{"created":"2023-07-27T06:29:31.046494+00:00","id":14300,"links":{},"metadata":{"_buckets":{"deposit":"52dce680-986d-4840-bdb0-97e1aca6d732"},"_deposit":{"created_by":3,"id":"14300","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"14300"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00014300","sets":["1132:1133:1134"]},"author_link":["21450"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-01-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"257","bibliographicPageStart":"254","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"小児耳鼻咽喉科 = Pediatric Otorhinolaryngology Japan"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"我国において，乳幼児の反復性中耳炎の急激な増加が始まったのは1990年代半ばである。当初からリスクファクターとしての集団保育の関与が疑われていたが，集団保育環境下での薬剤耐性菌の蔓延の状態が明らかにされるに伴って，「低年齢（2 歳未満）の保育園児」がハイリスク群であることが明らかとなってきた。免疫能の未熟な乳幼児期に，上咽頭に多量の病原細菌がコロニー形成していることが問題となる。 反復性中耳炎の原因として，第一に中耳炎起炎菌の薬剤耐性化の進行がある。さらに集団保育環境下ではウイルス性上気道炎の流行がしばしば起こり，これが誘因となって中耳炎やその他の細菌感染症が発症しやすい。その結果抗菌薬の使用頻度が高まり，これが耐性細菌の選択圧となり蔓延に繋がっている可能性がある。 対策として考えられる方法は，①肺炎球菌ワクチン，②インフルエンザ・ウイルスワクチン，③保育園の環境整備，④ 2 歳までの休園指導などである。","subitem_description_type":"Abstract"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本小児耳鼻咽喉科学会 = Pediatric Otorhinolaryngology Japan"}]},"item_4_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.11374/shonijibi.32.254","subitem_relation_type_select":"DOI"}}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/browse/shonijibi/-char/ja/","subitem_relation_type_select":"URI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://ped-orl.jp/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本小児耳鼻咽喉科学会 Pediatric Otorhinolaryngology Japan"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10044779","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-5858","subitem_source_identifier_type":"ISSN"}]},"item_4_text_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_text_value":"[シンポジウム1]反復性中耳炎の危険因子とその対応"},{"subitem_text_value":"Serotype distribution and penicillin resistance of Streptococcus pneumoniae isolates from nasopharynx in young children attending day care in Japan"},{"subitem_text_value":"[Symposium 1] Management of rist factors in children with otitis media prone"}]},"item_4_version_type_25":{"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":"伊藤, 真人"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-03"}],"displaytype":"detail","filename":"ME-PR-ITO-M-254.pdf","filesize":[{"value":"486.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-ITO-M-254.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/14300/files/ME-PR-ITO-M-254.pdf"},"version_id":"b45650e0-4712-42b8-97a4-1f6c11041202"}]},"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":"環境因子としての保育園の現状とその対応","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"環境因子としての保育園の現状とその対応"}]},"item_type_id":"4","owner":"3","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-03"},"publish_date":"2017-10-03","publish_status":"0","recid":"14300","relation_version_is_last":true,"title":["環境因子としての保育園の現状とその対応"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-28T00:49:49.049944+00:00"}