{"id":1912,"date":"2020-06-17T17:46:20","date_gmt":"2020-06-17T08:46:20","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1912"},"modified":"2020-06-17T17:46:21","modified_gmt":"2020-06-17T08:46:21","slug":"%e9%95%b7%e6%9c%9f%e7%99%82%e9%a4%8a%e6%96%bd%e8%a8%ad%e3%81%ab%e3%81%8a%e3%81%84%e3%81%a6covid-19%e3%81%8c%e7%99%ba%e7%97%87%e3%81%97%e3%81%9f%e5%a0%b4%e5%90%88%e3%81%ae%e5%bd%b1%e9%9f%bf","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1912","title":{"rendered":"\u9577\u671f\u7642\u990a\u65bd\u8a2d\u306b\u304a\u3044\u3066Covid-19\u304c\u767a\u75c7\u3057\u305f\u5834\u5408\u306e\u5f71\u97ff"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nT.M. McMichael and Others\u3000Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washington\u3000n engl j med 382;21 nejm.org May 21, 2020 <\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\nIntroduction\uff1a<br \/>\n\u9577\u671f\u7642\u990a\u65bd\u8a2d\u306f\uff0c\u5165\u5c45\u8005\u304c\u9ad8\u9f62\u3067\u6162\u6027\u57fa\u790e\u75be\u60a3\u3092\u6709\u3059\u308b\u5272\u5408\u304c\u9ad8\u304f\uff0c\u307e\u305f\u30d8\u30eb\u30b9\u30b1\u30a2\u5f93\u4e8b\u8005\u304c\u5730\u57df\u306e\u65bd\u8a2d\u9593\u3092\u79fb\u52d5\u3059\u308b\u305f\u3081\uff0cCovid-19 \u96c6\u56e3\u767a\u751f\u306b\u3088\u3063\u3066\u91cd\u7be4\u306a\u8ee2\u5e30\u3092\u3068\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u74b0\u5883\u3067\u3042\u308b\uff0e<br \/>\nMethod\uff1a<br \/>\n\u30ef\u30b7\u30f3\u30c8\u30f3\u5dde\u30ad\u30f3\u30b0\u90e1\u306e\u9ad8\u5ea6\u770b\u8b77\u65bd\u8a2d\u3067 Covid-19 \u306e\u78ba\u5b9a\u4f8b 1 \u4f8b\uff082.19\u304b\u3089\u767a\u71b1\u3068\u547c\u5438\u5668\u75c7\u72b6\u30012.24\u5165\u9662\u30012.28\u78ba\u5b9a\u3001\uff13.\uff12\u306b\u6b7b\u4ea1\uff09\u304c\u78ba\u8a8d\u3055\u308c\u305f 2020 \u5e74 2 \u6708 28 \u65e5\u4ee5\u964d\uff0c\u30b7\u30a2\u30c8\u30eb\u30fb\u30ad\u30f3\u30b0\u90e1\u516c\u8846\u885b\u751f\u5c40\u306f\uff0c\u7c73\u56fd\u75be\u75c5\u5bfe\u7b56\u4e88\u9632\u30bb\u30f3\u30bf\u30fc\u306e\u652f\u63f4\u306e\u3082\u3068\uff0c\u75c7\u4f8b\u8abf\u67fb\uff0c\u63a5\u89e6\u8005\u306e\u8ffd\u8de1\uff0c\u66dd\u9732\u8005\u306e\u691c\u75ab\uff0c\u78ba\u5b9a\u4f8b\u30fb\u7591\u3044\u4f8b\u306e\u9694\u96e2\uff0c\u73fe\u5834\u3067\u306e\u611f\u67d3\u4e88\u9632\u30fb\u5236\u5fa1\u306e\u5f37\u5316\u3092\u958b\u59cb\u3057\u305f\uff0e<br \/>\nResults\uff1a<br \/>\n3 \u6708 18 \u65e5\u306e\u6642\u70b9\u3067\uff0c\u5165\u5c45\u8005 101 \u4f8b\uff0c\u30d8\u30eb\u30b9\u30b1\u30a2\u5f93\u4e8b\u8005 50 \u4f8b\uff0c\u8a2a\u554f\u8005 16 \u4f8b\u306e\u8a08 167 \u4f8b\u306e Covid-19 \u78ba\u5b9a\u4f8b\u304c\uff0c\u3053\u306e\u65bd\u8a2d\u3068\u75ab\u5b66\u7684\u306b\u95a2\u9023\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\uff0e\u5165\u5c45\u8005\u306e\u75c7\u4f8b\u306e\u5927\u90e8\u5206\u304c Covid-19 \u306b\u4e00\u81f4\u3059\u308b\u547c\u5438\u5668\u75be\u60a3\u3092\u6709\u3057\u3066\u3044\u305f\u304c\uff0c7 \u4f8b\u306b\u306f\u75c7\u72b6\u304c\u78ba\u8a8d\u3055\u308c\u306a\u304b\u3063\u305f\uff0e\u5165\u9662\u7387\u306f\u65bd\u8a2d\u5165\u5c45\u8005 54.5%\uff0c\u8a2a\u554f\u8005 