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    子宮内フローラ検査・細菌補足情報

    属名 文案(コメント欄) 抗菌薬情報 文献情報
    Aerococcus
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    近年、細菌性腟症との関連が報告されています。また絨毛羊膜炎の患者の羊水から分離されたとの報告があります。

    Alloscardovia
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    Bifidobacteriaceae (ビフィドバクテリウム科)に属する菌です。 ヒトに関連するのは、A.omnicolensで臨床材料では、尿,血液,尿道,口腔,扁桃腺,肺膿瘍から検出されています。 口腔、尿、血液から検出された菌となりますが、尿路に存在するAlloscardoviaに関しては臨床所見との関連が認められておらず、臨床的な意義は不明です。 カナダの健康な女性の腟内細菌叢を調べた論文において、Alloscardoviaは無害の可能性が記載されてます。

    Burkholderia
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    消毒薬に対して強い抵抗性を示す菌です。弊社との共同研究成果として、反復着抗菌薬情報床障害の方からも検出されています。その他、卵管卵巣膿瘍や早産の患者から検出された報告があります。

    Citrobacter
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    ヒト、動物の腸管の常在細菌叢を構成する一菌種で自然界にも分布しています。まれに日和見感染菌として尿路感染症などを引き起こすことが知られています。Citrobacter属には、病原性をもつCitrobacter koseriがいます。Citrobacter Koseri は新生児髄膜炎および脳膿瘍形成の重要な原因であり、出産時に母から子へと伝播する垂直感染が報告されております。

    Cloacibacterium
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    水や土壌に多い自然界に広く生息する菌です。健常な女性の腟から低い割合で検出された報告があります。

    Corynebacterium
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    子宮内に局在することが報告されている菌の一種で、慢性子宮内膜炎の患者から検出された報告があります。

    Dialister
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    Dialisterは、トリコモナス膣炎との関連が報告されております。 またD.pneumosintesは膣、口腔内などに常在する菌ですが、子宮留膿腫から分離された報告があります。

    Enterococcus
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    閉経後の女性や尿路感染症と関連して腟から検出された報告があります。 Enterococcusも乳酸生成菌の一種ですが、種によっては有害な場合があります。 ヒトの腸管に常在しており、糞便や尿などの臨床材料から分離されることが多い。尿路感染症、感染性心内膜炎、腹膜炎などを起こす菌です。

    Facklamia
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    不妊に対する臨床的な意義は不明です。尿路性敗血症の患者から分離されたとの報告があります。

    Klebsiella
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    ヒトの鼻腔、口腔、腸管の正常細菌叢に常在している菌です。 免疫能の低下した患者において感染症を起こします。

    Mageeibacillus
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    細菌性腟症に関連する菌の1つで、BVBA3と呼ばれており子宮頸管炎との関連も示唆されています。

    Megasphaera
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    細菌性腟症、トリコモナス腟炎、HIV感染との関連を示唆する報告があります。

    Micrococcus
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    自然界に広く生息し、まれに臨床材料から検出されます。臨床的意義は低いですが、免疫不全の場合、感染症例の報告もあります。

    Proteus
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    腸内細菌科に属する細菌で、ヒトの腸に存在する常在菌です。 Proteus vulgaris、Proteus mirabilisが代表種で、日和見感染として尿路感染症等の起因菌となることが多いことが知られています。

    Shuttleworthia
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    細菌性腟症との関連が報告されております。

    Sneathia
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    細菌性腟症、トリコモナス腟炎、HIV感染、早産との関連を示唆する報告があります。

    Sphingomonas
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    水・土壌環境に広く生息し、まれに臨床材料から検出される場合があります。 特にSphingomonas paucimobilisは、院内感染症の原因菌としてしばしば報告されています。

    Sphingomonas
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    自然界に広く分布し、ヒトの皮膚および粘膜の正常細菌叢を構成する菌の一種です。一方で、尿路感染症、皮膚疾患、化膿性疾患、敗血症の原因菌にもなりえ、ある種のStaphylococcusは食中毒の原因となる場合があります。 生殖器疾患との関連は不明ですが、一般的な種は非病原性と考えられます。

    Veillonella
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    ヒトの口腔、上気道、腸管に常在し、歯性感染症、心内膜炎、骨髄炎、菌血症などから分離されるほか、細菌性腟症との関連を示唆する報告もあります。