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雑誌文献

medicina58巻5号

2021年04月発行

文献概要

特集 その考えはもう古い!—最新・感染症診療 診断・治療の最新の考え方 〈治療薬・治療法再考〉

治療期間について考え直す① 肺炎,尿路感染症

著者: 高倉俊一12

所属機関: 1沖縄県立中部病院感染症内科 2沖縄県立中部病院総合内科

ページ範囲:P.608 - P.612

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◎細菌性肺炎の抗菌薬投与は5〜7日前後が目安である.
◎合併症の少ない急性腎盂腎炎では,キノロン系では5〜7日,その他の抗菌薬では10〜14日前後の治療が勧められる.
◎急性前立腺炎では,キノロン系抗菌薬では最低2週間,βラクタム系抗菌薬では2〜4週間の治療が勧められる.
◎いずれの場合も重症度や経過をみながら治療期間が短縮可能か慎重に検討する必要がある.

参考文献

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9)Peterson J, et al:A double-blind, randomized comparison of levofloxacin 750 mg once-daily for five days with ciprofloxacin 400/500 mg twice-daily for 10 days for the treatment of complicated urinary tract infections and acute pyelonephritis. Urology 71:17-22, 2008
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11)van Nieuwkoop C, et al:Treatment duration of febrile urinary tract infection;A pragmatic randomized, double-blind, placebo-controlled non-inferiority trial in men and women. BMC Med 15:70, 2017
12)Yahav D, et al:Seven versus 14 days of antibiotic therapy for uncomplicated gram-negative bacteremia;A noninferiority randomized controlled trial. Clin Infect Dis 69:1091-1098, 2019
13)Lipsky BA, et al:Treatment of bacterial prostatitis. Clin Infect Dis 50:1641-1652, 2010
14)V J Sharp, et al:Prostatitis;Diagnosis and treatment. Am Fam Physician. 82:397-406, 2010
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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