{"id":102292,"date":"2026-03-20T00:23:43","date_gmt":"2026-03-19T17:23:43","guid":{"rendered":"https:\/\/scholar.com.vn\/?p=102292"},"modified":"2026-03-20T00:30:00","modified_gmt":"2026-03-19T17:30:00","slug":"%e9%ab%84%e8%86%9c%e7%82%8e%e8%8f%8cb%e7%be%a4%ef%bc%88menb%ef%bc%89%e7%96%be%e6%82%a3%ef%bc%9a2026%e5%b9%b4%e3%82%b1%e3%83%b3%e3%83%88%e9%9b%86%e5%9b%a3%e7%99%ba%e7%94%9f%e3%81%ab%e9%96%a2%e3%81%99","status":"publish","type":"post","link":"https:\/\/scholar.com.vn\/jp\/%e9%ab%84%e8%86%9c%e7%82%8e%e8%8f%8cb%e7%be%a4%ef%bc%88menb%ef%bc%89%e7%96%be%e6%82%a3%ef%bc%9a2026%e5%b9%b4%e3%82%b1%e3%83%b3%e3%83%88%e9%9b%86%e5%9b%a3%e7%99%ba%e7%94%9f%e3%81%ab%e9%96%a2%e3%81%99\/","title":{"rendered":"\u9ac4\u819c\u708e\u83ccB\u7fa4\uff08MenB\uff09\u75be\u60a3\uff1a2026\u5e74\u30b1\u30f3\u30c8\u96c6\u56e3\u767a\u751f\u306b\u95a2\u3059\u308b\u5305\u62ec\u7684\u81e8\u5e8a\u30fb\u516c\u8846\u885b\u751f\u7684\u8003\u5bdf\u4e0a\u7d1a\u533b\u5b66\u7814\u7a76\u8005\u30fb\u533b\u7642\u30d6\u30ed\u30ac\u30fc\u306e\u8996\u70b9\u304b\u3089"},"content":{"rendered":"

\u5e8f\u6587\uff1a\u306a\u305c\u3053\u306e\u96c6\u56e3\u767a\u751f\u306f\u7279\u5225\u306a\u6ce8\u610f\u3092\u8981\u3059\u308b\u306e\u304b<\/b><\/h1>\n

\u4fb5\u8972\u6027\u9ac4\u819c\u708e\u83cc\u611f\u67d3\u75c7\uff08IMD\uff09\u309220\u5e74\u4ee5\u4e0a\u7814\u7a76\u3057\u3066\u304d\u305f\u81e8\u5e8a\u533b\u30fb\u7814\u7a76\u8005\u3068\u3057\u3066\u3001\u79c1\u306f\u300c\u524d\u4f8b\u306e\u306a\u3044\u300d\u3068\u3044\u3046\u8a00\u8449\u3092\u4f7f\u3046\u3053\u3068\u3092\u307b\u3068\u3093\u3069\u3057\u306a\u3044\u3002\u3057\u304b\u3057\u30012026\u5e74\u306e\u30ab\u30f3\u30bf\u30d9\u30ea\u30fc\u96c6\u56e3\u767a\u751f\u3092\u63cf\u5199\u3059\u308b\u305f\u3081\u306b\u3001\u591a\u304f\u306e\u4e0a\u7d1a\u516c\u8846\u885b\u751f\u5b98\u304c\u6b63\u78ba\u306b\u3053\u306e\u8a00\u8449\u3092\u4f7f\u3063\u3066\u3044\u308b\u30023\u670819\u65e5\u73fe\u5728\u3001\u5927\u5b66\u306e\u30ca\u30a4\u30c8\u30af\u30e9\u30d6\u3067\u306e\u5358\u4e00\u306e\u8d85\u62e1\u6563\u30a4\u30d9\u30f3\u30c8\u304b\u308927\u4f8b\u306e\u691c\u67fb\u3067\u78ba\u8a8d\u3055\u308c\u305f\u95a2\u9023\u75c7\u4f8b\u30682\u4ef6\u306e\u6b7b\u4ea1\u304c\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u4f1d\u64ad\u901f\u5ea6\u306f\u6a19\u6e96\u7684\u306a\u96c6\u56e3\u767a\u751f\u30e2\u30c7\u30eb\u306e\u4eee\u5b9a\u3092\u8d85\u3048\u308b\u3082\u306e\u3067\u3042\u308b\u3002<\/span><\/p>\n

