Transcription of JAID/JSC感染症治療ガイドライン2015 ―腸管感染症―
1 jaid /JSC 2015 jaid /JSC 1 1 2 3 4 5 6 1 2 3 4 5 6 VOL. 64 NO. 131 I ..33II ..341 ..342 ..38 III ..41IV ..431 ..432 ..44V ..47VI ..50 VII ..52 J A N. 2 0 1 632I 1 A I B II C III IV 2 3 4 VOL.
2 64 NO. 133II 1 Executive summary 1 2 2 AI sick contact BII BII AI AI BII BIII 1 Empiric therapy empiric therapy 1 2 1 3
3 4 9 10 empiric therapy 8 9 11 CD4 HIV 50 LVFX 1 500mg 1 1 CPFX 600mg/ 1 2 AZM 1 500mg 1 1 CTRX 1 1 2g 1 1 24 2 Definitive therapy 1 Salmonella enterica Salmonella bongori 2 species S.
4 Enterica 6 subspecies serotype 2,000 O J A N. 2 0 1 634 1970 1980 S. Typhimurium 1980 S. Enteritidis 1998 2000 12 13 8 72 2 4 50 14 HIV 15 15 16 BI 8 9 11 16
5 20 BIII HIV 3 7 14 CTRX AZM 1990 DT104 S. Typhimurium 21 22 23 LVFX 1 500mg 1 1 3 7 TFLX 1 150mg 1 3 3 7 CPFX 600mg/ 1 2 3 7 CPFX 1 300mg 1 2 12 3 7 CTRX 1 1 2g 1 1 24 3 7 AZM 1 500mg 1 1 3 7 2 Campylobacter jejuni Campylobacter coli Campylobacter fetus C.
6 Jejuni VOL. 64 NO. 135 1 2 30% 24 25 26 27 28 30 BII CAM 1 200mg 1 2 3 5 AZM 1 500mg 1 1 3 5 EM 1 200mg 1 4 3 5 3 / / / 8 9 11 LVFX
7 1 500mg 1 1 3 5 CPFX 600mg/ 1 2 3 5 CTRX 1 1 2g 1 1 24 3 5 AZM 1 500mg 1 1 3 5 4 5 enterotoxigenic Escherichia. coli ETEC enteropathogenic E. coli EPEC enterohemorrhagic E. coli EHEC enteroinvasive E. coli EIEC enteroaggregative E. coli EAEC or EAggEC EHEC O157 O26 O111 EHEC hemolytic uremic syndrome HUS 5 10% HUS HUS 10% 50% 31 EHEC EHEC HUS HUS 32 EHEC J A N.
8 2 0 1 636 C HUS 8 11 33 34 2 HUS randomized controlled trial RCT 35 HUS 36 FOM 37 38 C 5 Shigella dysenteriae Shigella flexneri Shigella boydii Shigella sonnei 4 S. dysenteriae S.
9 Sonnei 1 3 5 7 10 AI AZM 39 42 LVFX 1 500mg 1 1 3 5 CPFX 600mg/ 1 2 3 5 AZM 1 500mg 1 1 3 5 6 Vibrio cholerae O O1 O139 2 oral rehydration solution ORS AI 43 46 AI AZM 47 48 LVFX 1 500mg 1 1 3 VOL.
10 64 NO. 137 CPFX 600mg/ 1 2 3 AZM 1 500mg 1 1 3 7 / Salmonella enterica subspecies enterica serovar Typhi S. Typhi A Salmonella enterica subspecies enterica serovar Paratyphi A S. Paratyphi A 7 14 5 21 49 A 50 A A A CTRX
