{"created":"2023-06-20T14:25:12.647357+00:00","id":292,"links":{},"metadata":{"_buckets":{"deposit":"aefafb06-c349-4a68-8243-4c41c4196602"},"_deposit":{"created_by":3,"id":"292","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"292"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00000292","sets":["81:31"]},"author_link":["1153","1151","1150","1162","1155","1158","1157","1154","1152","1156","1160","1149","1159","1161"],"item_2_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004-10-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"208","bibliographicPageStart":"203","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"Dokkyo journal of medical sciences"}]}]},"item_2_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"獨協医科大学総合周産期母子医療センターで経験したHIVキャリア妊婦の妊娠,分娩,および出生した児の新生児期,乳児期の経過について報告し,当院におけるHIV母子感染予防対策の管理指針について検討した.本例の周産期管理では,AIDS-Clinical-Trial-Group-076のプロトコールを参考とし,妊娠27週から母体にジドブジン400 mg/dayを投与した.分娩形式は選択的帝王切開とし,Level P4の感染対策管理のもと,妊娠35週5日に施行した.出生した児に対しては臍カテーテルよりガンマグロブリン製剤200 mg/kg×1回,およびジドブジンシロップ8 mg/kg分4を6週間投与した.児は生後1歳時にPA法によるHIV抗体検査を施行して陰性であり,母子感染は予防しえた.近い将来,当院においてHIVキャリア妊婦を周産期管理する件数は増加する可能性がある.HIV患者に対する突然の事態にも対応可能な体制を維持し続けることは,栃木県内におけるHIV患者診療拠点病院である本学の重要な役割である.HIV陽性妊娠の周産期管理においては,HIVキャリア妊婦を早期に発見し,NICUをはじめ各科専門家と協力して計画的な管理を励行することが重要である.","subitem_description_type":"Other"}]},"item_2_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"We report pregnancy and delivery in pregnant HIV carriers and their children whom we encountered at the Perinatal medical center, Dokkyo University School of Medicine. We investigated management guidelines for the prevention of maternal and child infection with HIV in our hospital. For perinatal management in the present patient, 400 mg/day of zidovudine was administered from week 27 of pregnancy in reference to the AIDS-Clinical-Trial-Group-076 protocol. Concerning the mode of delivery, selective cesarean section was performed at week 35 and day 5 of pregnancy under level- P4 infection management. A single dose of gamma globulin preparation at 200 mg/kg and 4 doses of zidovudine syrup at 8 mg/kg were administered to the neonate through an umbilical catheter for 6 weeks. In the infant, the HIV antibody test with the PA method showed a negative reaction at the age of 1 year, so maternal and child infection could be prevented. In the future, perinatal management of increasing number of pregnant HIV carriers may be performed in our hospital. To maintain the system for managing patients infected with HIV is the important role of our university, a main hospital for the treatment of patients with HIV infection in Tochigi Prefecture. In the perinatal management of HIV-positive pregnancy, pregnant HIV carriers should be detected in the early stage, and strategic management including the NICU should be performed in cooperation with specialists from other departments.","subitem_description_type":"Other"}]},"item_2_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著","subitem_description_type":"Other"}]},"item_2_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Original","subitem_description_type":"Other"}]},"item_2_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581"}]},"item_2_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_2_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"獨協医科大学小児科学(血液)"},{"subitem_text_value":"獨協医科大学小児科学(血液)"},{"subitem_text_value":"獨協医科大学小児科学(血液)"},{"subitem_text_value":"獨協医科大学小児科学(内分泌)"},{"subitem_text_value":"獨協医科大学産科婦人科学"},{"subitem_text_value":"獨協医科大学産科婦人科学"},{"subitem_text_value":"獨協医科大学産科婦人科学"}]},"item_2_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Departments of Pediatrics (Hematology, Neurology, and Cardiology), Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Pediatrics (Hematology, Neurology, and Cardiology), Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Pediatrics (Hematology, Neurology, and Cardiology), Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Pediatrics (Endocrinology, Urology, and Allergiology), Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Obstetrics and Gynecology, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Obstetrics and Gynecology, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Departments of Obstetrics and Gynecology, Dokkyo University School of Medicine"}]},"item_2_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"HIV キャリア ニンプ オヨビ シュッセイ シタ ジ ニ タイスル シュウサンキ カンリ : HIV キャリア ニンプ ヨリ シュッセイ シタ シンセイジ レイ オ ケイケン シテ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"今高, 城治"},{"creatorName":"イマタカ, ジョウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉田, 憲一"},{"creatorName":"スギタ, ケンイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"江口, 光興"},{"creatorName":"エグチ, ミツオキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴村, 宏"},{"creatorName":"スズムラ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"太田, 順子"},{"creatorName":"オオタ, ヨリコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"渡辺, 博"},{"creatorName":"ワタナベ, ヒロシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"稲葉, 憲之"},{"creatorName":"イナバ, ノリユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Imataka, George","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sugita, Kenichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Eguchi, Mitsuoki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Suzumura, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Oota, Yoriko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Watanabe, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Inaba, Noriyuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-24"}],"displaytype":"detail","filename":"KJ00004161775.pdf","filesize":[{"value":"959.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004161775.pdf","url":"https://dmu.repo.nii.ac.jp/record/292/files/KJ00004161775.pdf"},"version_id":"1e045f3f-086e-4b55-a2ce-e0f94369df09"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"HIV"},{"subitem_subject":"妊娠"},{"subitem_subject":"分娩"},{"subitem_subject":"帝王切開"},{"subitem_subject":"母子感染"},{"subitem_subject":"pregnancy","subitem_subject_language":"en"},{"subitem_subject":"delivery","subitem_subject_language":"en"},{"subitem_subject":"cesarean section","subitem_subject_language":"en"},{"subitem_subject":"maternal and child infection","subitem_subject_language":"en"}]},"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":"HIVキャリア妊婦および出生した児に対する周産期管理 : HIVキャリア妊婦より出生した新生児例を経験して","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"HIVキャリア妊婦および出生した児に対する周産期管理 : HIVキャリア妊婦より出生した新生児例を経験して"},{"subitem_title":"Perinatal Management of Pregnant HIV Carriers and Neonates","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["31"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-24"},"publish_date":"2017-05-24","publish_status":"0","recid":"292","relation_version_is_last":true,"title":["HIVキャリア妊婦および出生した児に対する周産期管理 : HIVキャリア妊婦より出生した新生児例を経験して"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T16:27:00.936274+00:00"}