Transcription of プライマリーケアのためのワンポイントレクチャー 2016年5 …
1 2016 5 11 ( ). @ .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . , Klebsiella, Proteus, Serratia, Citrobacter, Enterobacter Pseudomonaus aeruginosa, Acinetobacter baumannii . ( ). PCG G G . ABPC . PIPC . ABPC/SBT / . PIPC/TAZ / .. GPC GNR . MRSA .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . PCG. ABPC. PIPC. ABPC/SBT. PIPC/TAZ.. ( ). GNR .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr .. ( ). 1 CEZ . 2 CTM . ( ) CMZ - 3 CTRX .. ( ) CAZ - 4 CFPM - . GPC GNR . 1 . CEZ . MSSA Streptococcus .. MSSA 1st choise . Klebsiella Proteus.
2 GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. 2 . CTM . GNR .. ( 1 ) . ( . ) .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. CTM.. CMZ . OK .. OK. 2 .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. CTM. CMZ. 3 . CTRX . GNR .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. CTM. CMZ. CTRX.. CAZ . GNR OK . OK. OK.. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. CTM. CMZ. CTRX. CAZ. 4 . CFPM . ( ) . 1 . 3 . OK.. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . CEZ. CTM. CMZ. CTRX. CAZ. CFPM.. ( ). AMPC 80.
3 AMPC/CVA . CEX 90.. CAM. 50.. AZM 37. DOXY . LVFX 98. ST 85.. 3 CDTR-PI 16 . 46 . CPDX-PR. 3 . 1 . 2 . 3 . 4 .. NNT 4000.. BMJ 2007:335:982. NNT(Number Needed to Treat) : . NNT 4000 4000 1 .. 4000 . NNT. 4000. 1 . (1 3%) 40 120 . (1 19%) 40 760 .. 2020 2/3 .. 1976 . Streptococcus cattleya ( ) .. 1987 .. ( ). IPM/CS / / . MEPM . DRPM . BIPM . PAPM/BP / .. 1st choise .. GPC GNR.. MRSA Strep MSSA E K P S C E. gnfr . MEPM. / . MRSA VRE. Corynebacterium . S. multophilia Metallo GNR 1st choise .. ESBL AmpC .. GPC GNR.. E K P . MRSA Strep MSSA.
4 S C E gnfr . MEPM. ( ).. 1.. 2. GNR . 3.. PHS 63646. E-mail.
