{"id":1299,"date":"2021-01-28T17:48:26","date_gmt":"2021-01-28T08:48:26","guid":{"rendered":"https:\/\/h-crisis.niph.go.jp\/bt\/?page_id=1299"},"modified":"2021-04-02T10:43:14","modified_gmt":"2021-04-02T01:43:14","slug":"39detail","status":"publish","type":"page","link":"https:\/\/h-crisis.niph.go.jp\/bt\/other\/39detail\/","title":{"rendered":"\u4e2d\u6771\u547c\u5438\u5668\u75c7\u5019\u7fa4 (Middle East Respiratory Syndrome: MERS)"},"content":{"rendered":"

\u75c5\u539f\u4f53\u306e\u7279\u5fb4<\/p>\n

\u75c5\u539f\u4f53\u306e\u7279\u5fb4\u5438\u5668\u75c7\u5019\u7fa4\u3067\u3042\u308b\u3002MERS-CoV\u306f\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u3092\u81ea\u7136\u5bbf\u4e3b\u3068\u3059\u308b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3067\u3042\u308a\u3001\u30d2\u30c8\u3067\u4e00\u822c\u7684\u306a\u98a8\u90aa\u75c7\u72b6\u3092\u8d77\u3053\u3059\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3088\u308a\u3001\u7cfb\u7d71\u7684\u306b\u306f\u30b3\u30a6\u30e2\u30ea\u306e\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u306b\u8fd1\u3044\u3002\u7d30\u80de\u306e\u53d7\u5bb9\u4f53\u306fDPP4\u3067\u3042\u308a\u3001\u30d2\u30c8\u306e\u7d30\u80de\u306b\u5bfe\u3059\u308b\u611f\u67d3\u6027\u3092\u898b\u305f\u5831\u544a\u3067\u306f\u3001\u4e0a\u6c17\u9053\u3088\u308a\u4e0b\u6c17\u9053\u306b\u89aa\u548c\u6027\u304c\u9ad8\u3044\u3002\u611f\u67d3\u7d4c\u8def\u306f\u98db\u6cab\u611f\u67d3\u3001\u63a5\u89e6\u611f\u67d3\u3067\u3042\u308b\u3002\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u3068\u306e\u6fc3\u539a\u63a5\u89e6\u306b\u52a0\u3048\u3001\u9650\u5b9a\u7684\u306a\u30d2\u30c8\u2015\u30d2\u30c8\u611f\u67d3\u3082\u8d77\u3053\u3057\u3046\u308b\u3002<\/p>\n

