de\u30fb\u524d\u3005\u56de\u306e\u30d6\u30ed\u30b0\u306f\u3001\u8178\u5185\u7d30\u83cc\u304c\u793e\u4f1a\u7684\u884c\u52d5\u306b\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u8a71\u3067\u3057\u305f\u3002 \u6700\u521d\u306b\u7d39\u4ecb\u3057\u305f\u30ca\u30be\u30ed\u30b8\u30fc\u306e\u8a18\u4e8b\u306e\u5143\u306b\u306a\u3063\u305f\u8ad6\u6587\u306b\u306f\u3001\u3053\u3046\u3057\u305f\u8178\u5185\u7d30\u83cc\u304c\u3044\u306a\u304f\u306a\u3063\u305f\u72b6\u614b\u306b\u3001\u3042\u308b\u7a2e\u306e\u7d30\u83cc\uff08Enterococcu …<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38,48,75,6],"tags":[66],"class_list":["post-7840","post","type-post","status-publish","format-standard","hentry","category-tinnitus","category-48","category-75","category-blog","tag-66"],"_links":{"self":[{"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/7840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7840"}],"version-history":[{"count":3,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/7840\/revisions"}],"predecessor-version":[{"id":7843,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=\/wp\/v2\/posts\/7840\/revisions\/7843"}],"wp:attachment":[{"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.itaya.or.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}