{"id":604,"date":"2016-04-16T17:02:32","date_gmt":"2016-04-16T08:02:32","guid":{"rendered":"http:\/\/h-crisis.niph.go.jp\/bt\/?page_id=604"},"modified":"2021-04-01T13:29:17","modified_gmt":"2021-04-01T04:29:17","slug":"33detail","status":"publish","type":"page","link":"https:\/\/h-crisis.niph.go.jp\/bt\/other\/33detail\/","title":{"rendered":"\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7"},"content":{"rendered":"

\u75c5\u539f\u4f53\u306e\u7279\u5fb4<\/h3>\n

\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u3068\u306f\u3001\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u5c5e\u83cc\uff08Leptospira spp.<\/i>\uff09\u3092\u539f\u56e0\u3068\u3059\u308b\u4eba\u7363\u5171\u901a\u611f\u67d3\u75c7\u3067\u3042\u308b\u3002\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u306f\u3001\u30b9\u30d4\u30ed\u30d8\u30fc\u30bf\u76ee\u306b\u5c5e\u3059\u308b\u9577\u30556\uff5e20\u03bcm \u3001\u76f4\u5f840.1\u03bcm \u306e\u3089\u305b\u3093\u72b6\u306e\u30b0\u30e9\u30e0\u9670\u6027\u687f\u83cc\u3067\u3042\u308b (\u56f31<\/a>)\u3002\u5fae\u597d\u6c17\u3082\u3057\u304f\u306f\u597d\u6c17\u7684\u306a\u74b0\u5883\u3067\u751f\u80b2\u3057\u3001\u4e2d\u6027\u3042\u308b\u3044\u306f\u5f31\u30a2\u30eb\u30ab\u30ea\u6027\u306e\u6de1\u6c34\u4e2d\u3001\u6e7f\u3063\u305f\u571f\u58cc\u4e2d\u3067\u6570\u30ab\u6708\u306f\u751f\u5b58\u3067\u304d\u308b\u3002<\/p>\n

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\u25b2TOP<\/a><\/p>\n

\u4e3b\u306a\u81e8\u5e8a\u50cf<\/h3>\n

\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u306f\u6025\u6027\u71b1\u6027\u75be\u60a3\u3067\u3001\u611f\u5192\u69d8\u306e\u8efd\u75c7\u578b\u304b\u3089\u3001\u9ec4\u75b8\u3001\u51fa\u8840\u3001\u814e\u4e0d\u5168\u3092\u4f34\u3046\u91cd\u75c7\u578b\uff08\u30ef\u30a4\u30eb\u75c5\uff09\u307e\u3067\u305d\u306e\u81e8\u5e8a\u75c7\u72b6\u306f\u591a\u5f69\u3067\u3042\u308b\u3002\u901a\u5e385 \uff5e14 \u65e5\u9593\u306e\u6f5c\u4f0f\u671f\u3092\u7d4c\u3066\u3001\u767a\u71b1\uff0838\u301c40\u2103\uff09\u3001\u60aa\u5bd2\u3001\u982d\u75db\u3001\u7b4b\u75db\u3001\u8179\u75db\u3001\u7d50\u819c\u5145\u8840\u306a\u3069\u304c\u751f\u3058\u3001\u91cd\u75c7\u578b\u3067\u306f\u7b2c5 \uff5e8\u75c5\u65e5\u9803\u3088\u308a\u9ec4\u75b8\u3084\u51fa\u8840\u50be\u5411\uff08\u76ae\u4e0b\u51fa\u8840\u3001\u9f3b\u51fa\u8840\u3001\u80ba\u51fa\u8840\u306a\u3069\uff09\u304c\u51fa\u73fe\u3059\u308b3)\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u81e8\u5e8a\u691c\u67fb\u6240\u898b<\/h3>\n

\u7279\u7570\u7684\u306a\u691c\u67fb\u6240\u898b\u306f\u306a\u3044\u304c\u3001\u75c5\u72b6\u306b\u5fdc\u3058\u3066BUN\u306e\u4e0a\u6607\u3001\u708e\u75c7\u6240\u898b\u3001\u86cb\u767d\u5c3f\u306a\u3069\u304c\u307f\u3089\u308c\u308b\u3002\u9ec4\u75b8\u3092\u751f\u3058\u305f\u5834\u5408\u306f\u30d3\u30ea\u30eb\u30d3\u30f3\u5024\u304c\u4e0a\u6607\u3059\u308b\u304c\u3001\u30c8\u30e9\u30f3\u30b9\u30a2\u30df\u30ca\u30fc\u30bc\u306f\u6b63\u5e38\u304b\u8efd\u5ea6\u306e\u4e0a\u6607\u306b\u3068\u3069\u307e\u308b\u5834\u5408\u304c\u591a\u3044\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u78ba\u5b9a\u8a3a\u65ad<\/h3>\n

