抗菌薬耐性肺炎球菌
WordNet
- any drug that destroys bacteria or inhibits their growth (同)antibacterial_drug, bactericide
- destroying bacteria or inhibiting their growth
- impervious to being affected; "resistant to the effects of heat"; "resistant to persuasion"
- respiratory disease characterized by inflammation of the lung parenchyma (excluding the bronchi) with congestion caused by viruses or bacteria or irritants
- spherical Gram-positive bacteria occurring in pairs or chains; cause e.g. scarlet fever and tonsillitis (同)streptococci, strep
PrepTutorEJDIC
- 抵抗力のある;(…に)抵抗する《+『to』+『名』》
- 肺炎
- 連鎖球菌
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
- 1. 固有弁心内膜炎の抗菌療法 antimicrobial therapy of native valve endocarditis
- 2. 成人における市中肺炎に対する診断的アプローチ diagnostic approach to community acquired pneumonia in adults
- 3. 入院を要する成人における市中肺炎の治療 treatment of community acquired pneumonia in adults who require hospitalization
- 4. 肺移植後の細菌感染症 bacterial infections following lung transplantation
- 5. 成人における市中肺炎の疫学、病因、および微生物学 epidemiology pathogenesis and microbiology of community acquired pneumonia in adults
English Journal
- Comparative bacteriology of acute and chronic dacryocystitis.
- Bharathi MJ1, Ramakrishnan R, Maneksha V, Shivakumar C, Nithya V, Mittal S.
- Eye (London, England).Eye (Lond).2008 Jul;22(7):953-60. Epub 2007 Jun 29.
- AIMS: To compare the bacterial aetiology and their in vitroantibacterial susceptibilities of acute and chronic dacryocystitis.METHODS: A retrospective analysis of patients with clinically diagnosed acute and chronic dacryocystitis who underwent microbiological evaluation presenting between January 2
- PMID 17603466
- Improving outcomes of elderly patients with community-acquired pneumonia.
- Gutiérrez F1, Masiá M.
- Drugs & aging.Drugs Aging.2008;25(7):585-610.
- Community-acquired pneumonia (CAP) is a major cause of morbidity and mortality in elderly patients. Therefore, efforts to optimize the healthcare process for patients with CAP are warranted. An organized approach to management is likely to improve clinical results. Assessing the severity of CAP is c
- PMID 18582147
- Acute otitis media in children: association with day care centers--antibacterial resistance, treatment, and prevention.
- Greenberg D1, Hoffman S, Leibovitz E, Dagan R.
- Paediatric drugs.Paediatr Drugs.2008;10(2):75-83.
- Children attending day care centers (DCCs) frequently carry antibacterial-resistant organisms in their nasopharynx, leading to acute otitis media (AOM) that may be refractory to antibacterial treatment. The development and spread of resistant organisms are facilitated in DCCs as a result of the foll
- PMID 18345717
★リンクテーブル★
[★]
- 英
- antibacterial-resistant Streptococcus pneumoniae, antibiotic-resistant Streptococcus pneumoniae
[★]
- ラ
- Streptococcus pneumoniae
- 同
- 肺炎球菌、肺炎レンサ球菌、肺炎連鎖球菌、肺炎双球菌、ストレプトコッカス・ニューモニエ
- 関
- 連鎖球菌
- first aid step1 2006 p.134,138
細菌学
- グラム陽性球菌
- 西洋槍(ランセット)型の双球菌
- α溶血性。ランスフィールド分類には分類されない
- オプトヒン感受性
- 自己融解 autolysis ← 培養しすぎに注意
- 中心部の陥凹した集落
- 莢膜多糖体を有する ← 抗食菌作用(C3bの付着に抵抗する)
- IgA proteaseを分泌
- 健常人の5-250%の気道に存在するが莢膜がない弱毒の株
感染症
-
易感染性宿主
- 2歳以下の乳幼児や老人で重症化しやすい
- 脾臓を受けた患者、急性骨髄性白血病、骨髄移植、HIV感染症で発症しやすい
most common cause of:
MOPS are Most OPtochin Sensitive
診断
- 臨床像から疑い、胸部X線、喀痰のグラム染色、尿中抗原を行う。グラム染色と尿中抗原が陽性であれば特異的な治療を開始する。 (IRE.1010)
- (経験的治療の前に？)診断及び感受性検査のために喀痰培養、血液培養検査を行う。
参考
USMLE
[★]
- 関
- anti-bacterial agent、antibacterial agent、antibacterial drug、antibacterially、antibacterials、antibiotic、antibiotics、antimicrobial、antimicrobial agent、antimicrobials
[★]
- 関
- recalcitrance、refractory、resist、resistance、resistive、stand、tolerance、tolerant、withstand
[★]
Streptococcus pneumoniae、Klebsiella pneumoniae、Mycoplasma pneumoniae、Chlamydia pneumoniae、Chlamydophila pneumoniae