- 同
- PRSP
WordNet
- impervious to being affected; "resistant to the effects of heat"; "resistant to persuasion"
- any of various antibiotics obtained from Penicillium molds (or produced synthetically) and used in the treatment of various infections and diseases
- 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』》
- ペニシリン(坑生物質の一種)
- 肺炎
- 連鎖球菌
UpToDate Contents
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English Journal
- Genetic Analyses of Penicillin Binding Protein Determinants in Multidrug-Resistant Streptococcus pneumoniae Serogroup 19 CC320/271 Clone with High-Level Resistance to Third-Generation Cephalosporins.
- Ip M1, Ang I2, Liyanapathirana V2, Ma H2, Lai R2.
- Antimicrobial agents and chemotherapy.Antimicrob Agents Chemother.2015 Jul;59(7):4040-5. doi: 10.1128/AAC.00094-15. Epub 2015 Apr 27.
- We describe the dissemination of a multidrug-resistant (MDR) serogroup 19 pneumococcal clone of representative multilocus sequence type 271 (ST271) with high-level resistance to cefotaxime in Hong Kong and penicillin binding protein (pbp) genes and its relationships to Taiwan(19F)-14 and the prevale
- PMID 25918136
- Natural transformation and genome evolution in Streptococcus pneumoniae.
- Straume D1, Stamsås GA1, Håvarstein LS2.
- Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases.Infect Genet Evol.2015 Jul;33:371-380. doi: 10.1016/j.meegid.2014.10.020. Epub 2014 Nov 4.
- Streptococcus pneumoniae is a frequent colonizer of the human nasopharynx that has the potential to cause severe infections such as pneumonia, bacteremia and meningitis. Despite considerable efforts to reduce the burden of pneumococcal disease, it continues to be a major public health problem. After
- PMID 25445643
- Effect of dexamethasone on the efficacy of daptomycin in the therapy of experimental pneumococcal meningitis.
- Vivas M1, Force E2, Tubau F3, El Haj C2, Ariza J2, Cabellos C2.
- International journal of antimicrobial agents.Int J Antimicrob Agents.2015 Jul;46(1):28-32. doi: 10.1016/j.ijantimicag.2015.01.014. Epub 2015 Mar 6.
- This study aimed to determine the effect of dexamethasone in combination with low-dose or high-dose daptomycin for the treatment of penicillin- and cephalosporin-resistant pneumococcal meningitis. Efficacy (ΔCFU/mL) and cerebrospinal fluid (CSF) levels of daptomycin at 15mg/kg and 25mg/kg were stud
- PMID 25813395
Japanese Journal
- アデノイド切除術,両側口蓋扁桃摘出術後に血清型35B 肺炎球菌による髄膜炎を発症した 1 例
- 星野 直,有本 友季子,仲野 敦子
- 小児耳鼻咽喉科 35(1), 12-16, 2014
- 2 歳 3 か月の男児。結合型 7 価肺炎球菌ワクチン(PCV7)4 回接種済み。いびき,無呼吸に対し,全身麻酔下にアデノイド切除,口蓋扁桃摘出術を施行した。周術期抗菌薬は ampicillin を静注で使用(当日は術直前および10時間後に静注)。POD1 に40℃の発熱を,POD2 に痙攣を認めた。血液,髄液より肺炎球菌が分離され,同菌による細菌性髄膜炎と診断。急性期に集中治療を要したが,後 …
- NAID 130004992684
- Clinical Characteristics of Acute Otitis Media in Children under the Age of 2 Years and the Efficacy of Tosufloxacin
- , , , , ,
- 耳鼻咽喉科臨床 補冊 138(0), 16-17, 2014
- … In the AOM<2 group, Haemophilus influenzae and Streptococcus pneumoniae, the 2 major pathogenic bacteria, were responsible for 66.7% and 25.6% of the cases, respectively, while in the AOM≧2 group, Haemophilus influenzae and Streptococcus pneumoniae were responsible for 41.1% and 70.5% of the cases, respectively. …
- NAID 130004834018
- 宮部 はるか,川島 佳代子
- 耳鼻咽喉科臨床 107(8), 609-615, 2014
- … Since Streptococcus pneumonia has severe pathogenicity and the incidence of penicillin-resistant S. … pneumoniae has been increasing, it is important to identify S. … pneumoniae is one of the normal inhabitants of the nasopharynxes, so it is difficult to identify it as a pathogenic bacterium. … pneumoniae HS (HS kit) for the detection of pathogenic bacteria associated with acute rhinosinusitis. …
- NAID 130004679704
Related Links
- ANTIMICROBIAL ACTIVITY SUPPLEMENT ARTICLE Penicillin-Resistant Streptococcus pneumoniae: Review of Moxifloxacin Activity Axel Dalhoff,1 Christina Krasemann,1 Susanne Wegener,1 and Glenn Tillotson2 Research and ...
- Penicillin resistant Streptococcus pneumoniae (PRSP) TK Ng, Department of Pathology, Princess Margaret Hospital Streptococcus pneumoniae is the major pathogen causing community acquired infections such as acute otitis ...
★リンクテーブル★
[★]
- 関
- ペニシリン耐性肺炎球菌 penicillin-resistant Streptococcus pneumoniae、マクロライド耐性肺炎球菌 macrolide-resistant pneumococcus
[★]
- 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