{"id":1485,"date":"2017-02-11T19:59:12","date_gmt":"2017-02-11T10:59:12","guid":{"rendered":"http:\/\/www.med.niigata-u.ac.jp\/pub\/?p=1485"},"modified":"2017-02-11T20:05:39","modified_gmt":"2017-02-11T11:05:39","slug":"19th-international-conference-on-emerging-infectious-diseases-in-seoul","status":"publish","type":"post","link":"https:\/\/www.med.niigata-u.ac.jp\/pub\/2017\/02\/11\/19th-international-conference-on-emerging-infectious-diseases-in-seoul\/","title":{"rendered":"19th International Conference on Emerging Infectious Diseases in Seoul"},"content":{"rendered":"

2017\u5e742\u67087\uff0d8\u65e5\u306b\u30bd\u30a6\u30eb\u306e\u30ce\u30dc\u30c6\u30eb\u30a2\u30f3\u30d0\u30b5\u30c0\u30fc\u30db\u30c6\u30eb\u3067\u3001\u7b2c19\u56deInternational Conference on Emerging Infectious Disease\u4f1a\u8b70\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002
\n\u4eca\u56de\u306f\u3001\u7d30\u83cc\u3001\u5bc4\u751f\u866b\u306b\u5bfe\u3059\u308b\u85ac\u5264\u8010\u6027\u304c\u4e2d\u5fc3\u306e\u30c6\u30fc\u30de\u3067\u3001\u7c73\u56fd\u3001\u65e5\u672c\u3001\u30a2\u30b8\u30a2\u5404\u5730\u304b\u3089300\u4eba\u8fd1\u304f\u306e\u53c2\u52a0\u8005\u304c\u3042\u308a\u307e\u3057\u305f\u3002
\n\u767a\u8868\u306e\u4e2d\u3067\u5370\u8c61\u306b\u6b8b\u3063\u305f\u3082\u306e\u3092\u3044\u304f\u3064\u304b\u7d39\u4ecb\u3057\u307e\u3059\u3002
\n\"IMG_3479\"<\/p>\n

\u6771\u90a6\u5927\u5b66\u306e\u8218\u7530\u5148\u751f\u3088\u308a\u3001\u65e5\u672c\u5168\u4f53\u3068\u3057\u3066\u7d30\u83cc\u306e\u8010\u6027\u306e\u983b\u5ea6\u306f\u4e0b\u304c\u3063\u3066\u304a\u308a\u3001\u306a\u304b\u3067\u3082MRSA\u306f\u4f4e\u4e0b\u50be\u5411\u306b\u3042\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002\u30ab\u30eb\u30d0\u30da\u30cd\u30e0\u8010\u6027\u306f\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u304c\u3001\u30ad\u30ce\u30ed\u30f3\u8010\u6027\u306f\u9006\u306b\u4e0a\u304c\u3063\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002<\/p>\n

\u30d9\u30c8\u30ca\u30e0\u306e\u7814\u7a76\u8005\u304b\u3089\u3001\u30d9\u30c8\u30ca\u30e0\u3067\u306f\u3001\u30ad\u30ce\u30ed\u30f3\u8010\u6027\u306e\u8d64\u75e2\u83cc\u304c\u6d41\u884c\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u7c73\u56fdCDC\u306e\u7814\u7a76\u8005\u304b\u3089\u3001\u56db\u5ddd\u7701\u3067\u5f93\u8840\u5438\u866b\u304c\u518d\u4e0a\u6607\u3057\u3066\u3044\u308b\u5730\u57df\u304c\u3042\u308a\u3001\u4e00\u4eba\u306e\u4eba\u304b\u3089\u305a\u3063\u3068\u691c\u51fa\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u305d\u306e\u539f\u56e0\u3092\u3055\u3050\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u767a\u8868\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u4eba\u3084\u6751\u3067\u5f93\u8840\u5438\u866b\u306e\u907a\u4f1d\u5b50\u306b\u56fa\u6709\u306e\u9055\u3044\u304c\u3042\u308b\u3082\u306e\u306e\u3001\u5f93\u8840\u5438\u866b\u306f\u3001\u96cc\u96c4\u3064\u304c\u3044\u304b\u3089\u5b50\u4f9b\u304c\u751f\u307e\u308c\u308b\u306e\u3067\u3001\u7d30\u83cc\u3084\u30a6\u30a4\u30eb\u30b9\u306e\u3088\u3046\u306b\u5358\u4e00\u30af\u30ed\u30fc\u30f3\u3092\u8ffd\u3044\u304b\u3051\u308b\u306e\u304c\u96e3\u3057\u3044\u306e\u3060\u305d\u3046\u3067\u3059\u3002\u3044\u308f\u3070\u5bb6\u7cfb\u56f3\u3092\u4f5c\u3089\u306d\u3070\u306a\u3089\u306a\u3044\u305d\u3046\u3067\u3001\u3053\u306e\u5973\u6027\u7814\u7a76\u8005\u306f\u3001\u300c\u3044\u3068\u3053\u300d\u540c\u58eb\u306e\u5f93\u8840\u5438\u866b\u3092\u6700\u8fd1\u898b\u3064\u3051\u305f\u3068\u3044\u3063\u3066\u3044\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