\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u306e\u75c5\u539f\u4f53\u8a3a\u65ad\u306f\u3001\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u306e\u5206\u96e2\u57f9\u990a\uff08\u6297\u83cc\u85ac\u6295\u4e0e\u4ee5\u524d\u306e\u767a\u71b1\u671f\u306e\u8840\u6db2\u3001\u9ac4\u6db2\u3042\u308b\u3044\u306f\u5c3f\u3092\u7528\u3044\u3066\u30b3\u30eb\u30c8\u30d5\u57f9\u5730\u3042\u308b\u3044\u306fEMJH\u57f9\u5730\u306a\u3069\u306e\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u5c02\u7528\u57f9\u5730\u306b\u63a5\u7a2e\u3059\u308b\uff09\u3001PCR\u6cd5\u306b\u3088\u308b\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u907a\u4f1d\u5b50\u306e\u691c\u51fa\u3001\u3042\u308b\u3044\u306f\u9855\u5fae\u93e1\u4e0b\u51dd\u96c6\u8a66\u9a13\u6cd5\uff08MAT\uff09\u306b\u3088\u308b\u6297\u4f53\u306e\u691c\u51fa\uff08\u30da\u30a2\u8840\u6e05\u306b\u3088\u308b\u6297\u4f53\u967d\u8ee2\u307e\u305f\u306f\u6297\u4f53\u4fa1\u306e\u6709\u610f\u306e\u4e0a\u6607\uff09\u306b\u3088\u308a\u884c\u308f\u308c\u308b\u3002\u611f\u67d3\u521d\u671f\u306b\u3001\u6697\u8996\u91ce\u9855\u5fae\u93e1\u306b\u3088\u3063\u3066\u8840\u6db2\u3084\u5c3f\u304b\u3089\u76f4\u63a5\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u304c\u89b3\u5bdf\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u65e9\u671f\u8a3a\u65ad\u306b\u6709\u7528\u3067\u3042\u308b\u304c\u3001\u611f\u5ea6\u306f\u4f4e\u304f\u8a3a\u65ad\u306b\u306f\u7fd2\u719f\u3092\u8981\u3059\u308b\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u6cbb\u7642<\/h3>\n

\u9759\u6ce8\u7528\u30da\u30cb\u30b7\u30ea\u30f3\u304c\u7b2c\u4e00\u9078\u629e\u5f79\u3068\u3055\u308c\u3066\u3044\u308b\u304c\uff0c\u30bb\u30d5\u30c8\u30ea\u30a2\u30ad\u30bd\u30f3\u3084\u30bb\u30d5\u30a9\u30bf\u30ad\u30b7\u30e0\u3082\u540c\u7b49\u306e\u52b9\u679c\u304c\u3042\u308b4\uff09\u3002\u8efd\u75c7\u8005\u306b\u306f\uff0c\u30a2\u30e2\u30ad\u30b7\u30b7\u30ea\u30f3\uff0c\u30a2\u30f3\u30d4\u30b7\u30ea\u30f3\uff0c\u30c9\u30ad\u30b7\u30b5\u30a4\u30af\u30ea\u30f3\uff0c\u30a8\u30ea\u30b9\u30ed\u30de\u30a4\u30b7\u30f3\u306a\u3069\u304c\u6709\u52b9\u3067\u3042\u308b\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u4e88\u9632\uff08\u30ef\u30af\u30c1\u30f3\uff09<\/h3>\n

\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u306b\u611f\u67d3\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u52d5\u7269\u3084\u6c5a\u67d3\u3055\u308c\u305f\u74b0\u5883\u3068\u63a5\u89e6\u3059\u308b\u5834\u5408\u306f\u3001\u5c3f\u3084\u8840\u6db2\u3001\u6c5a\u67d3\u3055\u308c\u305f\u6c34\u3084\u571f\u58cc\u3068\u306e\u76f4\u63a5\u7684\u306a\u63a5\u89e6\u3092\u6700\u5c0f\u9650\u306b\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u56fd\u5185\u3067\u306f\uff14\u3064\u306e\u8840\u6e05\u578b\u306e\u4e0d\u6d3b\u5316\u5168\u83cc\u4f53\u30ef\u30af\u30c1\u30f3\u300c\u30ef\u30a4\u30eb\u75c5\u79cb\u3084\u307f\u6df7\u5408\u30ef\u30af\u30c1\u30f3\u300d\u304c\u88fd\u9020\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u73fe\u6642\u70b9\u3067\u306f\u5165\u624b\u4e0d\u53ef\u80fd\u3067\u3042\u308b5)\u3002\u77ed\u671f\u9593\u306e\u8077\u696d\u7684\u30cf\u30a4\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d7\u306b\u5bfe\u3057\u3066\u30c9\u30ad\u30b7\u30b5\u30a4\u30af\u30ea\u30f3200\u338e\uff0f\u9031\u306e\u5185\u670d\u306f\u4e88\u9632\u52b9\u679c\u304c\u3042\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b 6)\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u611f\u67d3\u75c7\u6cd5\u306b\u304a\u3051\u308b\u53d6\u308a\u6271\u3044<\/h3>\n