\u3053\u306e\u8ad6\u6587\u306f\u3001NHS\u8077\u54e1\u5411\u3051\u306b\u767a\u8868\u3055\u308c\u305f\u6700\u521d\u306e\u81e8\u5e8a\u30d6\u30ea\u30fc\u30d5\u30a3\u30f3\u30b0\u3092\u5927\u5e45\u306b\u8d85\u3048\u305f\u3082\u306e\u3067\u3042\u308b\u3002\u79c1\u306e\u76ee\u6a19\u306f\u3001\u81e8\u5e8a\u533b\u3001\u5b66\u751f\u3001\u304a\u3088\u3073\u60c5\u5831\u3092\u6301\u3064\u4e00\u822c\u8aad\u8005\u306b\u3001\u3053\u306e\u96c6\u56e3\u767a\u751f\u304c\u660e\u78ba\u306b\u3057\u305f\u751f\u7269\u5b66\u3001\u81e8\u5e8a\u7684\u610f\u601d\u6c7a\u5b9a\u7d4c\u8def\u3001\u30ef\u30af\u30c1\u30f3\u79d1\u5b66\u3001\u75ab\u5b66\u3001\u304a\u3088\u3073\u672a\u89e3\u6c7a\u306e\u7814\u7a76\u8ab2\u984c\u306b\u3064\u3044\u3066\u306e\u3001\u3088\u308a\u6df1\u304f\u3001\u8a3c\u62e0\u306b\u57fa\u3065\u3044\u305f\u7406\u89e3\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002<\/span><\/p>\n\n\n\n
\u2695 \u91cd\u8981\u306a\u81e8\u5e8a\u30e1\u30c3\u30bb\u30fc\u30b8\uff1a\u7a81\u7136\u767a\u75c7\u306e\u767a\u71b1\u3001\u6fc0\u3057\u3044\u982d\u75db\u3001\u9805\u90e8\u786c\u76f4\u3001\u307e\u305f\u306f\u610f\u8b58\u5909\u5bb9\u3092\u5448\u3059\u308b16\u301c30\u6b73\u306e\u82e5\u8005\u306f\u3001\u4ed6\u306b\u539f\u56e0\u304c\u8a3c\u660e\u3055\u308c\u308b\u307e\u3067\u9ac4\u819c\u708e\u83cc\u7dca\u6025\u4e8b\u614b\u3068\u3057\u3066\u6271\u308f\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u767a\u75b9\u3092\u5f85\u3064\u306a\u3002<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

1. \u75c5\u539f\u4f53\u306e\u7406\u89e3\uff1aNeisseria meningitidis<\/b><\/h1>\n

1.1 \u5fae\u751f\u7269\u5b66\u3068\u6bd2\u529b\u56e0\u5b50<\/b><\/h2>\n

Neisseria meningitidis\u306f\u3001\u5065\u5eb7\u306a\u9752\u5e74\u304a\u3088\u3073\u82e5\u5e74\u6210\u4eba\u306e\u7d0410\u301c35%\u3067\u9f3b\u54bd\u982d\u7c98\u819c\u306b\u5e38\u5728\u3059\u308b\u504f\u6027\u30b0\u30e9\u30e0\u9670\u6027\u53cc\u7403\u83cc\u3067\u3042\u308a\u3001\u4fdd\u83cc\uff08\u30ad\u30e3\u30ea\u30a2\u72b6\u614b\uff09\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u3002\u4fdd\u83cc\u682a\u3068\u4fb5\u8972\u682a\u3092\u533a\u5225\u3059\u308b\u3082\u306e\u306f\u3001\u7d30\u83cc\u306e\u6bd2\u529b\u56e0\u5b50\u3068\u5bbf\u4e3b\u514d\u75ab\u5fdc\u7b54\u306e\u8907\u96d1\u306a\u76f8\u4e92\u4f5c\u7528\u3092\u542b\u3080\u3002<\/span><\/p>\n

\u4e3b\u8981\u306a\u6bd2\u529b\u6c7a\u5b9a\u56e0\u5b50\u306b\u306f\u4ee5\u4e0b\u304c\u542b\u307e\u308c\u308b\uff1a<\/span><\/p>\n

    \n
  • \u591a\u7cd6\u4f53\u83a2\u819c\uff1a\u6700\u3082\u91cd\u8981\u306a\u6bd2\u529b\u56e0\u5b50\u3002\u83a2\u819c\u306f\u7d30\u83cc\u304c\u98df\u4f5c\u7528\u304a\u3088\u3073\u88dc\u4f53\u4ecb\u5728\u6027\u6bba\u83cc\u3092\u56de\u907f\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3059\u308b\u3002<\/span><\/li>\n
  • \u5916\u819c\u30bf\u30f3\u30d1\u30af\u8cea\uff08OMP\uff09\uff1a\u56e0\u5b50H\u7d50\u5408\u30bf\u30f3\u30d1\u30af\u8cea\uff08fHbp\uff09\u3001Neisserial\u63a5\u7740\u7d20A\uff08NadA\uff09\u3001Neisseria\u30d8\u30d1\u30ea\u30f3\u7d50\u5408\u6297\u539f\uff08NHBA\uff09\u3001\u304a\u3088\u3073\u30dd\u30ea\u30f3\u30bf\u30f3\u30d1\u30af\u8ceaPorA\u3068PorB\u306f\u3001MenB\u30ef\u30af\u30c1\u30f3\uff08Bexsero\uff09\u306e\u6297\u539f\u3068\u3057\u3066\u6a5f\u80fd\u3059\u308b\u3002<\/span><\/li>\n
  • \u7dda\u6bdb\u3068\u63a5\u7740\u7d20\uff1a\u9f3b\u54bd\u982d\u4e0a\u76ae\u3078\u306e\u4ed8\u7740\u3092\u4fc3\u9032\u3057\u3001\u7c98\u819c\u30d0\u30ea\u30a2\u3092\u8d8a\u3048\u3066\u8840\u6d41\u4fb5\u5165\u3092\u53ef\u80fd\u306b\u3059\u308b\u3002<\/span><\/li>\n
  • \u30ea\u30dd\u30aa\u30ea\u30b4\u7cd6\uff08LOS\uff09\uff1a\u30a8\u30f3\u30c9\u30c8\u30ad\u30b7\u30f3\u306b\u69cb\u9020\u304c\u985e\u4f3c\u3057\u3066\u304a\u308a\u3001\u6557\u8840\u75c7\u6027\u30b7\u30e7\u30c3\u30af\u304a\u3088\u3073\u7d2b\u6591\u3092\u751f\u3058\u3055\u305b\u308b\u5168\u8eab\u6027\u708e\u75c7\u30ab\u30b9\u30b1\u30fc\u30c9\u306e\u5f37\u529b\u306a\u5f15\u304d\u91d1\u3068\u306a\u308b\u3002<\/span><\/li>\n<\/ul>\n

