感染症学雑誌第80巻第6号
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1 Streptococcus pyogenes Streptococcus Streptococcus pyogenes Streptococcus dysgalactiae equisimilis S. pyogenes S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. dysgalactiae equisimilis Streptococcus pyogenes S. pyogenes S. pyogenes S. pyogenes S. dysgalactiae equisimilis S. pyogenes
2 Table Strainsevaluated Strains Lancefield sgroup Hemolysis T type source Streptococcuspyogenes(0304) Streptococcuspyogenes(03090) Streptococcuspyogenes(03) Streptococcuspyogenes(040) Streptococcuspyogenes(0404) Streptococcusagalactiae(0408) Streptococcusanginosus(003X3) Streptococcusconstelatus(SM004) Streptococcusdysgalactiaesubsp.equisimilis(003CV) Streptococcusdysgalactiaesubsp.equisimilis(003G) Streptococcusanginosus(SM003) Streptococcusconstelatus(SM004) Streptococcusdysgalactiaesubsp.equisimilis(003X) Streptococcusdysgalactiaesubsp.equisimilis(0403) B C F C G α T T T8 T4 T blood necrosis blood Streptococcus milleri S. pyogenes S. agalactiae S. anginosus S. constellatus S. dysgalactiae equisimilis S. pyogenes S. anginosus S. constellatus S. dysgalactiae equisimilis S. pyogenes µ µ S. pyogenes µ S. pyogenes S. pyogenes S. dysgalactiae equisimilis
3 Table Comparisonof8rapiddiagnostickitsfordetectinggroup streptococcuswithimmunochromatographicalmethod StatCheck Strep RapidTesta Strep (DaichiPureChemical (KINOSLaboratories, Co.,Ltd.) Inc.) DIPSTICK Eiken (EikenChemical Co.,Ltd.) ImmunoCard STT! (TFB,INC.) QuickVue CLEVIEW (WakoPureChemical Industries,Ltd) (NihonSchering K.K.) TESTPCK Plus (BBOTT JPN Co.,Ltd) QuickVue Dipstick Strep (SumitomoSeiyaku BiomedicalCo.,Ltd.) totalrequiredtime(min) 7 7 extractiontime(min) reactiontime(min) 4 ~ 30 (mixintheample) ~ 30 ~ 30 ~ 30 numberofreagents 3 3 (mixintheample) packingunit(test) shape platetype cardtype platetype expiraction(month) (8) 4 4 storage( ) ~30 ~ 30 ~ 30 room temperature S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. anginosus S. constellatus S. pyogenes S. dysgalactiae equisimilis S. dysgalactiae equisimilis S. pyogenes
4 Table3 Comparisonofsensitivity(CFU/mL)of8rapiddiagnostickitsfordetectinggroup streptococcustostreptococcuspyogenesisolatedfrom clinicalsource Streptococcuspyogenes(0304)T QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcuspyogenes(03090)T QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcuspyogenes(03)T8 QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcuspyogenes(040)T4 QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcuspyogenes(0404)T QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) :Strongpositive :Positive :Thetraceatthetestbandpositionwereobserved :Negative unit:cfu(colonyformingunit)/ml
5 Table4 ReactionoftheevalutionofhemolyticstreptococcalstrainsotherthanGroup streptococcus( CFU/mL)with8rapiddiagnostickitsfordetectinggroup streptococcus StatCheck Strep RapidTesta Strep (KINOS Laboratories, Inc.) (DaichiPure Chemical Co.,Ltd.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) ImmunoCard STT! (TFB,INC.) QuickVue CLEVIEW (WakoPure Chemical Industries,Ltd) (NihonSchering K.K.) TESTPCK Plus (BBOTT J PN Co.,Ltd) QuickVue Dipstick Strep (SumitomoSeiyaku BiomedicalCo., Ltd.) Species(StrainNo) Streptococusagalactiae(GroupBstreptococci)(0408) Streptococusanginosus(GroupCstreptococci)(003X3) Streptococusconstelatus(GroupFstreptococci)(SM004) Streptococusdysgalactiaesubsp.equisimilis(GroupCstreptococci)(003CV) Streptococusdysgalactiaesubsp.equisimilis(GroupGstreptococci)(003G) :Negative S. pyogenes S. pyogenes S. pyogenes S. pyogenes S. dysgalactiae equisimilis
6 Table Comparisonofsensitivityof8rapiddiagnostickitsfordetectinggroup streptococcustogroup streptococcusother thanstreptococcuspyogenesisolatedfrom clinicalsource Streptococcusanginosus(SM003) QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcusconstelatus(SM004) QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcusdysgalactiaesubsp.equisimilis(003X) QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) Streptococcusdysgalactiaesubsp.equisimilis(0403) QuickVueDipstickStrep(SumitomoSeiyakuBiomedicalCo.,Ltd.) TESTPCK Plus(BBOTT JPN Co.,Ltd) CLEVIEW (NihonScheringK.K.) QuickVue(WakoPureChemicalIndustries,Ltd) ImmunoCardSTT!(TFB,INC.) DIPSTICK Eiken (EikenChemicalCo.,Ltd.) RapidTestaStrep(DaichiPureChemicalCo.,Ltd.) StatCheckStrep(KINOSLaboratories,Inc.) :Strongpositive :Positive :Thetraceatthetestbandpositionwereobserved :Negative unit:cfu/ml S. pyogenes S. dysgalactiae equisimilis S. pyogenes
7 S. pyogenes S. pyogenes S. pyogenes S. dysgalactiae equisimilis S. dysgalactiae equisimilis S. pyogenes S. pyogenes S. dysgalactiae equisimilis S. dysgalactiae equisimilis S. dysgalactiae equisimilis emm stg S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. dysgalactiae equisimilis S. dysgalactiae equisimilis S. pyogenes S. pyogenes Streptococcus pyogenes
8 Streptococcus equisimilis Streptococcus dysgalactiae equisimilis Streptococcus dysgalactiae equisimilis Streptococcus dysgalactiae equisimilis et al. Streptococcus milleri
9 Streptococcus pyogenes Streptococcus S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. pyogenes S. dysgalactiae equisimilis
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( ) 2.1 10 2.2 (1967) (1997,2003) 2.2 ( ) 11 12 ( ) 90150 (684) (887) (1099) (1361) (1605) (1707) (1854) 21(1946) 8 2.3 (1854) 13 (1997) (1854.12.23) (M8.4) (24 ) (M8.4) 70,000 3000 ( ) 7 2 3 3 (,1997)
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More informationFig.1 Chemical structure of BAY o 9867
Fig.1 Chemical structure of BAY o 9867 CHEMOTHERAPY 43 Table 3 Antibacterial spectrum of gram negative bacteria Medium:Heart infusion agar (Nissui) Method:Agar dilution (Streak) CHEMOTHERAPY DEC 1985
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16 3,000 12 3 12 25 1 2 1,298 43.3 1 2 10 16 3 4 5 6 3 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 21 1 3 22 23 1 24 25 0 26 27 28 29 30 636 668 683 690 722 771 799 799 820 820 847 868 883 917 10 922 922
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