 <\/p>\n

\u75ab\u5b66<\/p>\n

MERS-CoV\u306f2012\u5e74\u306b\u80ba\u708e\u3067\u6b7b\u4ea1\u3057\u305f\u30b5\u30a6\u30b8\u30a2\u30e9\u30d3\u30a2\u306e\u60a3\u8005\u304b\u3089\u6700\u521d\u306b\u5206\u96e2\u3055\u308c\u3001\u73fe\u5728\u307e\u3067\u4e2d\u6771\u8af8\u56fd\u3092\u4e2d\u5fc3\u306b2,400\u4f8b\u3092\u8d85\u3048\u308b\u75c7\u4f8b\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u307e\u305f\u3001\u6e21\u822a\u8005\u306e\u767a\u75c7\u306f\u4e16\u754c\u7684\u306b\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u97d3\u56fd\u3084\u30b5\u30a6\u30b8\u30a2\u30e9\u30d3\u30a2\u3067\u306f\u9662\u5185\u611f\u67d3\u306b\u3088\u308b\u5927\u898f\u6a21\u306a\u30af\u30e9\u30b9\u30bf\u30fc\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u4e00\u65b9\u3067\u3001\u4e2d\u6771\u8af8\u56fd\u3092\u9664\u3044\u3066\u6301\u7d9a\u7684\u306a\u6d41\u884c\u306f\u8d77\u3053\u3063\u3066\u3044\u306a\u3044\u3002\u97d3\u56fd\u306e\u9662\u5185\u611f\u67d3\u306a\u3069\u3092\u5143\u306b\u3001\u30b9\u30fc\u30d1\u30fc\u30b9\u30d7\u30ec\u30c3\u30c0\u30fc\u306b\u304a\u3051\u308b\u5b9f\u884c\u518d\u751f\u7523\u6570 (R0<\/sub>)\u306f2.0\u20137.0\u7a0b\u5ea6\u3068\u898b\u7a4d\u3082\u3089\u308c\u3066\u3044\u308b\u304c\u3001\u4e00\u822c\u306e\u30d2\u30c8\u2015\u30d2\u30c8\u611f\u67d3\u306b\u304a\u3051\u308bR0<\/sub>\u306f0.60\u20130.69\u7a0b\u5ea6\u3068\u4f4e\u304f\u3001\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u304c\u751f\u606f\u3057\u3066\u3044\u308b\u4e2d\u6771\u8af8\u56fd\u4ee5\u5916\u3067\u306f\u3001\u6d41\u884c\u304c\u6301\u7d9a\u3057\u306a\u3044\u8981\u56e0\u3068\u8003\u3048\u3089\u308c\u308b\u3002\u30b5\u30a6\u30b8\u30a2\u30e9\u30d3\u30a2\u3067\u3042\u3063\u3066\u3082\u3001\u4e00\u822c\u96c6\u56e3\u306b\u304a\u3051\u308b\u6297\u4f53\u4fdd\u6709\u7387\u306f0.15%\u7a0b\u5ea6\u3067\u3042\u308b\u3002<\/p>\n

 <\/p>\n

\u4e3b\u306a\u81e8\u5e8a\u50cf<\/p>\n

\u6f5c\u4f0f\u671f\u9593\u306f\u4e2d\u592e\u50245\u65e5\u7a0b\u5ea6 (2\u201314\u65e5)\u3067\u3042\u308b\u3002\u767a\u71b1\u3001\u54b3\u55fd\u3001\u60aa\u5bd2\u30fb\u6226\u6144\u3001\u7b4b\u8089\u75db\u3001\u95a2\u7bc0\u75db\u306a\u3069\u304b\u3089\u59cb\u307e\u308a\u3001\u6025\u901f\u306a\u80ba\u708e\u50cf\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u6b7b\u4ea1\u7387\u306f34%\u7a0b\u5ea6\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u983b\u5ea6\u306f\u9ad8\u304f\u306a\u3044\u304c\u3001\u60aa\u5fc3\u3001\u4e0b\u75e2\u3001\u8179\u75db\u306a\u3069\u6d88\u5316\u5668\u75c7\u72b6\u3092\u8a8d\u3081\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u4e00\u65b9\u3067\u3001\u7121\u75c7\u72b6\u8005\u3084\u8efd\u75c7\u4f8b\u308220%\u7a0b\u5ea6\u306f\u3044\u308b\u3068\u3055\u308c\u308b\u3002\u9662\u5185\u611f\u67d3\u4e8b\u4f8b\u304b\u3089\u3082\u308f\u304b\u308b\u3088\u3046\u306b\u3001\u9ad8\u9f62\u8005\u3084\u57fa\u790e\u75be\u60a3\u304c\u3042\u308b\u60a3\u8005\u3067\u306f\u91cd\u75c7\u5316\u3057\u3084\u3059\u304f\u3001\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