    1.2 B\u7fa4\u304c\u306a\u305c\u72ec\u81ea\u306e\u8ab2\u984c\u3092\u5448\u3059\u308b\u304b<\/b><\/h2>\n

    B\u7fa4\u306e\u591a\u7cd6\u4f53\u83a2\u819c\u306f\u03b1(2\u21928)\u7d50\u5408\u30dd\u30ea\u30b7\u30a2\u30eb\u9178\u3067\u69cb\u6210\u3055\u308c\u3066\u304a\u308a\u3001\u5bbf\u4e3b\u306e\u795e\u7d4c\u7d30\u80de\u63a5\u7740\u5206\u5b50\uff08NCAM\uff09\u3068\u5316\u5b66\u7684\u306b\u540c\u4e00\u3067\u3042\u308b\u3002\u3053\u306e\u5206\u5b50\u7684\u64ec\u614b\u306f\u3001\u514d\u75ab\u7cfb\u304c\u3053\u306e\u6297\u539f\u306b\u4e2d\u67a2\u6027\u5bdb\u5bb9\u3092\u6301\u3064\u3053\u3068\u3092\u610f\u5473\u3057\u3001\u3053\u308c\u306b\u5bfe\u3057\u3066\u52b9\u679c\u7684\u306a\u6297\u4f53\u5fdc\u7b54\u3092\u8d77\u3053\u3055\u306a\u3044\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3002\u3053\u308c\u304c\u3001polysaccharide\u83a2\u819c\u3067\u306f\u306a\u304f\u3001\u300c\u9006\u884c\u30ef\u30af\u30c1\u30f3\u5b66\u300d\u3068\u547c\u3070\u308c\u308b\u30b2\u30ce\u30e0\u30de\u30a4\u30cb\u30f3\u30b0\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3088\u3063\u3066\u7279\u5b9a\u3055\u308c\u305f4\u7a2e\u985e\u306e\u83a2\u819c\u4e0b\u30bf\u30f3\u30d1\u30af\u8cea\u6297\u539f\u3092\u4f7f\u7528\u3059\u308bBexsero\u304c\u958b\u767a\u3055\u308c\u305f\u7406\u7531\u3067\u3042\u308b\u3002<\/span><\/p>\n\n\n\n
    \ud83d\udd2c \u7814\u7a76\u8005\u6ce8\u8a18\uff1aBexsero\u306e\u958b\u767a\u306b\u4f7f\u7528\u3055\u308c\u305f\u9006\u884c\u30ef\u30af\u30c1\u30f3\u5b66\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3001\u591a\u7cd6\u4f53\u64ec\u614b\u306e\u554f\u984c\u3092\u6301\u3064\u4ed6\u306e\u75c5\u539f\u4f53\u306b\u5bfe\u3059\u308b\u30ef\u30af\u30c1\u30f3\u958b\u767a\u306e\u30e2\u30c7\u30eb\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u73fe\u4ee3\u306e\u30ef\u30af\u30c1\u30f3\u5b66\u306b\u304a\u3051\u308b\u6700\u3082\u91cd\u8981\u306a\u65b9\u6cd5\u8ad6\u7684\u9769\u65b0\u306e\u4e00\u3064\u3067\u3042\u308b\u3002<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    2. \u75ab\u5b66\uff1a\u30a4\u30f3\u30b0\u30e9\u30f3\u30c9\u306b\u304a\u3051\u308bMenB\u306e\u8ecc\u8de1<\/b><\/h1>\n

    2.1 \u30ef\u30af\u30c1\u30f3\u524d\u6642\u4ee3\u304b\u3089\u73fe\u5728\u307e\u3067<\/b><\/h2>\n

