{"id":1726,"date":"2026-04-27T00:00:39","date_gmt":"2026-04-27T00:00:39","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/?p=1726"},"modified":"2026-04-27T01:45:57","modified_gmt":"2026-04-27T01:45:57","slug":"haemophilus-influenzae-hib-infection","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/column\/haemophilus-influenzae-hib-infection\/","title":{"rendered":"\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u75c5\u539f\u4f53\u3067\u306f\u306a\u3044\uff01\u300c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u300d\u306f\u3069\u3093\u306a\u7d30\u83cc\uff1f"},"content":{"rendered":"\n<p>\u300c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u300d\u3068\u805e\u304f\u3068\u3001\u51ac\u306b\u6d41\u884c\u3059\u308b\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3092\u601d\u3044\u6d6e\u304b\u3079\u308b\u4eba\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u3057\u304b\u3057\u5b9f\u969b\u306b\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u539f\u56e0\u3067\u306f\u306a\u304f\u3001\u307e\u3063\u305f\u304f\u5225\u306e\u7d30\u83cc\uff08Haemophilus influenzae\uff09\u3067\u3059\u3002\u305d\u306e\u540d\u79f0\u306f\u8aa4\u89e3\u3092\u62db\u304d\u3084\u3059\u3044\u4e00\u65b9\u3067\u3001\u4e73\u5e7c\u5150\u3084\u9ad8\u9f62\u8005\u306b\u6df1\u523b\u306a\u611f\u67d3\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306e\u6b63\u4f53\u3001\u767a\u75c7\u3059\u308b\u75c5\u6c17\u3001\u6cbb\u7642\u6cd5\u3084\u4e88\u9632\u6cd5\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u3001\u6b63\u3057\u3044\u7406\u89e3\u3068\u5bfe\u7b56\u306b\u3064\u306a\u3052\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>1. \u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u3068\u306f\uff1f\u305d\u306e\u6b63\u4f53\u3068\u6b74\u53f2\u7684\u80cc\u666f<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u5b66\u540d\u3068\u5206\u985e<\/strong><\/h3>\n\n\n\n<p>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f <strong>Haemophilus influenzae\uff08\u30d8\u30e2\u30d5\u30a3\u30eb\u30b9\u30fb\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\uff09<\/strong> \u3068\u547c\u3070\u308c\u308b\u7d30\u83cc\u3067\u3059\u3002<br>\u7d30\u83cc\u5b66\u7684\u306b\u306f\u30b0\u30e9\u30e0\u9670\u6027\u306e\u77ed\u687f\u83cc\u306b\u5206\u985e\u3055\u308c\u3001\u30d2\u30c8\u306e<strong>\u9f3b\u54bd\u982d\u306b\u5e38\u5728\u3059\u308b\u65e5\u548c\u898b\u611f\u67d3\u83cc<\/strong>\u306e\u3072\u3068\u3064\u3067\u3059\u3002\u9178\u7d20\u306e\u6709\u7121\u3092\u554f\u308f\u305a\u751f\u80b2\u53ef\u80fd\u306a\u901a\u6027\u5acc\u6c17\u6027\u83cc\u3067\u3042\u308a\u3001\u57f9\u990a\u306b\u306f <strong>X\u56e0\u5b50\uff08\u30d8\u30df\u30f3\uff09<\/strong> \u3068 <strong>V\u56e0\u5b50\uff08NAD\uff09<\/strong> \u3068\u3044\u3046\u6210\u5206\u3092\u5fc5\u8981\u3068\u3057\u307e\u3059\u3002\u3053\u306e\u305f\u3081\u3001\u5b9f\u9a13\u5ba4\u3067\u306e\u57f9\u990a\u306b\u306f\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u5bd2\u5929\u57f9\u5730\u306a\u3069\u7279\u6b8a\u306a\u6761\u4ef6\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u540d\u524d\u306e\u7531\u6765\u3068\u8aa4\u89e3\u306e\u6b74\u53f2<\/strong><\/h3>\n\n\n\n<p>19\u4e16\u7d00\u672b\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u304c\u4e16\u754c\u7684\u306b\u6d41\u884c\u3057\u305f\u969b\u3001\u60a3\u8005\u306e\u75f0\u3084\u5206\u6ccc\u7269\u304b\u3089\u3053\u306e\u83cc\u304