 <\/p>\n

\u81e8\u5e8a\u691c\u67fb\u6240\u898b<\/p>\n

\u7279\u5fb4\u7684\u306a\u691c\u67fb\u6240\u898b\u306f\u306a\u3044\u304c\u3001\u30ea\u30f3\u30d1\u7403\u6e1b\u5c11\u3001\u8840\u5c0f\u677f\u6e1b\u5c11\u3001AST\u3001ALT\u3001LDH\u306e\u4e0a\u6607\u306a\u3069\u304c\u898b\u3089\u308c\u308b\u3002\u6025\u901f\u306b\u814e\u4e0d\u5168\u304c\u9032\u884c\u3059\u308b\u75c7\u4f8b\u3084\u3001\u64ad\u7a2e\u6027\u8840\u7ba1\u5185\u51dd\u56fa\u306b\u81f3\u308b\u75c7\u4f8b\u3082\u3042\u308a\u3001\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u753b\u50cf\u691c\u67fb\u3067\u306f\u6709\u75c7\u72b6\u8005\u306e\u307b\u3068\u3093\u3069\u306b\u80ba\u708e\u6240\u898b\u3092\u8a8d\u3081\u3001CT\u3067\u306f\u6d78\u6f64\u5f71\u3088\u308a\u3082\u3059\u308a\u30ac\u30e9\u30b9\u5f71\u304c\u4e3b\u4f53\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n

 <\/p>\n

\u78ba\u5b9a\u8a3a\u65ad<\/p>\n

\u6d41\u884c\u5730\u57df\u6e21\u822a\u5f8c14\u65e5\u4ee5\u5185\u306b\u80ba\u708e\u3092\u767a\u75c7\u3057\u305f\u60a3\u8005\u300114\u65e5\u4ee5\u5185\u306bMERS\u60a3\u8005\u3084\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u3068\u306e\u63a5\u89e6\u304c\u3042\u308a\u547c\u5438\u5668\u75c7\u72b6\u3092\u304d\u305f\u3057\u3066\u3044\u308b\u60a3\u8005\u306a\u3069\u3001MERS\u3092\u7591\u3063\u305f\u5834\u5408\u306b\u306f\u3001\u6700\u5bc4\u308a\u306e\u4fdd\u5065\u6240\u306b\u9023\u7d61\u3057\u3001\u5bfe\u5fdc\u306b\u3064\u3044\u3066\u76f8\u8ac7\u3059\u308b\u306e\u304c\u671b\u307e\u3057\u3044\u3002\u8a73\u7d30\u306f\u539a\u751f\u52b4\u50cd\u7701\u306e\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3092\u53c2\u7167\u3055\u308c\u305f\u3044\u3002<\/p>\n

\u78ba\u5b9a\u8a3a\u65ad\u306f\u691c\u4f53\u304b\u3089\u306ePCR\u691c\u67fb\u3067\u8a3a\u65ad\u3055\u308c\u308b\u3002\u4e0b\u6c17\u9053\u306e\u65b9\u304c\u30a6\u30a4\u30eb\u30b9\u91cf\u306f\u591a\u304f\u691c\u51fa\u611f\u5ea6\u304c\u9ad8\u3044\u304c\u3001\u5580\u75f0\u3084\u6c17\u7ba1\u652f\u93e1\u691c\u4f53\u306a\u3069\u306e\u4e0b\u6c17\u9053\u691c\u4f53\u304c\u5f97\u3089\u308c\u306a\u3044\u5834\u5408\u3082\u591a\u304f\u3001\u7591\u3044\u75c7\u4f8b\u3067\u306f\u5c11\u3057\u3067\u3082\u8a3a\u65ad\u306e\u78ba\u7387\u3092\u9ad8\u3081\u308b\u305f\u3081\u3001\u54bd\u982d\u306c\u3050\u3044\u306a\u3069\u306e\u4e0a\u6c17\u9053\u691c\u4f53\u3082\u6d3b\u7528\u3059\u308b\u3002<\/p>\n