\u5317\u5927\u306e\u9234\u6728\u5b9a\u5f66\u5148\u751f\u306f\u3001\u30df\u30e3\u30f3\u30de\u30fc\u306eDMR(Department of Medical Research)\u3068\u306e\u5171\u540c\u7814\u7a76\u3067\u7d50\u6838\u306e\u8abf\u67fb\u3092\u9032\u3081\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u30df\u30e3\u30f3\u30de\u30fc\u306eMDR(multi-drug resistance)\u591a\u5264\u8010\u6027\u7d50\u6838\u306f\u307b\u3068\u3093\u3069\u5317\u4eac\u578b\u3067\u8010\u6027\u306e\u907a\u4f1d\u5b50\u914d\u5217\u3092\u8abf\u3079\u308b\u3068\u304b\u306a\u308a\u30d0\u30e9\u30a8\u30c6\u30a3\u306b\u5bcc\u3093\u3067\u3044\u308b\u305f\u3081\u3001\u85ac\u306e\u4f7f\u3044\u65b9\u304c\u304b\u306a\u308a\u30eb\u30fc\u30ba\u306b\u306a\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u3092\u6307\u6458\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u9234\u6728\u5148\u751f\u306f\u3001\u30df\u30e3\u30f3\u30de\u30fc\u56fd\u5883\u306e\u30bf\u30a4\u5074\u304b\u3089\u3082\u30a2\u30d7\u30ed\u30fc\u30c1\u3057\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u304c\u3001\u305d\u3061\u3089\u306eMDR\u306e\u907a\u4f1d\u5b50\u578b\u306f\u3001\u30df\u30e3\u30f3\u30de\u30fc\u56fd\u5185\uff08\u30e4\u30f3\u30b4\u30f3\uff1f\uff09\u306e\u3082\u306e\u3068\u9055\u3063\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u7d50\u6838\u306f\u4f1d\u64ad\u304c\u9045\u3044\u306e\u3067\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u3088\u3046\u306b\u540c\u3058\u3088\u3046\u306a\u682a\u304c\u540c\u6642\u306b\u306f\u3084\u308b\u3068\u3044\u3046\u3088\u308a\u3001\u5730\u57df\u56fa\u6709\u7a2e\u304c\u3042\u308b\u3088\u3046\u3067\u3059\u3002\u7279\u306b\u30df\u30e3\u30f3\u30de\u30fc\u3067\u306f\u6cbb\u7642\u306e\u30b9\u30c8\u30e9\u30c6\u30b8\u30fc\u3092\u3057\u3063\u304b\u308a\u305f\u3066\u308b\u306e\u304c\u5927\u4e8b\u3068\u3001\u9234\u6728\u5148\u751f\u306f\u5f37\u8abf\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u7d50\u6838\u306f\u3001\u6cbb\u7642\u304c\u534a\u5e74\u4ee5\u4e0a\u304b\u304b\u308b\u306e\u3067\u3001\u60a3\u8005\u306b\u3044\u304b\u306b\u85ac\u3092\u6301\u7d9a\u3059\u308b\u304b\u304c\u3001\u85ac\u5264\u8010\u6027\u3092\u4f5c\u3089\u306a\u3044\u5927\u304d\u306a\u9375\u306a\u306e\u3067\u3059\u304c\u3001\u79c1\u305f\u3061\u306e\u30df\u30e3\u30f3\u30de\u30fc\u65b0\u6f5f\u5927\u30d7\u30ed\u30b8\u30a7\u30af\u30c8\u306e\u30e1\u30c7\u30a3\u30ab\u30eb\u30aa\u30d5\u30a3\u30b5\u30fc\u304c\u3001\u7279\u306b\u3001\u7530\u820e\u306e\u3072\u3068\u304c\u6cbb\u7642\u3092\u7d99\u7d9a\u3059\u308b\u91cd\u8981\u6027\u3092\u307e\u3063\u305f\u304f\u7406\u89e3\u305b\u305a\u3001\u3061\u3087\u3063\u3068\u75c7\u72b6\u304c\u3088\u304f\u306a\u308b\u3068\u7d50\u6838\u306e\u6cbb\u7642\u3092\u3084\u3081\u3066\u3057\u307e\u3046\u3068\u5606\u3044\u3066\u3044\u305f\u3053\u3068\u3092\u601d\u3044\u51fa\u3057\u307e\u3057\u305f\u3002<\/p>\n