    1999\u301c2000\u5e74\u3001MenC\u30ef\u30af\u30c1\u30f3\u5c0e\u5165\u524d\u3001\u30a4\u30f3\u30b0\u30e9\u30f3\u30c9\u306f\u5e74\u95932,595\u4f8b\u306eIMD\u3092\u8a18\u9332\u3057\u3066\u3044\u305f\u30022024\u301c2025\u5e74\u307e\u3067\u306b\u3001IMD\u7dcf\u75c7\u4f8b\u6570\u306f378\u4f8b\u307e\u3067\u6e1b\u5c11\u3057\u305f\u2014\u2014\u30d4\u30fc\u30af\u6642\u304b\u308985%\u4ee5\u4e0a\u306e\u6e1b\u5c11\u3002\u3057\u304b\u3057\u3001MenB\u304c2015\u5e74\u307e\u3067\u4e73\u5150\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306b\u8ffd\u52a0\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u307e\u305f\u73fe\u5728\u306e\u5927\u5b66\u5165\u5b66\u5e74\u9f62\u306e\u30b3\u30db\u30fc\u30c8\uff08\u304a\u304a\u3088\u305d2004\u301c2008\u5e74\u751f\u307e\u308c\uff09\u304c\u305d\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u9003\u3057\u305f\u305f\u3081\u3001MenB\u306fIMD\u306e\u4e3b\u8981\u306a\u6b8b\u5b58\u539f\u56e0\u3068\u3057\u3066\u6d6e\u4e0a\u3057\u3001\u73fe\u5728\u3059\u3079\u3066\u306e\u75c7\u4f8b\u306e80%\u4ee5\u4e0a\u3092\u5360\u3081\u3066\u3044\u308b\u3002<\/span><\/p>\n

    2.2 \u5927\u5b66\u3067\u306e\u96c6\u56e3\u767a\u751f\u306e\u75ab\u5b66<\/b><\/h2>\n

    \u5927\u5b66\u30ad\u30e3\u30f3\u30d1\u30b9\u306f\u3001\u9ac4\u819c\u708e\u83cc\u4f1d\u64ad\u306e\u305f\u3081\u306e\u75ab\u5b66\u7684\u306b\u72ec\u7279\u306a\u74b0\u5883\u3092\u8868\u3057\u3066\u3044\u308b\u3002\u4e09\u3064\u306e\u53ce\u675f\u3059\u308b\u8981\u56e0\u304c\u9ad8\u30ea\u30b9\u30af\u30de\u30c8\u30ea\u30c3\u30af\u30b9\u3092\u4f5c\u308a\u51fa\u3059\uff1a(1) \u514d\u75ab\u5b66\u7684\u306b\u611f\u53d7\u6027\u306e\u3042\u308b\u30b3\u30db\u30fc\u30c8\uff1b(2) \u3053\u306e\u5e74\u9f62\u5c64\u3067\u306e\u9ad8\u3044\u9f3b\u54bd\u982d\u4fdd\u83cc\u7387\uff08\u5927\u5b66\u751f\u3067\u306f20\u301c35%\u3001\u4e00\u822c\u4eba\u53e3\u306e\u7d0410%\u3068\u6bd4\u8f03\u3057\u3066\uff09\uff1b\u304a\u3088\u3073(3) \u884c\u52d5\u7684\u8981\u56e0\u2014\u2014\u5bc6\u63a5\u306a\u793e\u4f1a\u7684\u63a5\u89e6\u3001\u98f2\u9152\u3001\u5171\u6709\u751f\u6d3b\u7a7a\u9593\u3001\u904e\u5bc6\u306a\u5c4b\u5185\u74b0\u5883\u3002<\/span><\/p>\n

    3. \u5e74\u9f62\u7279\u7570\u7684\u8106\u5f31\u6027\u306e\u514d\u75ab\u5b66\u7684\u57fa\u76e4<\/b><\/h1>\n

    3.1 \u9752\u5e74\u671f\u306e\u514d\u75ab\u5b66\u7684\u9006\u8aac<\/b><\/h2>\n

    \u9ac4\u819c\u708e\u83cc\u75be\u60a3\u306e\u6301\u7d9a\u7684\u306a\u8b0e\u306e\u4e00\u3064\u306f\u3001\u4fb5\u8972\u6027\u75be\u60a3\u306e\u53cc\u5cf0\u6027\u5e74\u9f62\u5206\u5e03\u3067\u3042\u308b\uff1a1\u6b73\u672a\u6e80\u306e\u4e73\u5150\u306b\u304a\u3051\u308b\u4e00\u6b21\u30d4\u30fc\u30af\u3001\u305d\u3057\u306615\u301c24\u6b73\u306e\u9752\u5e74\u304a\u3088\u3073\u82e5\u5e74\u6210\u4eba\u306b\u304a\u3051\u308b\u4e8c\u6b21\u30d4\u30fc\u30af\u3002\u4e09\u3064\u306e\u4ea4\u5dee\u3059\u308b\u30e1\u30ab\u30cb\u30ba\u30e0\u304c\u73fe\u5728\u63d0\u6848\u3055\u308c\u3066\u3044\u308b\uff1a(1) \u81ea\u7136\u514d\u75ab\u306e\u6d88\u9000\uff1b(2) \u4f1d\u64ad\u3092\u4fc3\u9032\u3059\u308b\u4fdd\u83cc\u5897\u52a0\uff1b\u304a\u3088\u3073(3) \u88dc\u4f53\u7cfb\u30c0\u30a4\u30ca\u30df\u30af\u30b9\u3002<\/span><\/p>\n

