{"_buckets": {"deposit": "356819fc-888f-4410-a5c1-981932d02315"}, "_deposit": {"created_by": 29, "id": "13534", "owners": [29], "pid": {"revision_id": 0, "type": "depid", "value": "13534"}, "status": "published"}, "_oai": {"id": "oai:redcross.repo.nii.ac.jp:00013534", "sets": ["543"]}, "author_link": ["44329"], "control_number": "13534", "item_10001_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2018"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "60", "bibliographicPageStart": "55", "bibliographicVolumeNumber": "7", "bibliographic_titles": [{"bibliographic_title": "静岡産科婦人科学会雑誌", "bibliographic_titleLang": "ja"}, {"bibliographic_title": "Journal of the Shizuoka Society of Obstetrics and Gynecology", "bibliographic_titleLang": "en"}]}]}, "item_10001_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "Mycoplasma hominis(以下M.hominis)は泌尿生殖器領域における常在菌であり、産婦人科の術後感染症の原因菌として症例報告が散見される。今回、腹腔鏡下子宮全摘術に腟断端部よりM.hominisによる上行性感染と考えられた症例を経験した。症例は45歳、子宮筋腫のため腹腔鏡下子宮全摘術を行った。子宮を経腟的に細切搬出を行い、その際、腟入口部から円蓋部に至る腟壁裂傷を生じ縫合修復した。術後にCMZ(セフメタゾール)を投与したが、術後2日目より発熱と腹痛が出現し、術後4日目にWBCは正常範囲内であったがCRPの上昇を認め、ABPC/SBT(アンピシリン/スルバクタム)に変更した。しかし、症状の改善なく、術後第8病日に、β-ラクタム系の抗菌薬が無効なことやCRP優位の炎症反応高値などの特徴からM.hominis感染を早期より積極的に疑いCLDM(クリンダマイシン)に変更した。当院の腟培養では陰性であったが、他院に腟培養検体を送付しReal-time PCR法を使用することでM.hominisが同定された。CLDM使用後からは臨床症状の速やかな改善を認め術後12日目に退院した。術後感染の原因としてM.hominisによる腟断端部/裂傷縫合部からの上行性感染が考えられた。", "subitem_description_language": "ja", "subitem_description_type": "Abstract"}]}, "item_10001_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "44329", "nameIdentifierScheme": "WEKO"}]}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "静岡産科婦人科学会"}]}, "item_10001_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "2187-1914", "subitem_source_identifier_type": "ISSN"}]}, "item_10001_version_type_20": {"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": [{"creatorAlternatives": [{"creatorAlternative": "Misawa,Kento", "creatorAlternativeLang": "en"}], "creatorNames": [{"creatorName": "三澤, 研人", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "市川, 義一", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "橋本, 正広", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "佐竹, 恵", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "加藤, 恵", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "江河, 由起子", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "鈴木, まり子", "creatorNameLang": "ja"}]}, {"creatorNames": 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"Other"}, {"subitem_subject": "膣断端部", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Mycoplasma hominis", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Postoperative infection", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Total laparoscopic hysterectomy", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "surgical site infection", "subitem_subject_language": "en", "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": "腹腔鏡下子宮全摘術後に膣断端部からMycoplasma hominisによる上行性感染が考えられた1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "腹腔鏡下子宮全摘術後に膣断端部からMycoplasma hominisによる上行性感染が考えられた1例", "subitem_title_language": "ja"}, {"subitem_title": "Mycoplasma hominis infection from vagina after total laparoscopic hysterectomy: A case report", "subitem_title_language": "en"}]}, "item_type_id": "10001", "owner": "29", "path": ["543"], "permalink_uri": "https://redcross.repo.nii.ac.jp/records/13534", "pubdate": {"attribute_name": "公開日", "attribute_value": "2018-03-29"}, "publish_date": "2018-03-29", "publish_status": "0", "recid": "13534", "relation": {}, "relation_version_is_last": true, "title": ["腹腔鏡下子宮全摘術後に膣断端部からMycoplasma hominisによる上行性感染が考えられた1例"], "weko_shared_id": -1}
腹腔鏡下子宮全摘術後に膣断端部からMycoplasma hominisによる上行性感染が考えられた1例
https://redcross.repo.nii.ac.jp/records/13534
https://redcross.repo.nii.ac.jp/records/13534