c\u9ad8\u983b\u5ea6\u3067\u691c\u51fa\u3055\u308c\u307e\u3057\u305f\u3002\u305d\u306e\u305f\u3081\u5f53\u521d\u306f\u300c\u3053\u306e\u83cc\u3053\u305d\u304c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u539f\u56e0\u3067\u3042\u308b\u300d\u3068\u8aa4\u89e3\u3055\u308c\u3001<strong>\u300c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u300d\u3068\u3044\u3046\u540d\u79f0\u304c\u4e0e\u3048\u3089\u308c\u307e\u3057\u305f\u3002<\/strong><strong><br><\/strong><strong> \u3057\u304b\u3057\u30011933\u5e74\u306b\u30a4\u30ae\u30ea\u30b9\u306e\u7814\u7a76\u8005\u306b\u3088\u3063\u3066\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9\u304c\u767a\u898b\u3055\u308c\u305f\u3053\u3068\u3067\u3001\u3053\u306e\u8aa4\u89e3\u306f\u89e3\u6d88\u3055\u308c\u307e\u3057\u305f\u3002\u5b9f\u969b\u306b\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3068\u3044\u3046\u75c5\u6c17\u306e\u539f\u56e0\u3067\u306f\u306a\u304f\u3001\u3042\u304f\u307e\u3067\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u6d41\u884c\u6642\u306b\u4e8c\u6b21\u611f\u67d3\u3068\u3057\u3066\u5897\u3048\u308b\u3053\u3068\u304c\u591a\u304b\u3063\u305f\u7d30\u83cc<\/strong>\u306b\u904e\u304e\u306a\u304b\u3063\u305f\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u8840\u6e05\u578b\u3068\u75c5\u539f\u6027\u306e\u9055\u3044<\/strong><\/h3>\n\n\n\n<p>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306b\u306f\u3001\u83a2\u819c\uff08\u3055\u3084\uff09\u591a\u7cd6\u4f53\u306e\u9055\u3044\u306b\u3088\u3063\u3066 <strong>a\u301cf\u578b<\/strong> \u306e\u8840\u6e05\u578b\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u7279\u306b <strong>b\u578b\uff08Hib\uff1aHaemophilus influenzae type b\uff09<\/strong> \u304c\u6700\u3082\u5f37\u3044\u75c5\u539f\u6027\u3092\u6301\u3061\u3001\u4e73\u5e7c\u5150\u306b\u91cd\u75c7\u306e\u9ac4\u819c\u708e\u3084\u5589\u982d\u84cb\u708e\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u3067\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u83a2\u819c\u3092\u6301\u305f\u306a\u3044 <strong>\u975e\u578b\u5225\u682a\uff08NTHi: non-typeable H. influenzae\uff09<\/strong> \u306f\u3001\u4e3b\u306b\u4e2d\u8033\u708e\u3084\u526f\u9f3b\u8154\u708e\u3001\u80ba\u708e\u306a\u3069\u306e\u7c98\u819c\u611f\u67d3\u75c7\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u5e38\u5728\u83cc\u3068\u3057\u3066\u306e\u7279\u5fb4<\/strong><\/h3>\n\n\n\n<p>\u8208\u5473\u6df1\u3044\u70b9\u3068\u3057\u3066\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f\u5065\u5eb7\u306a\u4eba\u306e<strong>\u9f3b\u54bd\u982d\u306b\u5e38\u5728\u3057\u3066\u3044\u308b<\/strong>\u5834\u5408\u3082\u591a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u5c0f\u5150\u3084\u9ad8\u9f62\u8005\u306e\u7d0420\u301c40\uff05\u304c\u4fdd\u83cc\u3057\u3066\u3044\u308b\u3068\u3055\u308c\u3001\u666e\u6bb5\u306f\u75c7\u72b6\u3092\u8d77\u3053\u3055\u306a\u3044\u300c\u540c\u5c45\u83cc\u300d\u3068\u3057\u3066\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u514d\u75ab\u529b\u304c\u4f4e\u4e0b\u3057\u305f\u308a\u3001\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\uff08\u4f8b\uff1a\u672c\u7269\u306e\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9\uff09\u306b\u7f79\u60a3\u3057\u305f\u5f8c\u306a\u3069\u306b\u5897\u6b96\u3057\u3066\u75c5\u539f\u6027\u3092\u767a\u63ee\u3059\u308b\u305f\u3081\u3001\u81e8\u5e8a\u7684\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