    3.2 \u306a\u305c\u4e00\u90e8\u306e\u66dd\u9732\u8005\u304c\u767a\u75c5\u3057\u3001\u4ed6\u306e\u4eba\u304c\u767a\u75c5\u3057\u306a\u3044\u306e\u304b<\/b><\/h2>\n

    \u3053\u308c\u306f\u9ac4\u819c\u708e\u83cc\u751f\u7269\u5b66\u306b\u304a\u3051\u308b\u6700\u3082\u91cd\u8981\u3067\u4e0d\u5b8c\u5168\u306b\u3057\u304b\u56de\u7b54\u3055\u308c\u3066\u3044\u306a\u3044\u554f\u984c\u306e\u4e00\u3064\u3067\u3042\u308b\u3002\u96c6\u56e3\u7814\u7a76\u306f\u3001\u6f5c\u5728\u7684\u306b\u4fb5\u8972\u6027\u306e\u3042\u308b\u9ac4\u819c\u708e\u83cc\u682a\u3092\u7372\u5f97\u3057\u305f\u4eba\u306e\u5927\u591a\u6570\u304c\u7121\u75c7\u72b6\u306e\u30ad\u30e3\u30ea\u30a2\u306b\u306a\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u304a\u305d\u3089\u304f\u7279\u5b9a\u306e\u6bd2\u529b\u682a\u306e\u7372\u5f973,000\u301c5,000\u4ef6\u306b1\u4ef6\u304cIMD\u3092\u3082\u305f\u3089\u3059\u3002\u7d20\u56e0\u3068\u306a\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u8981\u56e0\u306b\u306f\uff1a\u5148\u884c\u3059\u308b\u30a6\u30a4\u30eb\u30b9\u6027\u4e0a\u6c17\u9053\u611f\u67d3\u3001\u88dc\u4f53\u7d4c\u8def\u306e\u907a\u4f1d\u7684\u5909\u7570\u3001\u30de\u30f3\u30ce\u30fc\u30b9\u7d50\u5408\u30ec\u30af\u30c1\u30f3\u591a\u578b\u3001\u304a\u3088\u3073\u540c\u6642\u98f2\u9152\u304c\u542b\u307e\u308c\u308b\u3002<\/span><\/p>\n

    4. \u30ef\u30af\u30c1\u30f3\u72b6\u6cc1\uff1a\u6279\u5224\u7684\u5206\u6790<\/b><\/h1>\n

    4.1 MenB\u30ef\u30af\u30c1\u30f3\uff1a\u79c1\u305f\u3061\u304c\u6301\u3063\u3066\u3044\u308b\u3082\u306e\u3068\u305d\u308c\u304c\u4f55\u3092\u3059\u308b\u304b<\/b><\/h2>\n

    \u73fe\u5728\u3001\u4e8c\u3064\u306e\u8a8d\u53ef\u3055\u308c\u305fMenB\u30ef\u30af\u30c1\u30f3\u304c\u3042\u308b\uff1aBexsero\uff084CMenB\u3001GSK\uff09\u3068Trumenba\uff08\u4e8c\u4fa1rLP2086\u3001Pfizer\uff09\u3002NHS\u30c7\u30fc\u30bf\u306f\u3001\u4e73\u5150MenB\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u30b3\u30db\u30fc\u30c8\u306b\u304a\u3051\u308bMenB\u75be\u60a3\u3092\u30ef\u30af\u30c1\u30f3\u524d\u306e\u30c8\u30ec\u30f3\u30c9\u3068\u6bd4\u8f03\u3057\u3066\u7d0475%\u524a\u6e1b\u3057\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u5b9f\u8cea\u7684\u3060\u304c\u4e0d\u5b8c\u5168\u306a\u4fdd\u8b77\u3092\u8868\u3057\u3066\u3044\u308b\u3002<\/span><\/p>\n

    4.2 \u5927\u5b66\u751f\u3078\u306eMenB\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u62e1\u5927\u306e\u6839\u62e0<\/b><\/h2>\n

