抗菌薬耐性肺炎球菌
WordNet
- a chemical substance derivable from a mold or bacterium that can kill microorganisms and cure bacterial infections; "when antibiotics were first discovered they were called wonder drugs" (同)antibiotic drug
- of or relating to antibiotic drugs
- 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
- 抗生物質(ペニシリン,ストレプトマイシンなど) / 抗生[物質]の
- 抵抗力のある;(…に)抵抗する《+『to』+『名』》
- 肺炎
- 連鎖球菌
UpToDate Contents
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English Journal
- Prevalence of nasopharyngeal pneumococcal colonization in children and antimicrobial susceptibility profiles of carriage isolates.
- Zhou JY1, Isaacson-Schmid M1, Utterson EC2, Todd EM1, McFarland M1, Sivapalan J1, Niehoff JM3, Burnham CD4, Morley SC5.
- International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases.Int J Infect Dis.2015 Sep 3;39:50-52. doi: 10.1016/j.ijid.2015.08.010. [Epub ahead of print]
- Nasopharyngeal (NP) pneumococcal carriage predisposes children to pneumococcal infections. Defining the proportion of pneumococcal isolates that are antibiotic-resistant enables the appropriate choice of empiric therapies. The antibiogram of NP carriage isolates derived from a pediatric population f
- PMID 26327122
- Serotype distribution and antibiotic resistance of Streptococcus pneumoniae isolates collected at a Chinese hospital from 2011 to 2013.
- Huang S1, Liu X2, Lao W3, Zeng S4, Liang H5, Zhong R6, Dai X7, Wu X8, Li H9, Yao Y10,11,12.
- BMC infectious diseases.BMC Infect Dis.2015 Aug 5;15(1):312. doi: 10.1186/s12879-015-1042-5.
- BACKGROUND: Streptococcus pneumoniae infections are a major cause of global morbidity and mortality, and the emergence of antibiotic-resistant Streptococcus pneumoniae strains has been increasingly reported. This study provides up-to-date information on bacterial serotype distribution and drug resis
- PMID 26243258
- Impact of the Pneumococcal Conjugate Vaccine and Antibiotic Use on Nasopharyngeal Colonization by Antibiotic Nonsusceptible Streptococcus pneumoniae - Alaska, 2000-2010.
- Gounder PP1, Brewster M, Bruce MG, Bruden DJ, Rudolph K, Hurlburt DA, Hennessy TW.
- The Pediatric infectious disease journal.Pediatr Infect Dis J.2015 Jul 29. [Epub ahead of print]
- BACKGROUND: We describe the relative impact of the heptavalent pneumococcal conjugate vaccine (PCV7, introduced 2001) and antibiotic use on colonization by antibiotic resistant pneumococci in urban Alaskan children during 2000-2010.METHODS: We obtained nasopharyngeal swab specimens from a convenienc
- PMID 26226443
Japanese Journal
- 耐性肺炎球菌感染症 (特集 呼吸器領域で注目される耐性菌感染症)
- A challenge to appropriate antibiotic use in children with respiratory infections: a 5-year single-institution experience
- Matsumoto Ayumi,Hashimoto Koichi,Kawasaki Yukihiko,Hosoya Mitsuaki
- Fukushima Journal of Medical Science 57(2), 33-45, 2011
- … BACKGROUND: We have studied the rate of emergence of antibiotic-resistant Streptococcus pneumoniae (S. … pneumoniae) and Haemophilus influenzae (H. … influenzae) and the subsequent antibiotic use in host patients of those isolates at the Department of Pediatrics, Soma General Hospital, Fukushima. …
- NAID 130002153580
- Non-antibiotic treatment for pediatric outpatients with common cold inhibits the emergence of drug resistant pneumococci
- 松本 歩美,武山 彩,橋本 浩一,伊藤 正樹,片寄 雅彦,加藤 一夫,川崎 幸彦,細矢 光亮
- Fukushima journal of medical science 56(1), 28-37, 2010-06-01
- … The occurrence of drug resistant Streptococcus pneurmoniae (S. … pneumoniae) is very high in Japan. … Unnecessary use of antibiotics had been thought to cause this problem but previous studies had not clearly showed that the decreasing rate of antibiotic use had been related to the reduction of the prevalence of resistant strains. …
- NAID 10030916070
Related Links
- Appelbaum PC. Antimicrobial resistance in Streptococcus pneumoniae: an overview. Clin Infect Dis. 1992 Jul; 15 (1):77–83. [PubMed] Weingarten RD, Markiewicz Z, Gilbert DN. Meningitis due to penicillin-resistant Streptococcus ...
- Antibiotic-resistant strains of Streptococcus pneumoniae are becoming more prevalent throughout the world; this has resulted in modifications of treatment approaches. Management of bacterial meningitis has the greatest consensus.
★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
- recalcitrance、refractory、resist、resistance、resistive、stand、tolerance、tolerant、withstand
[★]
Streptococcus pneumoniae、Klebsiella pneumoniae、Mycoplasma pneumoniae、Chlamydia pneumoniae、Chlamydophila pneumoniae