 <\/p>\n

\u6cbb\u7642<\/p>\n

\u7279\u7570\u7684\u306a\u6297\u30a6\u30a4\u30eb\u30b9\u7642\u6cd5\u306f\u306a\u3044\u3002\u30ed\u30d4\u30ca\u30d3\u30eb\/\u30ea\u30c8\u30ca\u30d3\u30eb\uff0b\u30a4\u30f3\u30bf\u30fc\u30d5\u30a7\u30ed\u30f3\u03b2-1b\u3001\u30ea\u30d0\u30d3\u30ea\u30f3\u306a\u3069\u306e\u81e8\u5e8a\u7814\u7a76\u304c\u8a66\u307f\u3089\u308c\u3066\u3044\u308b\u3002\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u306b\u3064\u3044\u3066\u306f\u6b7b\u4ea1\u7387\u306e\u4f4e\u4e0b\u3092\u793a\u305b\u305a\u3001\u30a6\u30a4\u30eb\u30b9\u306e\u30af\u30ea\u30a2\u30e9\u30f3\u30b9\u304c\u9045\u5ef6\u3057\u305f\u3053\u3068\u304b\u3089\u3001\u73fe\u5728\u306e\u3068\u3053\u308d\u63a8\u5968\u3055\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n

 <\/p>\n

\u4e88\u9632<\/p>\n

\u30ef\u30af\u30c1\u30f3\u306f\u306a\u3044\u3002\u6d41\u884c\u5730\u57df\u306b\u6e21\u822a\u3059\u308b\u5834\u5408\u3001\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u3068\u63a5\u89e6\u306e\u53ef\u80fd\u6027\u3092\u907f\u3051\u308b\u3001\u63a5\u89e6\u524d\u5f8c\u3067\u306e\u30de\u30b9\u30af\u3001\u624b\u6d17\u3044\u306a\u3069\u306e\u4e88\u9632\u7b56\u304c\u691c\u8a0e\u3055\u308c\u308b\u3002\u307e\u305f\u3001\u52a0\u71b1\u304c\u4e0d\u5341\u5206\u306a\u30e9\u30af\u30c0\u306e\u4e73\u88fd\u54c1\u3084\u8089\u985e\u306f\u611f\u67d3\u306e\u5371\u967a\u304c\u3042\u308a\u3001\u6442\u53d6\u3092\u907f\u3051\u308b\u3002<\/p>\n

 <\/p>\n

\u30d0\u30a4\u30aa\u30cf\u30b6\u30fc\u30c9\u5bfe\u7b56<\/p>\n

MERS-CoV\u304c\u30d0\u30a4\u30aa\u30c6\u30ed\u306b\u7528\u3044\u3089\u308c\u305f\u4e8b\u4f8b\u306f\u306a\u3044\u3002\u524d\u8ff0\u3057\u305f\u3068\u304a\u308aMERS-CoV\u306f\u4e00\u822c\u7684\u306a\u5b9f\u884c\u518d\u751f\u7523\u6570\u306f\u4f4e\u3044\u3002\u3055\u3089\u306b\u3001SARS-CoV2\u6d41\u884c\u4e0b\u3067\u30de\u30b9\u30af\u7740\u7528\u3001\u624b\u6d17\u3044\u306a\u3069\u306e\u611f\u67d3\u5bfe\u7b56\u304c\u4e00\u822c\u306b\u5e83\u304f\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u72b6\u6cc1\u3067\u306f\u3001\u4eee\u306b\u30d0\u30a4\u30aa\u30c6\u30ed\u3068\u3057\u3066\u7528\u3044\u3089\u308c\u305f\u3068\u3057\u3066\u3082\u3001\u7206\u767a\u7684\u306a\u611f\u67d3\u306e\u5e83\u304c\u308a\u306f\u8d77\u3053\u308a\u3065\u3089\u3044\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n