    \u9752\u5e74\u304a\u3088\u3073\u82e5\u5e74\u6210\u4eba\u3078\u306eMenB\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306b\u95a2\u3059\u308b\u8b70\u8ad6\u306f\u3053\u306e\u96c6\u56e3\u767a\u751f\u306e\u4f55\u5e74\u3082\u524d\u304b\u3089\u5b58\u5728\u3057\u3066\u3044\u308b\u3002\u8cbb\u7528\u5bfe\u52b9\u679c\u306e\u8a08\u7b97\u306f\u771f\u306b\u8907\u96d1\u3067\u3042\u308b\uff1aIMD\u306f\u7a00\u3067\u3042\u308a\uff08<1\/100,000\uff09\u3001\u30ef\u30af\u30c1\u30f3\u306f\u9ad8\u4fa1\u3067\u3042\u308a\u3001\u4fdd\u8b77\u306f\u4e0d\u5b8c\u5168\u3067\u682a\u4f9d\u5b58\u7684\u3067\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u30e2\u30c7\u30eb\u306f\u4ee5\u4e0b\u3092\u8003\u616e\u3059\u308b\u3068\u5927\u5e45\u306b\u5909\u5316\u3059\u308b\uff1a(1) \u8ee2\u5e30\u306e\u91cd\u7be4\u6027\u2014\u2014\u7d048\u301c15%\u306e\u6b7b\u4ea1\u7387\uff1b(2) \u7279\u5b9a\u306e\u30ea\u30b9\u30af\u96c6\u56e3\uff08\u5927\u5b66\u751f\uff09\u3078\u306e\u5371\u967a\u306e\u96c6\u4e2d\uff1b\u304a\u3088\u3073(3) \u96c6\u56e3\u767a\u751f\u7ba1\u7406\u306e\u9593\u63a5\u30b3\u30b9\u30c8\u3002<\/span><\/p>\n\n\n\n
    \ud83d\udca1 \u653f\u7b56\u306e\u89b3\u70b9\uff1a\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u30a2\u30a4\u30eb\u30e9\u30f3\u30c9\u3001\u304a\u3088\u3073\u7c73\u56fd\u306e\u3044\u304f\u3064\u304b\u306e\u5dde\u306f\u3059\u3067\u306b\u9752\u5e74\u304a\u3088\u3073\u5927\u5b66\u5165\u5b66\u8005\u3078\u306eMenB\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u3092\u63d0\u4f9b\u307e\u305f\u306f\u305d\u308c\u3092\u62e1\u5927\u3057\u3064\u3064\u3042\u308b\u3002\u30ab\u30f3\u30bf\u30d9\u30ea\u30fc\u306e\u30a4\u30d9\u30f3\u30c8\u306f\u30ad\u30e3\u30f3\u30d1\u30b9\u8a2d\u5b9a\u306b\u304a\u3051\u308b\u96c6\u56e3\u767a\u751f\u5897\u5e45\u30ea\u30b9\u30af\u306e\u6839\u672c\u7684\u306a\u518d\u8a55\u4fa1\u3092\u4fc3\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    5. \u81e8\u5e8a\u7684\u8a8d\u8b58\uff1a\u6559\u79d1\u66f8\u3092\u8d85\u3048\u305f\u67a0\u7d44\u307f<\/b><\/h1>\n

    5.1 \u6700\u521d\u306e\u6570\u6642\u9593\u306b\u304a\u3051\u308b\u8a3a\u65ad\u306e\u8ab2\u984c<\/b><\/h2>\n

    IMD\u306e\u81e8\u5e8a\u8a3a\u65ad\u306f\u3001\u533b\u5b66\u306b\u304a\u3044\u3066\u6700\u3082\u6642\u9593\u304c\u91cd\u8981\u306a\u3082\u306e\u306e\u4e00\u3064\u3067\u3042\u308b\u3002\u5287\u75c7\u578b\u9ac4\u819c\u708e\u83cc\u6557\u8840\u75c7\u306b\u304a\u3051\u308b\u75c7\u72b6\u767a\u73fe\u304b\u3089\u6b7b\u4ea1\u307e\u3067\u306e\u5e73\u5747\u6642\u9593\u306f\u3001\u308f\u305a\u304b12\u301c24\u6642\u9593\u3068\u77ed\u3044\u3053\u3068\u304c\u3042\u308b\u3002\u521d\u671f\u306e\u767a\u75c7\u2014\u2014\u767a\u71b1\u3001\u7b4b\u8089\u75db\u3001\u982d\u75db\u3001\u5026\u6020\u611f\u2014\u2014\u306f\u3001\u6700\u521d\u306e4\u301c6\u6642\u9593\u3067\u306f\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3084\u30a6\u30a4\u30eb\u30b9\u75c7\u5019\u7fa4\u3068\u533a\u5225\u3067\u304d\u306a\u3044\u3002<\/span><\/p>\n

