. c* ö>& AMR>' P'Ç b N4 X 8 Zjvpa.jp/jvpa/wp-content/uploads/2019/12/amr_20191203.pdf · 2019....

Post on 17-Sep-2020

3 views 0 download

Transcript of . c* ö>& AMR>' P'Ç b N4 X 8 Zjvpa.jp/jvpa/wp-content/uploads/2019/12/amr_20191203.pdf · 2019....

AMR

薬剤耐性(A

MR

)対策の推進について

―動物用抗菌剤の慎重使用―

平成29年3月

公益社団法人日本動物用医薬品協会

17-02-359_表1-4.indd すべてのページ17-02-359_表1-4.indd すべてのページ 2017/03/06 16:49:292017/03/06 16:49:29

Antimicrobial Resistance AMR

AMR

Prudent Use

①17-02-359_本文.indd I17-02-359_本文.indd I 2017/03/16 19:38:232017/03/16 19:38:23

②17-02-359_本文.indd II17-02-359_本文.indd II 2017/03/13 16:33:022017/03/13 16:33:02

─ 1─

17-02-359_本文.indd 117-02-359_本文.indd 1 2017/03/13 16:20:052017/03/13 16:20:05

─ 2─

17-02-359_本文.indd 217-02-359_本文.indd 2 2017/03/13 16:20:052017/03/13 16:20:05

─ 3─

17-02-359_本文.indd 317-02-359_本文.indd 3 2017/03/13 16:20:052017/03/13 16:20:05

─ 4─

17-02-359_本文.indd 417-02-359_本文.indd 4 2017/03/13 16:20:052017/03/13 16:20:05

─ 5─

17-02-359_本文.indd 517-02-359_本文.indd 5 2017/03/13 16:20:052017/03/13 16:20:05

─ 6─

17-02-359_本文.indd 617-02-359_本文.indd 6 2017/03/13 16:20:052017/03/13 16:20:05

参考(関連ホームページ)・農林水産省HP:家畜に使用する抗菌性物質について

 http://www.maff.go.jp/j/syouan/tikusui/yakuzi/koukinzai.html

・動物医薬品検査所HP:薬剤耐性菌への対応 http://www.maff.go.jp/nval/yakuzai/index.html

・首相官邸HP:国際的に脅威となる感染症対策関係閣僚会議

 h t t p : / /www . k a n t e i . g o . j p / j p / s i n g i /kokusai_kansen/index.html

・厚生労働省HP:薬剤耐性(AMR)対策について

 http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000120172.html

・WHO HP: http://www.who.int/antimicrobial-resistance/publications/global-action-plan/en/