\u7d50\u6838\u306e\u85ac\u5264\u8010\u6027\u304c\u3089\u307f\u3067\u3001WHO\u306e\u6307\u5c0e\u3067\u30ea\u30d5\u30a1\u30f3\u30d4\u30b7\u30f3\u8010\u6027\u304b\u3069\u3046\u304b\u3092GenXpert\u3068\u3044\u3046\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0PCR\u3092\u4f7f\u3063\u3066MDR\u7d50\u6838\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u3059\u308b\u56fd\u304c\u591a\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u30df\u30e3\u30f3\u30de\u30fc\u3082\u305d\u306e\u4e00\u3064\u3067\u3059\u3002\u65b0\u3057\u304f4\u7a2e\u306e\u86cd\u5149\u3092\u4f7f\u3063\u305f\u3001GeneXpert Ultra\u3068\u3044\u3046\u3082\u306e\u304c\u958b\u767a\u3055\u308c\u305f\u305d\u3046\u3067\u3059\u3002XDR\uff08extended drug resistance\uff09\u3082\u691c\u51fa\u3067\u304d\u308b\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3046\u3046\u30fc\u3093\u3001\u691c\u51fa\u306e\u30b3\u30b9\u30c8\u304c\u3069\u3093\u3069\u3093\u4e0a\u304c\u308a\u3001\u3042\u307e\u308a\u9014\u4e0a\u56fd\u5411\u304d\u3067\u306a\u3044\u3088\u3046\u306a\u30fb\u30fb\u3002<\/p>\n

\"IMG_3487\"
\n\u30de\u30e9\u30ea\u30a2\u306e\u85ac\u5264\u8010\u6027\u306b\u3064\u3044\u3066\u3082\u3044\u304f\u3064\u304b\u767a\u8868\u304c\u3042\u308a\u307e\u3057\u305f\u3002
\n\u30af\u30ed\u30ed\u30ad\u30f3\u3001\u30e1\u30d5\u30ed\u30ad\u30f3\u8010\u6027\u306f\u3001\u30a2\u30b8\u30a2\u306b\u7aef\u3092\u767a\u3057\u3066\u30a2\u30d5\u30ea\u30ab\u306b\u5e83\u304c\u3063\u305f\u306e\u3060\u305d\u3046\u3067\u3059\u3002<\/p>\n

