{"created":"2023-06-20T15:46:04.410080+00:00","id":561,"links":{},"metadata":{"_buckets":{"deposit":"8c700b15-68df-4d9e-a3ae-a16026b94c48"},"_deposit":{"created_by":4,"id":"561","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"561"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00000561","sets":["1:11"]},"author_link":["1648","1649","1650","1651","1652","1653"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Prophylactic antibiotic guidelines for respiratory surgery","subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-09-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"704","bibliographicPageStart":"700","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"日本呼吸器外科学会雑誌 The journal of the Japanese Association for Chest Surgery","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2001年,日本外科学会雑誌の特集「各科領域の抗菌薬ガイドライン」で示された「呼吸器外科領域の抗菌薬ガイドライン」では,第二世代セフェム,またはペニシリン系抗菌薬の術後3〜4日間投与が一般的であるとされた.しかし,我々はこの投与期間は過剰であると考え,術当日のみの抗菌薬投与を検討した.2002年7月以降,セファゾリン(CEZ)1gを手術直前と手術後約3時間に投与するガイドラインを適用し,その妥当性を検討した.2003年4月までに,237例にガイドラインを適用した.166例はガイドラインに準拠し,71例は抗菌薬を追加投与した.ガイドライン関連有害事象はなく,抗菌薬そのものによると考えられる有害事象も認めなかった.呼吸器外科手術後の抗菌薬投与については,CEZ 1gの術直前と術後約3時間の投与のみで一般的には十分である.  The prophylactic antibiotic guidelines for respiratory surgery were showed in 2001 as a special edition of the Journal of Japan Surgical Society. The guideline recommended second-generation cephalosporin or penicillin antibiotic agent administered for 3 to 4 days following surgery. We considered this dosage to be excessive for routine practice. We prospectively applied a guideline of administering cefazolin right before and three hours after respiratory surgery and reviewed the safety and validity. By April 2003, we had applied the guidelines in 237 consecutive patients. Of these, 166 patients were treated under our guidelines, while 71 patients received additional antibiotics based on the guidelines' exception rules: patients with excess sputum or body temperature over 38.5℃ on the first postoperative day. There were no guideline-related adverse events. In conclusion, prophylactic cefazolin twice on the day of respiratory surgery was safe and valid.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本呼吸器外科学会","subitem_publisher_language":"ja"}]},"item_3_relation_22":{"attribute_name":"NII論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"110001270982","subitem_relation_type_select":"NAID"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本呼吸器外科学会","subitem_rights_language":"ja"},{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである","subitem_rights_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"09190945","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"船井, 和仁","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1648","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉田, 純司","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1649","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"塩野, 知志","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1650","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高持, 一矢","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1651","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"西村, 光世","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1652","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"永井, 完治","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"1653","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"110001270982.pdf","filesize":[{"value":"647.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"110001270982.pdf","url":"https://hama-med.repo.nii.ac.jp/record/561/files/110001270982.pdf"},"version_id":"724c5924-0cf8-4328-9f22-35c47ec8f0ae"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"周術期抗菌薬予防的投与","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"術後感染","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"呼吸器外科手術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"perioperative antibiotic prophylaxis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"surgical site infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pulmonary surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"呼吸器外科手術における予防的抗菌薬投与の意義","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"呼吸器外科手術における予防的抗菌薬投与の意義","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-27"},"publish_date":"2013-08-27","publish_status":"0","recid":"561","relation_version_is_last":true,"title":["呼吸器外科手術における予防的抗菌薬投与の意義"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:15:10.545322+00:00"}