─ 7─

17-02-359_本文.indd 717-02-359_本文.indd 7 2017/03/13 16:20:122017/03/13 16:20:12

─ 8─

17-02-359_本文.indd 817-02-359_本文.indd 8 2017/03/13 16:20:122017/03/13 16:20:12

─ 9─

17-02-359_本文.indd 917-02-359_本文.indd 9 2017/03/13 16:20:132017/03/13 16:20:13

─ 10 ─

17-02-359_本文.indd 1017-02-359_本文.indd 10 2017/03/13 16:20:132017/03/13 16:20:13

─ 11 ─

17-02-359_本文.indd 1117-02-359_本文.indd 11 2017/03/13 16:20:132017/03/13 16:20:13

─ 12 ─

17-02-359_本文.indd 1217-02-359_本文.indd 12 2017/03/13 16:20:132017/03/13 16:20:13

─ 13 ─

17-02-359_本文.indd 1317-02-359_本文.indd 13 2017/03/13 16:20:132017/03/13 16:20:13

─ 14 ─

17-02-359_本文.indd 1417-02-359_本文.indd 14 2017/03/13 16:20:132017/03/13 16:20:13

─ 15 ─

17-02-359_本文.indd 1517-02-359_本文.indd 15 2017/03/13 16:20:132017/03/13 16:20:13

0

2

4

6

8

10

12

14

16

18

0

2

4

6

8

10

12

14

16

18

g/ml

NOSAI

g/ml

─ 16 ─

17-02-359_本文.indd 1617-02-359_本文.indd 16 2017/03/13 16:20:132017/03/13 16:20:13

─ 17 ─

17-02-359_本文.indd 1717-02-359_本文.indd 17 2017/03/13 16:20:132017/03/13 16:20:13

─ 18 ─

17-02-359_本文.indd 1817-02-359_本文.indd 18 2017/03/13 16:20:142017/03/13 16:20:14

─ 19 ─

17-02-359_本文.indd 1917-02-359_本文.indd 19 2017/03/13 16:20:142017/03/13 16:20:14

─ 20 ─

17-02-359_本文.indd 2017-02-359_本文.indd 20 2017/03/13 16:20:142017/03/13 16:20:14

─ 21 ─

17-02-359_本文.indd 2117-02-359_本文.indd 21 2017/03/13 16:20:142017/03/13 16:20:14

─ 22 ─

17-02-359_本文.indd 2217-02-359_本文.indd 22 2017/03/13 16:20:142017/03/13 16:20:14

─ 23 ─

17-02-359_本文.indd 2317-02-359_本文.indd 23 2017/03/13 16:20:142017/03/13 16:20:14

•••

─ 24 ─

17-02-359_本文.indd 2417-02-359_本文.indd 24 2017/03/13 16:20:142017/03/13 16:20:14

─ 25 ─

17-02-359_本文.indd 2517-02-359_本文.indd 25 2017/03/13 16:20:142017/03/13 16:20:14

─ 26 ─

17-02-359_本文.indd 2617-02-359_本文.indd 26 2017/03/13 16:20:142017/03/13 16:20:14

─ 27 ─

17-02-359_本文.indd 2717-02-359_本文.indd 27 2017/03/13 16:20:142017/03/13 16:20:14

─ 28 ─

17-02-359_本文.indd 2817-02-359_本文.indd 28 2017/03/13 16:20:142017/03/13 16:20:14

─ 29 ─

17-02-359_本文.indd 2917-02-359_本文.indd 29 2017/03/13 16:20:142017/03/13 16:20:14

─ 30 ─

17-02-359_本文.indd 3017-02-359_本文.indd 30 2017/03/13 16:20:152017/03/13 16:20:15

Clinical and Laboratory Standards Institute ( CLSI)European Committee on Antimicrobial Susceptibility Testing (EUCAST)

─ 31 ─

17-02-359_本文.indd 3117-02-359_本文.indd 31 2017/03/13 16:20:152017/03/13 16:20:15

Trypcase Soy broth

─ 32 ─

17-02-359_本文.indd 3217-02-359_本文.indd 32 2017/03/13 16:20:152017/03/13 16:20:15

─ 33 ─

17-02-359_本文.indd 3317-02-359_本文.indd 33 2017/03/13 16:20:152017/03/13 16:20:15

32 16 8 4 2 1 0.5 0.25g/ml

321684210.50.25

g/ml

g/ml321684210.50.25

─ 34 ─

17-02-359_本文.indd 3417-02-359_本文.indd 34 2017/03/13 16:20:152017/03/13 16:20:15

10

11

─ 35 ─

17-02-359_本文.indd 3517-02-359_本文.indd 35 2017/03/13 16:20:152017/03/13 16:20:15

1280 640 320 160 80 40 20 10 5 2.5g/ml

128 64 32 16 8 4 2 1 0.5 0.25g/ml

A A AC

128 g/ml 64 g/ml 32 g/ml

B B

A:B:C:

A:B:C:

A:B:C:

─ 36 ─

17-02-359_本文.indd 3617-02-359_本文.indd 36 2017/03/13 16:20:152017/03/13 16:20:15

─ 37 ─

17-02-359_本文.indd 3717-02-359_本文.indd 37 2017/03/13 16:20:152017/03/13 16:20:15

─ 38 ─

17-02-359_本文.indd 3817-02-359_本文.indd 38 2017/03/13 16:20:162017/03/13 16:20:16

─ 39 ─

17-02-359_本文.indd 3917-02-359_本文.indd 39 2017/03/13 16:20:162017/03/13 16:20:16