\u3053\u308c\u3089\u306e\u5148\u884c\u85ac\u5264\u3078\u306e\u8010\u6027\u304c\u51fa\u73fe\u3057\u305f\u305f\u3081\u3001WHO\u306f\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u3068\u3044\u3046\u4e2d\u56fd\u30e8\u30e2\u30ae\u304b\u3089\u306e\u62bd\u51fa\u7269\u3092\u30de\u30e9\u30ea\u30a2\u306e\u6cbb\u7642\u3068\u3057\u3066\u4f7f\u3046\u3053\u3068\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u306e\u767a\u898b\u306b\u3088\u308a\u3001\u4e2d\u56fd\u306e\u79d1\u5b66\u8005\u304c\u30ce\u30fc\u30d9\u30eb\u533b\u5b66\u8cde\u3092\u53d6\u308a\u307e\u3057\u305f\u3002\u8fd1\u5e74\u3001\u5927\u304d\u306a\u8a71\u984c\u3068\u306a\u3063\u305f\u306e\u304c\u3001\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u8010\u6027\u3067\u3059\u3002\u3053\u306eEID\u4f1a\u8b70\u3067\u306f\u3001\u30d1\u30b9\u30c4\u30fc\u30eb\u7814\u7a76\u6240\u306e\u30b0\u30eb\u30fc\u30d7\u304c\u3001\u30ab\u30f3\u30dc\u30b8\u30a2\u306e\u30de\u30e9\u30ea\u30a2\u691c\u4f53\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u6771\u5357\u30a2\u30b8\u30a2\u306e\u3001\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u8010\u6027\u306b\u3064\u3044\u3066\u767a\u8868\u3057\u3066\u3044\u307e\u3057\u305f\u3002
\nhttps:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27332904
\n\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u8010\u6027\u306f\u30af\u30ed\u30e2\u30bd\u30fc\u30e013\u306b\u3042\u308b\u5909\u7570\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002
\n\u8010\u6027\u306e\u5b9a\u7fa9\u306b\u306f\u3001
\n\uff0a\u81e8\u5e8a\u7684\u306a\u8010\u6027\uff08\u5fae\u751f\u7269\u306e\u6392\u6cc4\u304c\u9577\u5f15\u304f\u3001\u7d4c\u904e\u304c\u9577\u5f15\u304f\u3001\u91cd\u75c7\u5316\u3059\u308b\u306a\u3069\uff09
\n\uff0a\u5b9f\u9a13\u5ba4\u7684\u306a\u85ac\u5264\u8010\u6027\uff08IC50\u5024\u306e\u4e0a\u6607\u306a\u3069\uff09
\n\uff0a\u907a\u4f1d\u5b50\u30de\u30fc\u30ab\u30fc\uff08\u907a\u4f1d\u5b50\u5909\u7570\uff09
\n\u306e\uff13\u3064\u3092\u8a3c\u660e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3001\u3068\u3044\u3046\u30b3\u30c3\u30db\u306e3\u539f\u5247\u306e\u3088\u3046\u306a\u6c7a\u307e\u308a\u304c\u3042\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u8aac\u660e\u3057\u3066\u3044\u307e\u3057\u305f\u3002
\n\u4eca\u307e\u3067\u79c1\u3082\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u85ac\u5264\u8010\u6027\u3092\u7814\u7a76\u3057\u3066\u304d\u3066\u3001\u306a\u3093\u3068\u306a\u304f\u305d\u3046\u304b\u306a\u3068\u3001\u601d\u3063\u3066\u3044\u305f\u3053\u3068\u304c\u3053\u3053\u3067\u3001\u3074\u3057\u3083\u3063\u3068\u7406\u89e3\u3067\u304d\u307e\u3057\u305f\uff08\u8151\u306b\u843d\u3061\u305f\u3068\u3044\u3046\u3084\u3064\u3067\u3059\uff09\u3002<\/p>\n

\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u8010\u6027\u306f\u3001\u6771\u5357\u30a2\u30b8\u30a2\u306b\u591a\u304f\u3001\u30bf\u30a4\u3068\u30ab\u30f3\u30dc\u30b8\u30a2\u3067\u306f50\uff05\u4ee5\u4e0a\u304c\u8010\u6027\u3060\u305d\u3046\u3067\u3059\u3002
\n\u307e\u3060\u30a2\u30d5\u30ea\u30ab\u306b\u306f\u5c11\u306a\u3044\u305d\u3046\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u8010\u6027\u304c\u30a2\u30d5\u30ea\u30ab\u306b\u4f1d\u308f\u308b\u306e\u3082\u6642\u9593\u306e\u554f\u984c\u3067\u3001\u30a2\u30b8\u30a2\u3088\u308a\u885b\u751f\u74b0\u5883\u304c\u683c\u6bb5\u306b\u60aa\u3044\u30a2\u30d5\u30ea\u30ab\u3067\u306f\u3001\u3082\u3057\u3001\u30a2\u30eb\u30c6\u30df\u30b7\u30f3\u8010\u6027\u304c\u5e83\u304c\u3063\u305f\u3089\u3001\u3053\u306e\u305b\u3044\u3067\u307e\u305f\u30de\u30e9\u30ea\u30a2\u306e\u60a3\u8005\u304c\u518d\u4e0a\u6607\u3057\u3066\u3057\u307e\u3046\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u4eca\u56de\u306f\u3001\u6297\u83cc\u85ac\u8010\u6027\u3068\u3044\u3046\u5927\u304d\u306a\u304f\u304f\u308a\u3060\u3063\u305f\u3081\u3001\u7d30\u83cc\u3001\u30de\u30e9\u30ea\u30a2\u3001\u7d50\u6838\u3001\u30ea\u30e5\u30fc\u30b7\u30e5\u30de\u30cb\u30a2\u306a\u3069\u591a\u7a2e\u591a\u69d8\u306a\u5fae\u751f\u7269\u3092\u30ab\u30d0\u30fc\u3057\u3066\u304a\u308a\u3001\u5206\u5b50\u75ab\u5b66\u7684\u306a\u8a71\u304c\u6848\u5916\u591a\u304f\u3001\u3042\u3089\u305f\u3081\u3066\u305d\u306e\u5927\u4e8b\u3055\u3092\u611f\u3058\u307e\u3057\u305f\u3002<\/p>\n

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