    \u53e4\u5178\u7684\u306a\u6559\u3048\u2014\u2014\u767a\u71b1+\u982d\u75db+\u9805\u90e8\u786c\u76f4+\u767a\u75b9\u2014\u2014\u306f\u5f8c\u671f\u75be\u60a3\u3092\u8868\u3057\u3066\u3044\u308b\u3002\u975e\u767d\u8272\u306e\u70b9\u72b6\u307e\u305f\u306f\u7d2b\u6591\u6027\u767a\u75b9\u304c\u898b\u3048\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3068\u304d\u3001\u6557\u8840\u75c7\u30ab\u30b9\u30b1\u30fc\u30c9\u306f\u3059\u3067\u306b\u9032\u884c\u3057\u3066\u3044\u308b\u30022024\u5e74\u306b\u66f4\u65b0\u3055\u308c\u305fNICE\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u767a\u75b9\u306e\u6b20\u5982\u306b\u3088\u3063\u3066\u8aa4\u3063\u3066\u5b89\u5fc3\u3057\u306a\u3044\u3088\u3046\u533b\u7642\u5f93\u4e8b\u8005\u306b\u9069\u5207\u306b\u8b66\u544a\u3057\u3066\u3044\u308b\u3002<\/span><\/p>\n

    5.2 \u5373\u6642\u884c\u52d5\u3092\u4fc3\u3059\u3079\u304d\u5371\u967a\u4fe1\u53f7<\/b><\/h2>\n
      \n
    • \u7a81\u7136\u767a\u75c7\u306e\u6fc0\u3057\u3044\u982d\u75db\uff08\u3053\u308c\u307e\u3067\u7d4c\u9a13\u3057\u305f\u6700\u60aa\u306e\u982d\u75db\uff09\u3001\u7279\u306b\u6025\u901f\u306b\u60aa\u5316\u3059\u308b\u5834\u5408<\/span><\/li>\n
    • \u9805\u90e8\u786c\u76f4\u307e\u305f\u306f\u9838\u90e8\u5c48\u66f2\u6642\u306e\u75bc\u75db<\/span><\/li>\n
    • \u767a\u71b1\u3092\u4f34\u3046\u6975\u5ea6\u306e\u5026\u6020\u611f\u2014\u2014\u899a\u9192\u56f0\u96e3\u3001\u7570\u5e38\u306a\u7720\u6c17<\/span><\/li>\n
    • \u767a\u71b1\u6642\u306e\u672b\u68a2\u306e\u51b7\u3048\uff08\u65e9\u671f\u8840\u884c\u52d5\u614b\u969c\u5bb3\uff09<\/span><\/li>\n
    • \u5927\u304d\u3055\u306b\u95a2\u308f\u3089\u305a\u975e\u767d\u8272\u306e\u76ae\u819a\u75c5\u5909\u2014\u2014\u5358\u4e00\u306e\u70b9\u72b6\u51fa\u8840\u3067\u3082\u7dca\u6025\u8a55\u4fa1\u304c\u5fc5\u8981<\/span><\/li>\n
    • \u767a\u71b1\u3092\u4f34\u3046\u5149\u904e\u654f\u75c7\u3068\u97f3\u904e\u654f\u75c7\u306e\u7d44\u307f\u5408\u308f\u305b<\/span><\/li>\n
    • \u767a\u71b1\u3092\u4f34\u3046\u932f\u4e71\u3001\u8208\u596e\u3001\u307e\u305f\u306f\u6027\u683c\u5909\u5316<\/span><\/li>\n<\/ul>\n

      6. \u7dca\u6025\u6cbb\u7642\u30d7\u30ed\u30c8\u30b3\u30eb<\/b><\/h1>\n

      6.1 \u75c5\u9662\u524d\u7ba1\u7406<\/b><\/h2>\n

      \u75c5\u9662\u524d\u7ba1\u7406\u306b\u304a\u3051\u308b\u91cd\u8981\u306a\u539f\u5247\u306f\uff1a\u6297\u751f\u7269\u8cea\u306e\u305f\u3081\u306b\u75c5\u9662\u3078\u306e\u8ee2\u9001\u3092\u9045\u3089\u305b\u306a\u3044\u3053\u3068\u3067\u3042\u308b\u3002\u75c5\u9662\u524d\u6297\u751f\u7269\u8cea\u6295\u4e0e\u306e\u305f\u3081\u306b\u30012026\u5e74\u306eNHS\u30a4\u30f3\u30b0\u30e9\u30f3\u30c9\u30ac\u30a4\u30c0\u30f3\u30b9\u306e\u512a\u5148\u85ac\u5264\u3068\u3057\u3066\u5358\u56de\u30bb\u30d5\u30c8\u30ea\u30a2\u30ad\u30bd\u30f3IV\/IM\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3002\u30bb\u30d5\u30c8\u30ea\u30a2\u30ad\u30bd\u30f3\u304c\u5165\u624b\u3067\u304d\u306a\u3044\u5834\u5408\u306f\u30d9\u30f3\u30b8\u30eb\u30da\u30cb\u30b7\u30ea\u30f3\u304c\u8a31\u5bb9\u53ef\u80fd\u306a\u4ee3\u66ff\u85ac\u3067\u3042\u308b\u3002<\/span><\/p>\n

