2014年 認定臨床微生物検査技師 ... - jscm.org

1 - 1 - 2014 - 2 - 1 2 a Chlamydophila pneumoniae b Chlamydophila psittaci c Coxiella burnetii d Legionella pneumophila e Mycoplasma pneumoniae 2 2 a Bacillus cereus b Campylobacter jejuni c Salmonella Enteritidis d Shigella sonnei e Staphylococcus aureus 3 2 a Elizabethkingia meningoseptica b Helicobacter cinaedi c Mycoplasma hominis d Nocardia farcinica e Streptococcus gallolyticus 4 2 a Cryptococcus neoformans b Streptococcus pneumoniae c Vibrio cholerae d Pseudomonas aeruginosa e Corynebacterium striatum - 3 - 5 25 328 12,672 227 1,551 34 861 29 654 23 973 19 854 13 105 11 1.

2 007 9 164 8 98 3 446 1 52 7 263 a b c d e 6 2 a b c d AH1pdm09 e - 4 - 7 2 a Yersinia pestis b Bacillus anthracis c Rickettsia japonica d SFTS e Vibrio cholerae O1 O139 8 2 a b c d e - 5 - 9 1975 2005 , 2006 a Aeromonas hydrophila b Clostridium perfringens c Staphylococcus aureus d Streptococcus pyogenes e Vibrio vulnificus 10 2 a b c d e - 6 - 11 2 a Burkholderia cepacia b Candida albicans c d 121 C 20 e 12 1 2 3 4 5 a 1 2 b 1 5 c 2 3 d 3 4 e 4 5 13 2 a Streptococcus pneumoniae Streptococcus intermedius b

3 Escherichia coli O157 Escherichia hermannii c Plesiomonas shigelloides Shigella sonnei d Mycobacterium tuberculosis Mycobacterium kansasii e Candida albicans Trichosporon asahii 14 MALDI-TOF MS 2 a 10 b NaOH c d e Escherichia coli Shigella sonnei - 7 - 15 (1 3) -D- a b c d e 16 2 a b c d e 5ng/ml 17 2 a b c d 24 2 e 10% - 8 - 18 58 24 1 TSI SIM 2 42 C 0 6 1 2 TSI SIM a Aeromonas hydrophila b Elizabethkingia meningoseptica c

4 Shewanella algae d Vibrio alginolyticus e Vibrio parahaemolyticus 19 Legionella pneumophila 2 a b c d - e L- - 9 - 20 68 24 BTB 1,000 a Aggregatibacter aphrophilus b Capnocytophaga canimorsus c Haemophilus influenzae d Pasteurella multocida e Streptobacillus moniliformis - 10 - 21 1 35 C 24 2 1 1,000 2 1 VP 2 PYR 3 CAMP 4 5 a 1 2 b 1 5 c 2 3 d 3 4 e 4 5 22 78 Enterococcus a E.

5 Avium b E. casseliflavus c E. faecalis d E. faecium e E. gallinarum - 11 - 23 MRSA 2 a b c SCCmec IV V d PVL e 24 35 C5% 2 2 a Abiotrophia defectiva b Aerococcus urinae c Granulicatella adiacens d Lactococcus lactis e Streptococcus sanguinis - 12 - 25 - IGRA a BCG b c 4 C d e 26 IGRA 1 M. abscessus 2 M. avium 3 M. fortuitum 4 M. kansasii 5 M. marinum a 1 2 b 1 5 c 2 3 d 3 4 e 4 5 - 13 - 27 87 1,000 a Actinomyces spp.

6 B Legionella spp. c Mycobacterium spp. d Mycoplasma spp. e Nocardia spp. - 14 - 28 30 40 5 35 C 3 1 2 2 1 2 1,000 a b c d e 29 2 a Bacteroides vulgatus BBE b Bilophila wadsworthia BBE c Clostridium difficile CCMA R d Clostridium perfringens HK e Finegoldia magna HK - 15 - 30 78 1 48 HK 2 1 1.

7 000 2 a Actinomyces israelii b Bacteroides fragilis c Fusobacterium nucleatum d Prevotella melaninogenica e Prevotella oralis - 16 - 31 50 1,000 a b 4 8 c d e - 17 - 32 50 1,000 a TORCH b Ramsay Hunt c d Guillain-Barr e Waterhouse Friderichsen 33 a b c d e - 18 - 34 Candida 2 a C.

8 Albicans b C. glabrata c C. guilliermondii d C. krusei e C. parapsilosis 35 Enterococcus faecalis 2 a b c d e 36 MRSA a b c d e 37 2 a Aspergillus fumigatus b Fusarium solani c Candida albicans d Candida krusei e Cryptococcus neoformans - 19 - 38 CLSI 2 a McFarland No. b Mueller-Hinton 2 3mm c Streptococcus pneumoniae 5%CO2 d Staphylococcus spp. e ST 39 KPC - 1 2 3 4 5 a 1 2 b 1 5 c 2 3 d 3 4 e 4 5 40 2 a Elizabethkingia meningoseptica b Enterobacter cloacae c Haemophilus influenzae d Proteus vulgaris e Stenotrophomonas maltophilia 41 a Aspergillus terreus b Candida albicans c Cryptococcus neoformans d Malassezia furfur e Trichosporon asahii - 20 - 42 3

9 400 a Alternaria spp. b Aspergillus spp. c Candida spp. d Fusarium spp. e Scedosporium spp. - 21 - 43 50 400 a Aspergillus sp. b Mucor sp. c Penicillium sp. d Rhizopus sp. e Trichophyton sp. - 22 - 44 2 1 400 a Alternaria alternata b Epidermophyton floccosum c Fusarium solani d Microsporum canis e Trichophyton rubrum 45 a b c d B e - 23 - 46 2 a b c d IgM 4 e 8 47 2 a EB b c B d e 48 40 6

10 PCR a Echinococcus multilocularis b Isospora belli c Balantidium coli d Sarcocystis fayeri e Kudoa septempunctata 49 2 a pH Giemsa b c d e - 24 - 50 a b c d e