ST合剤耐性肺炎球菌
WordNet
- 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
- a sulfonamide (trade name Gantanol) used to treat infections (especially infections of the urinary tract) (同)Gantanol
PrepTutorEJDIC
- 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
- Macrolide resistance mechanisms among Streptococcus pneumoniae isolated over 6 years of Canadian Respiratory Organism Susceptibility Study (CROSS) (1998 2004).
- Wierzbowski AK1, Nichol K, Laing N, Hisanaga T, Nikulin A, Karlowsky JA, Hoban DJ, Zhanel GG.
- The Journal of antimicrobial chemotherapy.J Antimicrob Chemother.2007 Oct;60(4):733-40. Epub 2007 Aug 2.
- PMID 17673477
- Kohlhoff SA1, Sharma R.
- Expert opinion on investigational drugs.Expert Opin Investig Drugs.2007 Sep;16(9):1441-8.
- PMID 17714029
- Comparative in vitro activity of PGE 9262932 and fluoroquinolones against Canadian clinical Streptococcus pneumoniae isolates, including molecularly characterized ciprofloxacin-resistant isolates.
- Adam HJ1, Schurek KN, Decorby MR, Weshnoweski B, Vashisht R, Karlowsky K, Hoban DJ, Zhanel GG.
- The Journal of antimicrobial chemotherapy.J Antimicrob Chemother.2006 Jul;58(1):202-4. Epub 2006 Apr 24.
- PMID 16636082
Related Links
- Trimethoprim-sulfamethoxazole (TMP-SMX) was commonly used to treat these conditions from the mid-1970s to the mid-1990s, but this combination drug has largely fallen out of favor because of the high rate of pneumococcal ...
- 1. Scand J Infect Dis. 2009;41(2):113-21. doi: 10.1080/00365540802651889. Cotrimoxazole resistance of Streptococcus pneumoniae and commensal streptococci from Kampala, Uganda. Wilén M(1), Buwembo W ...
★リンクテーブル★
[★]
- 英
- trimethoprim/sulfamethoxazole-resistant Streptococcus pneumoniae
- 関
- 肺炎球菌、ST合剤
[★]
- 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
[★]
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