{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205297643136.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4058/jsei.24.177"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"10321554"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/10321554"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I10321554"}},{"identifier":{"@type":"NAID","@value":"10024804380"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2009241930"}}],"dc:title":[{"@language":"ja","@value":"ＩＣＴの関与により終息したＲａｌｓｔｏｎｉａ　ｐｉｃｋｅｔｔｉｉの伝播事例"},{"@language":"en","@value":"Transmission of Ralstonia pickettii from Bidet Washing Device Investigated by the Infection Control Team"},{"@language":"ja-Kana","@value":"ICT ノ カンヨ ニ ヨリ シュウソク シタ Ralstonia pickettii ノ デンパ ジレイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<i>Ralstonia pickettii</i> with similar biochemical properties was isolated from clinical specimens of the content of the cervical canal from five outpatients of obstetrics in our hospital on June 23, 2006.The infection control team interviewed the link nurse of obstetrics on June 26. The common medical practice to all five patients was a bidet for vulva washing with a limited part washing device irrigator set up in the first inspection room. Bacterial culture of the 0.025% benzalkonium chloride solution that remained in the nozzle of the limited part washing device irrigator was performed. <i>R. pickettii</i> was identified with the same biochemical properties as the five bacterial strains isolated from the patients.<br>   The five bacterial strains derived from the patients and one bacterial strain derived from the antiseptic solution in the nozzle were analyzed by the random amplified polymorphic DNA polymerase chain reaction (RAPD) method, which strongly suggested that all were the same bacterial strain. Therefore, we supposed that the infection spread by indirect contact mediated by the 0.025% benzalkonium chloride antiseptic solution contaminated with <i>R. pickettii</i> in the nozzle of the bidet for vulva washing.<br>"},{"@language":"ja","@value":"2006年6月23日に当院産科外来を受診した患者5名より採取した頸管内容物から同じ生化学的性状を示す<i>Ralstonia pickettii</i>を分離した．6月26日に感染対策チーム(ICT)が産科外来リンクナースに聞き取り調査を行った結果，産科外来初診室1に設置された1台の局所洗浄装置イルリガトールを患者5名の外陰部洗浄ならびに膣内洗浄に使用していたことが判明した．環境細菌調査の結果，局所洗浄装置イルリガトールの先端ノズルから採取した自家調製0.025 w/v%塩化ベンザルコニウム液より，患者由来5株と同じ生化学的性状を示す<i>R. pickettii</i>を分離した．患者由来5株ならびに先端ノズル由来1株は，Random amplified polymorphic DNA polymerase chain reaction (RAPD)法による分子疫学解析の結果から同一起源株であることが強く示唆された．したがって，本事例は，局所洗浄装置イルリガトールの先端ノズル内に<i>R. pickettii</i>が定着し，自家調製0.025%w/v%塩化ベンザルコニウム液を介した伝播事例と推察した．<br>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205050977284","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258586206"},{"@type":"NRID","@value":"9000006821831"},{"@type":"NRID","@value":"9000256570509"},{"@type":"NRID","@value":"9000256571026"},{"@type":"NRID","@value":"9000256570088"}],"foaf:name":[{"@language":"en","@value":"NIHONYANAGI Shin"},{"@language":"ja","@value":"二本柳 伸"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Medical Laboratory, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　臨床検査部"},{"@language":"en","@value":"Infection Control Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染対策チーム"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222290920448","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NAKAZAKI Nobuhiko"},{"@language":"ja","@value":"中崎 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Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染対策チーム"},{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222290920453","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258586214"},{"@type":"NRID","@value":"9000014205301"},{"@type":"NRID","@value":"9000258586042"}],"foaf:name":[{"@language":"en","@value":"FUJIKI Kuniko"},{"@language":"ja","@value":"藤木 くに子"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"北里大学病院　感染対策チーム"},{"@language":"en","@value":"Infection Control Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222290920457","@type":"Researcher","foaf:name":[{"@language":"en","@value":"MATSUBARA Hajime"},{"@language":"ja","@value":"松原 肇"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Infection Control Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染対策チーム"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"ja","@value":"北里大学病院　薬剤部"},{"@language":"en","@value":"Department of Pharmacy, Kitasato University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205297643143","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"平田 泰良"},{"@language":"en","@value":"HIRATA Yasuyosi"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"北里大学病院　臨床検査部"},{"@language":"en","@value":"Department of Medical Laboratory, Kitasato University Hospital"},{"@language":"en","@value":"Infection