>2. \u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u304c\u5f15\u304d\u8d77\u3053\u3059\u4e3b\u306a\u611f\u67d3\u75c7<\/strong><\/h2>\n\n\n\n<p>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f\u5065\u5eb7\u306a\u4eba\u306e\u4e0a\u6c17\u9053\u306b\u5e38\u5728\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u666e\u6bb5\u306f\u75c7\u72b6\u3092\u8d77\u3053\u3057\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u514d\u75ab\u529b\u304c\u4f4e\u4e0b\u3057\u305f\u3068\u304d\u3084\u3001\u4ed6\u306e\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u5f8c\uff08\u4f8b\uff1a\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3084RS\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u5f8c\uff09\u306a\u3069\u306b<strong>\u4e8c\u6b21\u611f\u67d3<\/strong>\u3068\u3057\u3066\u767a\u75c7\u3057\u3001\u3055\u307e\u3056\u307e\u306a\u81e8\u5e8a\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u3068\u308a\u308f\u3051\u4e73\u5e7c\u5150\u3084\u9ad8\u9f62\u8005\u3001\u57fa\u790e\u75be\u60a3\u3092\u6301\u3064\u4eba\u3067\u306f\u91cd\u75c7\u5316\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u533b\u7642\u73fe\u5834\u3067\u306e\u6ce8\u610f\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-1. \u4e0a\u6c17\u9053\u611f\u67d3\u75c7<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6025\u6027\u4e2d\u8033\u708e<\/strong><strong><br><\/strong> \u5c0f\u5150\u3067\u6700\u3082\u591a\u3044\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u611f\u67d3\u75c7\u306e\u3072\u3068\u3064\u3002\u8033\u75db\u3001\u767a\u71b1\u3001\u4e0d\u6a5f\u5acc\u306a\u3069\u3067\u6c17\u3065\u304b\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u6297\u83cc\u85ac\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u3001\u7e70\u308a\u8fd4\u3057\u767a\u75c7\u3057\u3066\u96e3\u6cbb\u6027\u306b\u306a\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u526f\u9f3b\u8154\u708e<\/strong><strong><br><\/strong> \u9f3b\u3065\u307e\u308a\u3084\u81bf\u6027\u9f3b\u6c41\u3001\u54b3\u306a\u3069\u3092\u5448\u3057\u3001\u6162\u6027\u5316\u3059\u308b\u3068\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u7279\u306b\u5c31\u5b66\u5150\u3067\u306f\u5b66\u7fd2\u3084\u96c6\u4e2d\u529b\u306e\u4f4e\u4e0b\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-2. \u4e0b\u6c17\u9053\u611f\u67d3\u75c7<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6c17\u7ba1\u652f\u708e\u30fb\u6162\u6027\u547c\u5438\u5668\u75be\u60a3\u306e\u5897\u60aa<\/strong><strong><br><\/strong> \u6210\u4eba\u3084\u9ad8\u9f62\u8005\u3067\u306f\u6c17\u7ba1\u652f\u708e\u3084\u80ba\u708e\u306e\u539f\u56e0\u3068\u306a\u308a\u3001\u6162\u6027\u9589\u585e\u6027\u80ba\u75be\u60a3\uff08COPD\uff09\u60a3\u8005\u306e\u5897\u60aa\u56e0\u5b50\u3068\u3057\u3066\u91cd\u8981\u8996\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u547c\u5438\u56f0\u96e3\u3084\u75f0\u306e\u5897\u52a0\u306a\u3069\u304c\u7279\u5fb4\u3067\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u80ba\u708e<\/strong><strong><br><\/strong> \u514d\u75ab\u529b\u304c\u4f4e\u4e0b\u3057\u305f\u9ad8\u9f62\u8005\u3084\u57fa\u790e\u75be\u60a3\u3092\u6301\u3064\u4eba\u306b\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3002\u767a\u71b1\u3001\u54b3\u3001\u547c\u5438\u56f0\u96e3\u3092\u5448\u3057\u3001\u5165\u9662\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306b\u975e\u578b\u5225\u682a\uff08NTHi\uff09\u304c\u539f\u56e0