50.0%\uff0c\u30b9\u30bf\u30c3\u30d5 6.0%\u3067\u3042\u3063\u305f\uff0e\u5165\u5c45\u8005\u306e\u81f4\u6b7b\u7387\u306f 33.7%\uff08101 \u4f8b\u4e2d 34 \u4f8b\uff09\u3067\u3042\u3063\u305f\uff0e3 \u6708 18 \u65e5\u306e\u6642\u70b9\u3067\uff0c\u30ad\u30f3\u30b0\u90e1\u3067\u306f 30 \u30f5\u6240\u306e\u9577\u671f\u7642\u990a\u65bd\u8a2d\u3067 Covid-19 \u306e\u78ba\u5b9a\u4f8b\u304c 1 \u4f8b\u4ee5\u4e0a\u540c\u5b9a\u3055\u308c\u3066\u3044\u308b\uff0e<br \/>\nconclusion<br \/>\nCovid-19 \u96c6\u56e3\u767a\u751f\u304c\u6025\u901f\u306b\u62e1\u5927\u3059\u308b\u72b6\u6cc1\u306b\u304a\u3044\u3066\uff0c\u9577\u671f\u7642\u990a\u65bd\u8a2d\u3067\u306f\uff0c\u3042\u3089\u304b\u3058\u3081\u884c\u3046\u63aa\u7f6e\u3068\u3057\u3066\u611f\u67d3\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u30b9\u30bf\u30c3\u30d5\u3068\u8a2a\u554f\u8005\u3092\u540c\u5b9a\u30fb\u9664\u5916\u3057\uff0c\u611f\u67d3\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u60a3\u8005\u3092\u7a4d\u6975\u7684\u306b\u76e3\u8996\u3057\uff0c\u9069\u5207\u306a\u611f\u67d3\u4e88\u9632\u5bfe\u7b56\u3092\u8b1b\u3058\u308b\u3053\u3068\u304c\uff0cCovid-19 \u306e\u6301\u3061\u8fbc\u307f\u3092\u9632\u3050\u305f\u3081\u306b\u5fc5\u8981\u3067\u3042\u308b\uff0e<br \/>\nDiscussion\uff1a<br \/>\n\u65bd\u8a2d\u304b\u30891\u4eba\u306eCOVID19\u304c\u767a\u75c7\u3057\u7d2f\u8a08167\u4f8b\u306e\u767a\u75c7\u306834\u4f8b\u306e\u6b7b\u4ea1\u4f8b\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306a\u3069\u306e\u611f\u67d3\u3068\u540c\u69d8\u306bCOVID19\u306b\u5bfe\u3059\u308b\u65bd\u8a2d\u306e\u611f\u67d3\u306b\u5bfe\u3059\u308b\u8106\u5f31\u6027\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002\u75c7\u72b6\u304c\u3042\u308b\u9593\u3001\u8907\u6570\u65bd\u8a2d\u3067\u50cd\u304f\u30b9\u30bf\u30c3\u30d5\u3068\u3042\u308b\u65bd\u8a2d\u304b\u3089\u5225\u306e\u65bd\u8a2d\u3078\u306e\u60a3\u8005\u306e\u79fb\u52d5\u306f\u611f\u67d3\u3092\u8907\u6570\u306e\u65bd\u8a2d\u3078\u5e83\u3052\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u65bd\u8a2d\u5185\u5916\u3078\u306e\u5165\u5c45\u8005\u306e\u79fb\u52d5\u306f\u533b\u5b66\u7684\u8106\u5f31\u6027\u3092\u6301\u3064\u96c6\u56e3\u306b\u3068\u3063\u3066\u6df1\u523b\u306a\u8105\u5a01\u3068\u306a\u308b\u3002\u9ad8\u9f62\u8005\u65bd\u8a2d\u306b\u304a\u3044\u3066\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u30ef\u30af\u30c1\u30f3\u3068\u6297\u30a6\u30a4\u30eb\u30b9\u85ac\u6295\u4e0e\u304c\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u62e1\u6563\u9632\u6b62\u306b\u52b9\u679c\u7684\u3067\u3042\u308b\u304c\u3001\u3053\u306e\u3088\u3046\u306a\u4ecb\u5165\u306fCOVID19\u306b\u306f\u5229\u7528\u3067\u304d\u306a\u3044\u305f\u3081\u3001\u60a3\u8005\u306e\u79fb\u52d5\u306b\u95a2\u3057\u3066\u306f\u614e\u91cd\u306b\u5bfe\u5fdc\u3059\u308b\u3079\u304d\u3060\u3002<br \/>\n\u65bd\u8a2d\u3067\u306eCOVID19\u306e\u65e9\u671f\u767a\u898b\u3068\u4e88\u9632\u306e\u305f\u3081\u5165\u5c45\u8005\u3001\u30b1\u30a2\u30ef\u30fc\u30ab\u30fc\u3001\u8a2a\u554f\u8005\u306e\u4f53\u6e29\u3084\u75c7\u72b6\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u793e\u4f1a\u7684\u8ddd\u96e2\u3001\u79fb\u52d5\u3084\u30b0\u30eb\u30fc\u30d7\u6d3b\u52d5\u306e\u5236\u9650\u3001\u30b9\u30bf\u30c3\u30d5\u306b\u5bfe\u3059\u308b\u611f\u67d3\u4e88\u9632\u3068\u500b\u4eba\u9632\u8b77\u5177\u4f7f\u7528\u306e\u6559\u80b2\u3001\u500b\u4eba\u9632\u8b77\u5177\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306e\u8a08\u753b\u304c\u91cd\u8981\u3067\u3042\u308b\u3002\u30b9\u30bf\u30c3\u30d5\u6559\u80b2\u306b\u52a0\u3048\u3066\u5b9f\u8df5\u7684\u306a\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3001\u611f\u67d3\u9632\u6b62\u306b\u5bfe\u3059\u308b\u8077\u54e1\u306e\u30a2\u30c9\u30d2\u30a2\u30e9\u30f3\u30b9\u3092\u5f37\u5316\u3059\u308b\u76e3\u67fb\u30b7\u30b9\u30c6\u30e0\u3092\u4f5c\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u30b9\u30bf\u30c3\u30d5\u306e\u6b20\u52e4\u3084\u904e\u91cd\u52b4\u50cd\u306a\u3069\u306e\u5927\u304d\u306a\u6df7\u4e71\u304c\u3042\u308b\u3068\u3053\u308c\u3089\u306e\u30b7\u30b9\u30c6\u30e0\u306b\u5f71\u97ff\u304c\u51fa\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff11.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff11-300x253.png\" alt=\"JC\u6751\u4e95\uff11\" width=\"300\" height=\"253\" class=\"alignnone size-medium wp-image-1913\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff11-300x253.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff11.png 672w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff12.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff12-300x277.png\" alt=\"JC\u6751\u4e95\uff12\" width=\"300\" height=\"277\" class=\"alignnone size-medium wp-image-1914\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff12-300x277.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff12.png 374w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff13.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff13.png\" alt=\"JC\u6751\u4e95\uff13\" width=\"396\" height=\"365\" class=\"alignnone size-full wp-image-1915\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff13.png 396w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2020\/06\/JC\u6751\u4e95\uff13-300x277.png 300w\" sizes=\"auto, (max-width: 396px) 100vw, 396px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112020\u5e746\u67083\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d T.M. McMichael and Others\u3000Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washingt &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1912\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u9577\u671f\u7642\u990a\u65bd\u8a2d\u306b\u304a\u3044\u3066Covid-19\u304c\u767a\u75c7\u3057\u305f\u5834\u5408\u306e\u5f71\u97ff<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,11],"tags":[],"class_list":["post-1912","post","type-post","status-publish","format-standard","hentry","category-4","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1912"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1912\/revisions"}],"predecessor-version":[{"id":1917,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1912\/revisions\/1917"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}