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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② 菌血症,骨髄炎

著者: 稲田誠1 石金正裕1

所属機関: 1国立国際医療研究センター国際感染症センター

ページ範囲:P.614 - P.618

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◎薬剤耐性や入院期間,治療コストや副作用の問題などから,抗菌薬の投与期間を見直す動きがみられている.
◎黄色ブドウ球菌による菌血症では,複雑性か否かで治療期間が大きく異なる.
◎骨髄炎は,抗菌薬投与中止後に再燃することがあり,4〜6週間の標準的治療後も慎重にフォローする必要がある.

参考文献

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16)Elodie VD, et al:Effect of C-reactive protein-guided antibiotic treatment duration, 7-day treatment, or 14-day treatment on 30-day clinical failure rate in patients with uncomplicated gram-negative bacteremia;A randomized clinical trial. JAMA 323:2160-2169, 2020
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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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