\u3068\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-3. \u4e2d\u67a2\u795e\u7d4c\u611f\u67d3\u75c7<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7d30\u83cc\u6027\u9ac4\u819c\u708e<\/strong><strong><br><\/strong> b\u578b\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\uff08Hib\uff09\u304c\u4ee3\u8868\u7684\u306a\u539f\u56e0\u83cc\u3067\u3059\u3002\u4e73\u5e7c\u5150\u306b\u767a\u75c7\u3057\u3084\u3059\u304f\u3001\u767a\u71b1\u3001\u3051\u3044\u308c\u3093\u3001\u610f\u8b58\u969c\u5bb3\u306a\u3069\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u9069\u5207\u306a\u6cbb\u7642\u304c\u9045\u308c\u308b\u3068\u6b7b\u4ea1\u7387\u304c\u9ad8\u304f\u3001\u5f8c\u907a\u75c7\uff08\u96e3\u8074\u3001\u767a\u9054\u969c\u5bb3\u306a\u3069\uff09\u304c\u6b8b\u308b\u3053\u3068\u3082\u591a\u3044\u91cd\u5927\u306a\u75be\u60a3\u3067\u3059\u3002Hib\u30ef\u30af\u30c1\u30f3\u306e\u666e\u53ca\u306b\u3088\u308a\u767a\u75c7\u6570\u306f\u6fc0\u6e1b\u3057\u307e\u3057\u305f\u304c\u3001\u4f9d\u7136\u3068\u3057\u3066\u533b\u7642\u73fe\u5834\u3067\u306f\u8b66\u6212\u304c\u5fc5\u8981\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-4. \u91cd\u75c7\u611f\u67d3\u75c7<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5589\u982d\u84cb\u708e<\/strong><strong><br><\/strong> \u54bd\u982d\u306e\u5965\u306b\u3042\u308b\u5589\u982d\u84cb\u304c\u6025\u6fc0\u306b\u816b\u308c\u3066\u6c17\u9053\u9589\u585e\u3092\u8d77\u3053\u3059\u75be\u60a3\u3002\u4e73\u5e7c\u5150\u306b\u591a\u304f\u3001\u6570\u6642\u9593\u3067\u547c\u5438\u56f0\u96e3\u306b\u9665\u308b\u5371\u967a\u304c\u3042\u308b\u305f\u3081\u300c\u5c0f\u5150\u6551\u6025\u306e\u4ee3\u8868\u7684\u75be\u60a3\u300d\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002Hib\u30ef\u30af\u30c1\u30f3\u306e\u5b9a\u671f\u63a5\u7a2e\u5316\u3067\u75c7\u4f8b\u306f\u6fc0\u6e1b\u3057\u307e\u3057\u305f\u304c\u3001\u672a\u63a5\u7a2e\u8005\u3084\u30ef\u30af\u30c1\u30f3\u52b9\u679c\u304c\u4e0d\u5341\u5206\u306a\u30b1\u30fc\u30b9\u3067\u306f\u767a\u75c7\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u6557\u8840\u75c7<\/strong><strong><br><\/strong> \u83cc\u304c\u8840\u6d41\u306b\u5165\u308a\u5168\u8eab\u306b\u5e83\u304c\u308b\u3053\u3068\u3067\u3001\u30b7\u30e7\u30c3\u30af\u3084\u591a\u81d3\u5668\u4e0d\u5168\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u4e73\u5e7c\u5150\u3084\u514d\u75ab\u6291\u5236\u72b6\u614b\u306b\u3042\u308b\u6210\u4eba\uff08\u9020\u8840\u5e79\u7d30\u80de\u79fb\u690d\u5f8c\u3084\u6297\u304c\u3093\u5264\u6cbb\u7642\u4e2d\u306e\u60a3\u8005\u306a\u3069\uff09\u3067\u306f\u81f4\u6b7b\u7387\u304c\u9ad8\u3044\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>2-5. \u305d\u306e\u4ed6\u306e\u611f\u67d3\u75c7<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7d50\u819c\u708e<\/strong><strong><br><\/strong> \u5c0f\u5150\u3067\u3088\u304f\u898b\u3089\u308c\u3001\u5145\u8840\u3001\u6d99\u3001\u773c\u8102\u3092\u4f34\u3044\u307e\u3059\u3002\u4fdd\u80b2\u5712\u3084\u5b66\u6821\u3067\u96c6\u56e3\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u9aa8\u9ac4\u708e\u30fb\u95a2\u7bc0\u708e<\/strong><strong><br><\/strong> \u307e\u308c\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u83cc\u8840\u75c7\u3092\u80cc\u666f\u306b\u9aa8\u3084\u95a2\u7bc0\u306b\u611f\u67d3\u304c\u6ce2\u53ca\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u95a2\u7bc0\u708e\u306f\u5c0f\u5150\u3067\u591a\u304