\u611f\u67d3\u75c7\u6cd5\u3067\u306f\u56db\u985e\u611f\u67d3\u75c7\u306b\u5b9a\u3081\u3089\u308c\u3066\u304a\u308a\u3001\u8a3a\u65ad\u3057\u305f\u533b\u5e2b\u306f\u76f4\u3061\u306b\u6700\u5bc4\u308a\u306e\u4fdd\u5065\u6240\u306b\u5c4a\u3051\u51fa\u308b\u3002<\/p>\n

\u25b2TOP<\/a><\/p>\n

\u53c2\u8003\u6587\u732e<\/h3>\n
    \n
  1. \u6771\u4eac\u90fd\u611f\u67d3\u75c7\u60c5\u5831\u30bb\u30f3\u30bf\u30fc\u3000\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u306e\u767a\u751f\u72b6\u6cc1\uff082010\u5e746\u670816\u65e5\u66f4\u65b0\uff09\u3002http:\/\/idsc.tokyo-eiken.go.jp\/diseases\/leptospirosis\/lep.html<\/a><\/li>\n
  2. Hartskeerl RA. Leptospirosis: current status and future trends. Indian J Med Microbiol. 24: 309, 2006<\/li>\n
  3. \u7530\u5cf6\u3000\u525b\u30017.\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u3001\u5c0f\u5150\u79d1\u81e8\u5e8a, 62: 735-738, 2009.<\/li>\n
  4. Suputtamongkol Y\uff0cet al. An\u3000open\uff0crandomized\uff0ccontrolled trial of\u3000penicillin, doxycycline\uff0cand cefotaxime for patients with severe\u3000leptospirosis\uff0eClin Infect Dis 39\uff1a1417-1424\uff0c2004<\/li>\n
  5. \u5c0f\u6cc9\u4fe1\u592b\u3001\u4ed6\u3000\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u3068\u306f\uff0eIASR 29\uff1a 5-7\uff0c2008<\/li>\n
  6. Takafuji ET,et al. An efficacy trial of doxycycline chemoprophylaxis against leptospirosis. N Engl J Med. 310:497-500, 1984<\/li>\n<\/ol>\n

    \u25b2TOP<\/a><\/p>\n

    2012\u5e7407\u670815\u65e5 15\u664200\u5206 \u6539\u8a02<\/div>\n

    \u753b\u50cf<\/h2>\n
    \n

    \"img_20120706170722\"<\/a>\u56f31 \u75c5\u539f\u6027\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9(Leptospira interrogans )\u306e\u96fb\u5b50\u9855\u5fae\u93e1\u50cf<\/p>\n

    \"img_20120706170741\"<\/a>\u56f32 \u4e16\u754c\u3067\u306e\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u306e\u6d41\u884c<\/p>\n

    2012\u5e7407\u670806\u65e5 17\u664207\u5206 \u6539\u8a02<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    \u75c5\u539f\u4f53\u306e\u7279\u5fb4 \u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u75c7\u3068\u306f\u3001\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u5c5e\u83cc\uff08Leptospira spp.\uff09\u3092\u539f\u56e0\u3068\u3059\u308b\u4eba\u7363\u5171\u901a\u611f\u67d3\u75c7\u3067\u3042\u308b\u3002\u30ec\u30d7\u30c8\u30b9\u30d4\u30e9\u306f\u3001\u30b9\u30d4\u30ed\u30d8\u30fc\u30bf\u76ee\u306b\u5c5e\u3059\u308b\u9577\u30556\uff5e20\u03bcm \u3001\u76f4\u5f840.1\u03bcm \u306e\u3089\u305b\u3093\u72b6\u306e\u30b0\u30e9\u30e0\u9670\u6027\u687f\u83cc\u3067\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\/604"}],"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=604"}],"version-history":[{"count":7,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/604\/revisions"}],"predecessor-version":[{"id":1322,"href":"https:\/\/h-crisis.niph.go.jp\/bt\/wp-json\/wp\/v2\/pages\/604\/revisions\/1322"}],"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=604"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}