Control Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染対策チーム"},{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222290920456","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000003074549"},{"@type":"NRID","@value":"9000256569594"},{"@type":"NRID","@value":"9000256570516"},{"@type":"NRID","@value":"9000256570373"},{"@type":"NRID","@value":"9000256569865"}],"foaf:name":[{"@language":"en","@value":"TAKAYAMA Yoko"},{"@language":"ja","@value":"高山 陽子"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Infection Control Team, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染対策チーム"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"},{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"ja","@value":"北里大学医学部　臨床検査診断学"},{"@language":"en","@value":"Department of Laboratory Medicine, Kitasato University, School of Medicine"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222290920454","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000006100165"},{"@type":"NRID","@value":"9000256571029"}],"foaf:name":[{"@language":"en","@value":"OHTANI Shinichi"},{"@language":"ja","@value":"大谷 慎一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Laboratory Medicine, Kitasato University, School of Medicine"},{"@language":"ja","@value":"北里大学医学部　臨床検査診断学"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326221367296","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50245388"},{"@type":"NRID","@value":"1000050245388"},{"@type":"NRID","@value":"9000001994826"},{"@type":"NRID","@value":"9000256139949"},{"@type":"NRID","@value":"9000333196923"},{"@type":"NRID","@value":"9000368404945"},{"@type":"NRID","@value":"9000319068755"},{"@type":"NRID","@value":"9000415407683"},{"@type":"NRID","@value":"9000257906335"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0049679"}],"foaf:name":[{"@language":"en","@value":"KANOH Yuhsaku"},{"@language":"ja","@value":"狩野 有作"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"北里大学医学部　臨床検査診断学"},{"@language":"en","@value":"Department of Laboratory Medicine, Kitasato University, School of 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Keisuke"},{"@language":"ja","@value":"砂川 慶介"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"北里大学病院　感染管理室"},{"@language":"en","@value":"Department of Infection Control & Prevention, Kitasato University Hospital"},{"@language":"en","@value":"Kitasato Institute for Life Science & Graduate School of Infection Control Science, Kitasato University"},{"@language":"ja","@value":"北里大学生命科学研究所・大学院感染制御科学府"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"1882532X"},{"@type":"EISSN","@value":"18832407"},{"@type":"NDL_BIB_ID","@value":"000009167146"},{"@type":"ISSN","@value":"1882532X"},{"@type":"LISSN","@value":"1882532X"},{"@type":"NCID","@value":"AA12313188"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Infection Prevention and Control"},{"@language":"ja","@value":"日本環境感染学会誌"},{"@language":"en","@value":"Japanese Journal of Environmental Infections"},{"@language":"en","@value":"Nihon Kankyou Kansen Gakkaishi"},{"@language":"ja","@value":"環境感染誌"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society for Infection Prevention and Control"},{"@language":"ja","@value":"一般社団法人 日本環境感染学会"}],"prism:publicationDate":"2009","prism:volume":"24","prism:number":"3","prism:startingPage":"177","prism:endingPage":"184"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/10321554"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I10321554"},{"@id":"https://search.jamas.or.jp/link/ui/2009241930"}],"availableAt":"2009","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%3Ci%3ERalstonia%20pickettii%3C/i%3E","dc:title":"<i>Ralstonia pickettii</i>"},{"@id":"https://cir.nii.ac.jp/all?q=limited%20part%20washing%20device%20irrigator","dc:title":"limited part washing device irrigator"},{"@id":"https://cir.nii.ac.jp/all?q=infection%20control%20team","dc:title":"infection control team"},{"@id":"https://cir.nii.ac.jp/all?q=%3Ci%3ERalstonia%20pickettii%3C/i%3E","dc:title":"<i>Ralstonia pickettii</i>"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%B1%80%E6%89%80%E6%B4%97%E6%B5%84%E8%A3%85%E7%BD%AE%E3%82%A4%E3%83%AB%E3%83%AA%E3%82%AC%E3%83%88%E3%83%BC%E3%83%AB(Ilrigatorl)","dc:title":"局所洗浄装置イルリガトール(Ilrigatorl)"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%A4%E3%83%B3%E3%83%95%E3%82%A7%E3%82%AF%E3%82%B7%E3%83%A7%E3%83%B3%E3%82%B3%E3%83%B3%E3%83%88%E3%83%AD%E3%83%BC%E3%83%AB%E3%83%81%E3%83%BC%E3%83%A0(ICT)","dc:title":"インフェクションコントロールチーム(ICT)"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011143907226112","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Random amplified polymorphic DNA typing of Pseudomonas aeruginosa isolates recovered from patients with cystic fibrosis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145712078720","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"APIC guideline for selection and use of 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