\u4e00\u65b9\u3067\u3001\u30d0\u30a4\u30aa\u30c6\u30ed\u306b\u9650\u3089\u305a\u3001MERS-CoV\u3082\u4eca\u5f8c\u5909\u7570\u3057\u3066\u30d2\u30c8\u3078\u306e\u89aa\u548c\u6027\u304c\u4e0a\u304c\u308b\u53ef\u80fd\u6027\u306f\u8003\u3048\u3089\u308c\u308b\u3002\u307e\u305f\u3001\u4eca\u5f8c\u3082\u52d5\u7269\u7531\u6765\u306e\u65b0\u8208\u611f\u67d3\u75c7\u306e\u6d41\u884c\u304c\u8d77\u3053\u308b\u53ef\u80fd\u6027\u306f\u5341\u5206\u8003\u3048\u3089\u308c\u3001\u539f\u56e0\u4e0d\u660e\u306e\u80ba\u708e\u306b\u5bfe\u3059\u308b\u30b5\u30fc\u30d9\u30a4\u30e9\u30f3\u30b9\u30b7\u30b9\u30c6\u30e0\u3092\u6574\u5099\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u809d\u8981\u3068\u8003\u3048\u3089\u308c\u308b\u3002<\/p>\n

 <\/p>\n

\u611f\u67d3\u75c7\u6cd5\u306b\u3088\u308b\u53d6\u308a\u6271\u3044<\/p>\n

\u4e8c\u985e\u611f\u67d3\u75c7\u306b\u6307\u5b9a\u3055\u308c\u3066\u304a\u308a\u3001\u8a3a\u65ad\u5f8c\u76f4\u3061\u306b\u5831\u544a\u3059\u308b\u3002<\/p>\n

 <\/p>\n

\u53c2\u8003\u6587\u732e<\/p>\n

Raj VS, et al. Nature. 2013; 495: 251-4.<\/p>\n

World Health Organization. Middle East respiratory syndrome coronavirus (MERS-CoV). https:\/\/www.who.int\/emergencies\/mers-cov\/en\/ (Accessed on December 04, 2019).<\/p>\n

Bin SY, et al. Clin Infect Dis. 2016; 62: 755-60.<\/p>\n

Breban R, et al. Lancet. 2013; 382: 694-9<\/p>\n

Zhang XS, et al. Influenza Other Respir Viruses. 2017; 11: 434-44<\/p>\n

Assiri A, et al. N Engl J Med. 2013;369:407-16<\/p>\n

M\u00fcller MA, et al. Lancet Infect Dis. 2015;15:559-64<\/p>\n

Arabi YM, at al. Am J Respir Crit Care Med. 2018; 197:757-767<\/p>\n

\u539a\u751f\u52b4\u50cd\u7701.\u4e2d\u6771\u547c\u5438\u5668\u75c7\u5019\u7fa4\uff08MERS\uff09\u306b\u3064\u3044\u3066https:\/\/www.mhlw.go.jp\/stf\/seisakunitsuite\/bunya\/kenkou\/kekkaku-kansenshou19\/mers.html<\/p>\n","protected":false},"excerpt":{"rendered":"

\u75c5\u539f\u4f53\u306e\u7279\u5fb4 \u75c5\u539f\u4f53\u306e\u7279\u5fb4\u5438\u5668\u75c7\u5019\u7fa4\u3067\u3042\u308b\u3002MERS-CoV\u306f\u30d2\u30c8\u30b3\u30d6\u30e9\u30af\u30c0\u3092\u81ea\u7136\u5bbf\u4e3b\u3068\u3059\u308b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3067\u3042\u308a\u3001\u30d2\u30c8\u3067\u4e00\u822c\u7684\u306a\u98a8\u90aa\u75c7\u72b6\u3092\u8d77\u3053\u3059\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3088\u308a\u3001\u7cfb\u7d71\u7684\u306b\u306f\u30b3\u30a6\u30e2\u30ea\u306e\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u306b\u8fd1\u3044\u3002\u7d30\u80de\u306e\u53d7\u5bb9\u4f53\u306f\u2026 \u7d9a\u304d\u3092\u8aad\u3080 »<\/a><\/span><\/p>\n","protected":false},"author":12,"featured_media":0,"parent":392,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/1299"}],"collection":[{"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/comments?post=1299"}],"version-history":[{"count":1,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/1299\/revisions"}],"predecessor-version":[{"id":1300,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/1299\/revisions\/1300"}],"up":[{"embeddable":true,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/392"}],"wp:attachment":[{"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/media?parent=1299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}