{"created":"2023-06-20T15:50:23.223748+00:00","id":3097,"links":{},"metadata":{"_buckets":{"deposit":"b4130d4b-97b7-4718-a448-b2720badd614"},"_deposit":{"created_by":18,"id":"3097","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3097"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003097","sets":["99:64:68"]},"author_link":["84","1537","31","1535","6652","7219","6654","1534","1536"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"17","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"細菌性髄膜炎は，小児における最重症感染症の1つである．2004年から2008年の過去5年間に当科にて加療した細菌性髄膜炎10症例について，後方視的に検討した．発症年齢は2カ月から7歳，起炎菌はインフルエンザ桿菌が9名（BLNAR3名）と大半を占め，B 群連鎖球菌（GBS）が1名であった．死亡例はなく，2例に後遺症を認めている．\r\nBLNAR は最近の3例であり，1例は抗菌剤の選択に苦慮した．小児細菌性髄膜炎は早期診断・治療が予後を大きく左右するとされている．症状は非典型的な事もあるため，小児の発熱では常に細菌性髄膜炎の可能性を念頭に置き，疑ったら髄液検査を施行し診断を確定すべきである．今回の検討で，耐性菌の増加している印象や，早急に治療を開始できたが後遺症を残した症例も認め，発症後の対応だけでは限界がある一面も認めた．耐性菌を防ぐ適正な抗菌剤の使用とともに，インフルエンザ菌b 型（Hib）ワクチンの定期接種への早期導入が望ましいと思われた．","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","subitem_source_identifier_type":"ISSN"}]},"item_10002_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":[{"creatorNames":[{"creatorName":"梅本, 多嘉子"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"七條, 光市"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉本, 真弓"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"東田, 栄子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川人, 雅美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡邉, 力"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中津, 忠則"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"吉田, 哲也"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-02-05"}],"displaytype":"simple","filename":"trchmj1401_17-22.pdf","filesize":[{"value":"640.7 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vaccinne","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院にて過去5年間に経験した細菌性髄膜炎10症例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院にて過去5年間に経験した細菌性髄膜炎10症例の検討"},{"subitem_title":"Analysis of １０Cases of Bacterial Meningitis Encountered at Our Hospital over the Past Five Year Period","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["68"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-02-05"},"publish_date":"2013-02-05","publish_status":"0","recid":"3097","relation_version_is_last":true,"title":["当院にて過去5年間に経験した細菌性髄膜炎10症例の検討"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:58:02.831913+00:00"}