{"created":"2023-06-20T15:51:56.530800+00:00","id":5782,"links":{},"metadata":{"_buckets":{"deposit":"53b7864a-68c9-4054-a37a-7e063734c341"},"_deposit":{"created_by":29,"id":"5782","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"5782"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00005782","sets":["95:28:202"]},"author_link":["18585","15064","15065","8880","18583","51170","18584","8876","15061"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"17","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"静岡赤十字病院研究報"},{"bibliographic_title":"Journal of Japanese Red Cross Shizuoka Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"血液培養検査は感染症診断において重要な検査である．当院において2008年1月から2012年12月の5年間に提出された血液培養を対象とし，提出検体数，複数セット採取率，陽性検出率，検出菌について集計を行ったので報告する．機器は全自動培養装置BacT/ALERT-3Dを用い7日間培養した．提出件数は2008年3,727件，2010年4,840件，2012年4,899件と2010年に急増している．複数セット採取率も同様の傾向であり，2008年に42％の複数セット採取率が2010年以降60％まで増加した．陽性検出率は2010年以降17％前後を推移している．検出菌はコアグラーゼ陰性ブドウ球菌（CNS：Coagulase -negative- staphylococci），腸内細菌群で50％を占めており，次いでBacillus，腸球菌，メチシリン耐性黄色ブドウ球菌（MRSA：Methicillin-resistant Staphylococcus aureus）が上位を占めた．陽性になるまでの時間は，87％が2日以内である．当直時間帯に血液培養が陽性転化した率は70％占めており，休日陽性化した率も20％を占めていた．\n　血液培養精度向上のためには現状を認識し，2セット摂取の推奨とともに，コンタミネーションの減少につとめる必要がある．また陽性報告の遅れは適切な治療の遅れにつながる．迅速な対応のため2012年12月より業務改善を行い，当直者によるサブカルチャー，休日の細菌業務を行うこととした.\n","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡赤十字病院"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0911-9833","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":"岩田, 一美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉山, 八寿子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡部, ゆかり"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"羽山, 祐子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒山, 祥文"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"前澤, 圭亮"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, あゆみ"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"田村, 菜緒"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-09-17"}],"displaytype":"simple","filename":"jrcsh3301_17-22.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf003333","url":"https://redcross.repo.nii.ac.jp/record/5782/files/jrcsh3301_17-22.pdf"},"version_id":"8a0fa199-e3f3-476e-beea-263a4e22bfcf"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"血液培養","subitem_subject_scheme":"Other"},{"subitem_subject":"複数セット採取率","subitem_subject_scheme":"Other"},{"subitem_subject":"陽性率","subitem_subject_scheme":"Other"},{"subitem_subject":"検出菌","subitem_subject_scheme":"Other"},{"subitem_subject":"Blood culture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ratio of duplicated samples","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"positive detection rate","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":"当院における過去5年間の血液培養実施状況","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院における過去5年間の血液培養実施状況"},{"subitem_title":"Status of Blood Culture Performed at Our Hospital for the Past Five Years","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"29","path":["202"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-09-17"},"publish_date":"2014-09-17","publish_status":"0","recid":"5782","relation_version_is_last":true,"title":["当院における過去5年間の血液培養実施状況"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-06-20T18:48:09.571014+00:00"}