      6.2 \u9662\u5185\u7dca\u6025\u7ba1\u7406<\/b><\/h2>\n

      \u75c5\u9662\u5185\u3067\u306f\u3001\u7ba1\u7406\u7d4c\u8def\u306fNICE NG240\uff082024\u5e743\u6708\u66f4\u65b0\uff09\u306b\u5f93\u3046\u3079\u304d\u3067\u3042\u308b\uff1a\u5373\u6642\u306e\u4e0a\u7d1a\u8005\u8a55\u4fa1\u3001\u53ef\u80fd\u3067\u3042\u308c\u3070\u6297\u751f\u7269\u8cea\u524d\u306e\u8840\u6db2\u57f9\u990a\u3001\u5165\u9662\u304b\u30891\u6642\u9593\u4ee5\u5185\u306e\u30bb\u30d5\u30c8\u30ea\u30a2\u30ad\u30bd\u30f3IV 2g\u3001\u795e\u7d4c\u5b66\u7684\u5f8c\u907a\u75c7\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306e\u30c7\u30ad\u30b5\u30e1\u30bf\u30be\u30f3IV\u3001\u982d\u84cb\u5185\u5727\u4ea2\u9032\u306e\u5146\u5019\u304c\u3042\u308b\u5834\u5408\u306fCT\u5f8c\u306e\u8170\u690e\u7a7f\u523a\u3001\u304a\u3088\u3073\u5faa\u74b0\u969c\u5bb3\u306e\u8a3c\u62e0\u304c\u3042\u308b\u5834\u5408\u306fICU\/HDU\u3078\u306e\u7d39\u4ecb\u3002<\/span><\/p>\n

      7. \u9577\u671f\u5f8c\u907a\u75c7\uff1a\u96a0\u308c\u305f\u8ca0\u62c5<\/b><\/h1>\n

      \u9ac4\u819c\u708e\u83cc\u6027\u9ac4\u819c\u708e\u304a\u3088\u3073\u6557\u8840\u75c7\u306e\u751f\u5b58\u8005\u306e\u7d0410\u301c20%\u304c\u91cd\u7be4\u306a\u9577\u671f\u5f8c\u907a\u75c7\u3092\u7d4c\u9a13\u3057\u3001\u305d\u308c\u306b\u306f\u4ee5\u4e0b\u304c\u542b\u307e\u308c\u308b\uff1a\u611f\u97f3\u6027\u96e3\u8074\uff08MenB\u9ac4\u819c\u708e\u751f\u5b58\u8005\u306e\u7d0410%\u306b\u767a\u751f\uff09\u3001\u624b\u8853\u3092\u8981\u3059\u308b\u76ae\u819a\u304a\u3088\u3073\u8edf\u90e8\u7d44\u7e54\u58ca\u6b7b\u3001\u795e\u7d4c\u8a8d\u77e5\u969c\u5bb3\u3001\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff08PTSD\uff09\u3001\u304a\u3088\u3073\u526f\u814e\u6a5f\u80fd\u4e0d\u5168\u3002<\/span><\/p>\n

      8. \u7d50\u8ad6\u3068\u52e7\u544a<\/b><\/h1>\n

      2026\u5e74\u30ab\u30f3\u30bf\u30d9\u30ea\u30fcMenB\u96c6\u56e3\u767a\u751f\u306f\u3001\u516c\u8846\u885b\u751f\u4e0a\u306e\u7dca\u6025\u4e8b\u614b\u3067\u3042\u308b\u3068\u540c\u6642\u306b\u79d1\u5b66\u7684\u6a5f\u4f1a\u3067\u3082\u3042\u308b\u3002\u305d\u308c\u306f\u79c1\u305f\u3061\u306e\u30ef\u30af\u30c1\u30f3\u6226\u7565\u306b\u304a\u3051\u308b\u91cd\u5927\u306a\u8106\u5f31\u6027\u3092\u660e\u3089\u304b\u306b\u3057\u3001MenB\u4fdd\u8b77\u306e\u751f\u7269\u5b66\u7684\u8907\u96d1\u3055\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u305f\u3002<\/span><\/p>\n

        \n
      • \u5373\u6642\uff1a\u5168\u56fd\u306e\u81e8\u5e8a\u533b\u306f\u82e5\u5e74\u6210\u4eba\u306eIMD\u306b\u5bfe\u3057\u3066\u9ad8\u3044\u81e8\u5e8a\u7684\u7591\u5ff5\u3092\u7dad\u6301\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/span><\/li>\n
      • \u77ed\u671f\uff1aJCVI\u306f\u5927\u5b66\u5165\u5b66\u8005\u3078\u306eMenB\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e\u306e\u5be9\u67fb\u3092\u52a0\u901f\u3059\u3079\u304d\u3067\u3042\u308b\u3002<\/span><\/li>\n
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      • \u9577\u671f\uff1a\u3088\u308a\u5e83\u3044\u30ab\u30d0\u30ec\u30c3\u30b8\u3092\u6301\u3064\u6b21\u4e16\u4ee3MenB\u30ef\u30af\u30c1\u30f3\u3078\u306e\u6295\u8cc7\u304c\u4e0d\u53ef\u6b20\u3067\u3042\u308b\u3002<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

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