{"created":"2023-07-27T06:57:58.947529+00:00","id":55497,"links":{},"metadata":{"_buckets":{"deposit":"a75ec643-6859-4ed6-82e4-f920d380de96"},"_deposit":{"created_by":18,"id":"55497","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"55497"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00055497","sets":["2812:2813:2826"]},"author_link":["97452","27825"],"item_9_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-02-03","bibliographicIssueDateType":"Issued"},"bibliographicPageStart":"1p.","bibliographicVolumeNumber":"2006 – 2007","bibliographic_titles":[{"bibliographic_title":"平成19(2007)年度 科学研究費補助金 基盤研究(C) 研究成果報告書概要"},{"bibliographic_title":"2007 Fiscal Year Final Research Report Summary","bibliographic_titleLang":"en"}]}]},"item_9_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{}],"nameIdentifiers":[{},{}]}]},"item_9_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"昨年度に引き続き更なるデータ解析と,化膿創治療を中心とした専攻論文のレビューを実施した.インドネシア大学微生物研究所によれば,2003年にジャカルタで化膿創から分離された主な細菌はStaphylococcus aureus(14%)であった緊急援助隊医療チーム(JDR)においても化膿創の主な起因菌がS.aureusという前提でβ-ラクタム系ペニシリンが使用されていた.一方,海外の河川や海洋等での事故による外傷治療において,Aeromonas spp.を起因菌とする感染例が見られたとの報告が数件あるが,日本では,河川等での事故による外傷のempirical therapyにおいて,Aeromonas spp.が起因菌の一つとして考慮されることはほとんどない.また,Aeromonas spp.を起因菌とする創部感染は,S.aureusによるものと症状による区別がつきにくく,β-ラクタム系ペニシリンに耐性のものが多く治療が困難である.そこで,適切な治療薬の早期使用を可能とするためには,グラム染色の実施が重要な鍵となる.更に,バンダアチェにおける環境水調査と被災者を対象に実施した質的調査から,負傷した被災者は水浴びなどで治療中もAeromonas spp., Klebsiela spp., Vibrio spp.に暴露し続けていたことが明らかとなった.\n起因菌の同定またはグラム染色ができない状況下での望ましい治療とは,S. aureusを想定して,第一選択薬としてβ-ラクタム系ペニシリンを3日間投与し,効果が認められなかった場合には,起因菌としてグラム陰性菌もしくは第一選択薬に耐性のある細菌を想定し,ニューキノロン系薬剤を使用することであるとの結論を得た.JDRのような緊急医療救援に関わるチームは,グラム染色実施の機材と十分な量のニューキノロン系薬剤を現場に携行することが強く推奨される.","subitem_description_type":"Abstract"},{"subitem_description":"Further analyses of the 1st year results and reviews of the previous studies on traumatic wound infection were done. According to a report by Indonesia University (2004), one of commonly isolated bacteria from infected wounds in Jakarta was Staphylococcus aureus (14%). Japan Disaster Relief (JDR) medical team selected beta-lactam penicillins as 1st line antimicrobials under an assumption that the causative bacteria of wound infections were mainly S. aureus. On the contrary, there were several studies reported that traumatic wound cases submerged in water were infected with Aeromonads. However, Aeromonads are rarely considered as one of infectious agents when Japanese doctors start empirical therapy for such cases. Major reasons for the difficulty in such practice are: wound infections caused by Aeromonas spp. Are similar to those by S. aureus, and most of Aeromonads are resistant to beta-lactam penicillins. Therefore, by making Gram staining available, it will be possible to provide appropriate antimicrobial therapy at early timing. Further, the result of analyses of water samples collected from aquatic environment and qualitative data obtained from tsunami survivors at Banda Aceh suggested that the survivors been repeatedly exposed to pathogens, Aeromonas spp., Klebsiela spp., Vibrio spp. When they were bathing at shelters.\nThrough this study researchers recommend a empirical therapy, i.e., where clinical microbiological are not available: the initial use of beta-lactam penicillins for 3 days for S. aureus, followed by new quinolones if the first antimicrobial is not effective under an assumption that the etiological agents are Gram-negative bacilli or beta-lactam penicillins resistant bacteria. Finally it is highly recommended that medical relief team such as JDR should equip for Gram staining and keep enough amounts of new quinolones.","subitem_description_type":"Abstract"}]},"item_9_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"研究課題/領域番号:18614002, 研究期間(年度):2006 – 2007","subitem_description_type":"Other"},{"subitem_description":"出典：「インド洋大津波緊急医療救援データに基づく抗生物質使用に関する研究」研究成果報告書　課題番号18614002\n（KAKEN：科学研究費助成事業データベース（国立情報学研究所））\n（https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-18614002/186140022007kenkyu_seika_hokoku_gaiyo/)を加工して作成","subitem_description_type":"Other"}]},"item_9_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学理工研究域","subitem_description_type":"Other"}]},"item_9_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00061772","subitem_identifier_reg_type":"JaLC"}]},"item_9_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/search/?kw=40323604"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/search/?kw=40323604","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-18614002/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-18614002/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-18614002/186140022007kenkyu_seika_hokoku_gaiyo/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://kaken.nii.ac.jp/ja/report/KAKENHI-PROJECT-18614002/186140022007kenkyu_seika_hokoku_gaiyo/","subitem_relation_type_select":"URI"}}]},"item_9_version_type_25":{"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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-05-17"}],"displaytype":"detail","filename":"SC-PR-OKUMURA-J-kaken 2010-1p.pdf","filesize":[{"value":"155.1 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"SC-PR-OKUMURA-J-kaken 2010-1p.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/55497/files/SC-PR-OKUMURA-J-kaken 2010-1p.pdf"},"version_id":"44e941a8-5693-4c94-ac37-73ed3eb407f4"}]},"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":"research report","resourceuri":"http://purl.org/coar/resource_type/c_18ws"}]},"item_title":"インド洋大津波緊急医療救援データに基づく抗生物質使用に関する研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"インド洋大津波緊急医療救援データに基づく抗生物質使用に関する研究"},{"subitem_title":"Study on rational antimicrobial use through activities of a medical relief team after the Indian Ocean Tsunami","subitem_title_language":"en"}]},"item_type_id":"9","owner":"18","path":["2826"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-05-17"},"publish_date":"2021-05-17","publish_status":"0","recid":"55497","relation_version_is_last":true,"title":["インド洋大津波緊急医療救援データに基づく抗生物質使用に関する研究"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T14:21:59.031095+00:00"}