f\u3001\u95a2\u7bc0\u306e\u816b\u8139\u3084\u75bc\u75db\u304c\u7279\u5fb4\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u3068\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9\u306e\u9055\u3044<\/strong><\/h2>\n\n\n\n<p>\u8aa4\u89e3\u3055\u308c\u3084\u3059\u3044\u4e21\u8005\u3092\u6574\u7406\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u9805\u76ee<\/strong><\/td><td><strong>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc<\/strong><\/td><td><strong>\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30a6\u30a4\u30eb\u30b9<\/strong><\/td><\/tr><tr><td>\u75c5\u539f\u4f53<\/td><td>\u7d30\u83cc\uff08\u30b0\u30e9\u30e0\u9670\u6027\u687f\u83cc\uff09<\/td><td>\u30a6\u30a4\u30eb\u30b9\uff08RNA\u30a6\u30a4\u30eb\u30b9\uff09<\/td><\/tr><tr><td>\u4e3b\u306a\u611f\u67d3\u90e8\u4f4d<\/td><td>\u4e2d\u8033\u3001\u9f3b\u8154\u3001\u526f\u9f3b\u8154\u3001\u80ba\u3001\u9ac4\u819c\u306a\u3069<\/td><td>\u6c17\u9053\u30fb\u80ba<\/td><\/tr><tr><td>\u75c7\u72b6<\/td><td>\u4e2d\u8033\u708e\u3001\u80ba\u708e\u3001\u9ac4\u819c\u708e\u3001\u5589\u982d\u84cb\u708e<\/td><td>\u767a\u71b1\u3001\u982d\u75db\u3001\u5026\u6020\u611f\u3001\u54b3<\/td><\/tr><tr><td>\u6cbb\u7642\u6cd5<\/td><td>\u6297\u83cc\u85ac\uff08\u30da\u30cb\u30b7\u30ea\u30f3\u7cfb\u30fb\u30bb\u30d5\u30a7\u30e0\u7cfb\u306a\u3069\uff09<\/td><td>\u6297\u30a6\u30a4\u30eb\u30b9\u85ac\uff08\u30aa\u30bb\u30eb\u30bf\u30df\u30d3\u30eb\u7b49\uff09<\/td><\/tr><tr><td>\u4e88\u9632\u6cd5<\/td><td>Hib\u30ef\u30af\u30c1\u30f3\uff08\u5c0f\u5150\u5b9a\u671f\u63a5\u7a2e\uff09<\/td><td>\u6bce\u5e74\u306e\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30ef\u30af\u30c1\u30f3<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u3053\u306e\u6bd4\u8f03\u304b\u3089\u3082\u3001\u4e21\u8005\u306f\u5168\u304f\u5225\u7269\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u78ba\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. Hib\u30ef\u30af\u30c1\u30f3\u306e\u91cd\u8981\u6027<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u52b9\u679c<\/strong><strong><br><\/strong> Hib\u30ef\u30af\u30c1\u30f3\u5c0e\u5165\u5f8c\u3001\u5c0f\u5150\u9ac4\u819c\u708e\u306e\u767a\u75c7\u6570\u306f90\uff05\u4ee5\u4e0a\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002\u5589\u982d\u84cb\u708e\u306e\u5831\u544a\u3082\u6fc0\u6e1b\u3002<br><\/li>\n\n\n\n<li><strong>\u5bfe\u8c61\u5e74\u9f62<\/strong><strong><br><\/strong> \u751f\u5f8c2\u304b\u6708\u304b\u3089\u63a5\u7a2e\u53ef\u80fd\u30024\u56de\u63a5\u7a2e\u3067\u514d\u75ab\u3092\u7372\u5f97\u3002<br><\/li>\n\n\n\n<li><strong>\u793e\u4f1a\u7684\u610f\u7fa9<\/strong><strong><br><\/strong> \u533b\u7642\u8cbb\u524a\u6e1b\u3084\u5f8c\u907a\u75c7\u4e88\u9632\u306e\u89b3\u70b9\u304b\u3089\u3082\u5927\u304d\u306a\u8ca2\u732e\u3092\u679c\u305f\u3057\u3066\u3044\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u611f\u67d3\u75c7\u306e\u6cbb\u7642<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7b2c\u4e00\u9078\u629e\u85ac<\/strong><strong><br><\/strong> \u30a2\u30e2\u30ad\u30b7\u30b7\u30ea\u30f3\u3001\u30a2\u30e2\u30ad\u30b7\u30b7\u30ea\u30f3\u30fb\u30af\u30e9\u30d6\u30e9\u30f3\u9178\u3001\u30bb\u30d5\u30a7\u30e0\u7cfb<br><\/li>\n\n\n\n<li><strong>\u91cd\u75c7\u4f8b<\/strong><strong><br><\/strong> \u9ac4\u819c\u708e\u3084\u6557\u8840\u75c7\u3067\u306f\u7b2c3\u4e16\u4ee3\u30bb\u30d5\u30a7\u30e0\u3084\u30ab\u30eb\u30d0\u30da\u30cd\u30e0\u7cfb\u3