{"created":"2023-06-20T15:56:36.345858+00:00","id":13534,"links":{},"metadata":{"_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":["95:274:537:543"]},"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":[{}]}]},"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":[{"creatorName":"根本, 泰子","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-29"}],"displaytype":"simple","filename":"misawajsog_7_1_55 (1).pdf","filesize":[{"value":"625.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf.008803","url":"https://redcross.repo.nii.ac.jp/record/13534/files/misawajsog_7_1_55 (1).pdf"},"version_id":"c3d261f2-16c2-47eb-8746-6dfcd3ac8fc3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹腔鏡下子宮全摘","subitem_subject_scheme":"Other"},{"subitem_subject":"Mycoplasma hominis","subitem_subject_scheme":"Other"},{"subitem_subject":"上行性感染","subitem_subject_scheme":"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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-29"},"publish_date":"2018-03-29","publish_status":"0","recid":"13534","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_creator_id":"29","weko_shared_id":-1},"updated":"2023-12-13T07:40:11.815503+00:00"}