092\u4f7f\u7528<br><\/li>\n\n\n\n<li><strong>\u8010\u6027\u83cc\u306e\u554f\u984c<\/strong><strong><br><\/strong> BLNAR\u682a\uff08\u03b2\u30e9\u30af\u30bf\u30de\u30fc\u30bc\u975e\u7523\u751f\u30a2\u30f3\u30d4\u30b7\u30ea\u30f3\u8010\u6027\u83cc\uff09\u304c\u5897\u52a0\u50be\u5411\u3002\u6cbb\u7642\u85ac\u9078\u629e\u306e\u96e3\u3057\u3055\u304c\u81e8\u5e8a\u3067\u8ab2\u984c\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. \u611f\u67d3\u4e88\u9632\u306e\u30dd\u30a4\u30f3\u30c8<\/strong><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"478\" src=\"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/11\/4067721_s.jpg\" alt=\"\" class=\"wp-image-1728\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/11\/4067721_s.jpg 640w, https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/11\/4067721_s-300x224.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u500b\u4eba\u3067\u3067\u304d\u308b\u4e88\u9632<\/strong><strong><br><\/strong>\n<ul class=\"wp-block-list\">\n<li>Hib\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e<br><\/li>\n\n\n\n<li>\u624b\u6d17\u3044\u30fb\u3046\u304c\u3044\u30fb\u30de\u30b9\u30af\u7740\u7528<br><\/li>\n\n\n\n<li>\u6804\u990a\u3068\u7761\u7720\u306b\u3088\u308b\u514d\u75ab\u529b\u7dad\u6301<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u96c6\u56e3\u3067\u306e\u4e88\u9632<\/strong><strong><br><\/strong> \u4fdd\u80b2\u5712\u3084\u5b66\u6821\u3067\u306e\u885b\u751f\u6559\u80b2\u3001\u5bb6\u5ead\u5185\u3067\u306e\u611f\u67d3\u9632\u6b62\u7b56\u304c\u91cd\u8981\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>7. \u533b\u7642\u73fe\u5834\u3067\u306e\u6ce8\u610f\u70b9<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u8a3a\u65ad\u306e\u96e3\u3057\u3055<\/strong><strong><br><\/strong> \u521d\u671f\u75c7\u72b6\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3084\u98a8\u90aa\u3068\u4f3c\u3066\u3044\u308b\u305f\u3081\u9451\u5225\u304c\u91cd\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u8fc5\u901f\u691c\u67fb\u3068\u57f9\u990a<\/strong><strong><br><\/strong> \u9ac4\u6db2\u691c\u67fb\u3084\u8840\u6db2\u57f9\u990a\u3067\u306e\u8fc5\u901f\u8a3a\u65ad\u304c\u5fc5\u8981\u3002<br><\/li>\n\n\n\n<li><strong>\u6297\u83cc\u85ac\u9069\u6b63\u4f7f\u7528<\/strong><strong><br><\/strong> \u4e0d\u5fc5\u8981\u306a\u6297\u83cc\u85ac\u4f7f\u7528\u306f\u8010\u6027\u83cc\u62e1\u5927\u306b\u3064\u306a\u304c\u308b\u305f\u3081\u3001\u6297\u83cc\u85ac stewardship \u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>8. 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class=\"wp-block-heading\"><strong>\u8aa4\u89e31\uff1a\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u306f\u300c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u539f\u56e0\u300d<\/strong><\/h3>\n\n\n\n<p>\u6700\u3082\u591a\u3044\u8aa4\u89e3\u304c\u3053\u308c\u3067\u3059\u3002\u540d\u524d\u306e\u7531\u6765\u306e\u901a\u308a\u3001\u304b\u3064\u3066\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306e\u539f\u56e0\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u5b9f\u969b\u306b\u306f\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306fRNA\u30a6\u30a4\u30eb\u30b9\u306b\u3088\u308b\u611f\u67d3\u75c7\u3067\u3042\u308a\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u83cc\u3068\u306f\u5168\u304f\u7121\u95a2\u4fc2\u3067\u3059\u3002<br>\ud83d\udc49 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