{"id":1355,"date":"2017-08-04T11:54:22","date_gmt":"2017-08-04T02:54:22","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1355"},"modified":"2017-08-04T11:54:22","modified_gmt":"2017-08-04T02:54:22","slug":"a-placebo-controlled-trial-of-antibiotics-for-smaller-skin-abscesses","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1355","title":{"rendered":"A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses."},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nDaum RS. A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses. N Engl J Med. 2017 Jun 29; 376(26): 2545-2555.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n<strong>Introduction\uff1a<\/strong><br \/>\n\u3000\u76ae\u4e0b\u81bf\u760d\u306fcommon\u306a\u554f\u984c\u3067\u3042\u308a\u3001\u8d77\u56e0\u83cc\u3068\u3057\u3066MRSA\u3092\u542b\u3080S.aureus\u304c\u4e3b\u3067\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u308b\u304c\u3001\u305d\u306e\u6cbb\u7642\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306f\u78ba\u7acb\u3055\u308c\u305f\u3082\u306e\u304c\u306a\u3044\u3002\u5148\u884c\u7814\u7a76\u3067\u306f\u30015cm\u4ee5\u4e0a\u306e\u81bf\u760d\u3082\u3057\u304f\u306f\u8702\u7aa9\u7e54\u708e\u306b\u5bfe\u3057\u3066CLDM\u3068ST\u3067\u306e\u6bd4\u8f03\u8a66\u9a13\u3092\u884c\u306a\u3063\u305f\u304c\u3001\u4e21\u8005\u306b\u5dee\u306f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3002\u3057\u304b\u3057\u30d7\u30e9\u30bb\u30dc\u3068\u306e\u6bd4\u8f03\u306f\u306a\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3068\u3001\u3088\u308a\u5c0f\u3055\u306a\u81bf\u760d\u3067\u306e\u8a55\u4fa1\u306f\u3055\u308c\u3066\u3044\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u4eca\u56de\u306e\u7814\u7a76\u306b\u81f3\u3063\u305f\u3002<\/p>\n<p><strong>Method\uff1a<\/strong><br \/>\n\u3000\u4ed6\u65bd\u8a2d\u5171\u540c\u306e\u524d\u5411\u304d\u4e8c\u91cd\u76f2\u691c\u8a66\u9a13<br \/>\n\u3000\u5916\u6765\u3092\u53d7\u8a3a\u3057\u305f5cm\u4ee5\u4e0b\u306e\u76ae\u819a\u81bf\u760d\u306e\u60a3\u8005\u3092\u5bfe\u8c61<br \/>\n\u3000\u5207\u958b\u6392\u81bf\u5f8c\u306b\u30e9\u30f3\u30c0\u30e0\u306bCLDM\u7fa4\u3001ST\u7fa4\u3001\u30d7\u30e9\u30bb\u30dc\u7fa4\u306b\u632f\u308a\u5206\u3051\u308b<br \/>\n\u3000\uff08CLDM150mg 6T3x, ST 4T2x, \u30d7\u30e9\u30bb\u30dc 10\u65e5\u9593\uff09<br \/>\n\u3000\u6cbb\u7642\u7d42\u4e86\u5f8c7-10\u65e5\u76ee\u306etest-of-cure visit\u3067\u306e\u81e8\u5e8a\u7684\u6cbb\u7652\u306e\u6709\u7121\u3092\u8a55\u4fa1<\/p>\n<p><strong>Results\uff1a<\/strong><br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff11.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff11-294x300.png\" alt=\"\u4f50\u91ce\u5148\u751f\u56f3\uff11\" width=\"294\" height=\"300\" class=\"aligncenter size-medium wp-image-1356\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff11-294x300.png 294w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff11.png 574w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff12.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff12-131x300.png\" alt=\"\u4f50\u91ce\u5148\u751f\u56f3\uff12\" width=\"131\" height=\"300\" class=\"aligncenter size-medium wp-image-1357\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff12-131x300.png 131w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff12.png 380w\" sizes=\"auto, (max-width: 131px) 100vw, 131px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff13.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff13-300x187.png\" alt=\"\u4f50\u91ce\u5148\u751f\u56f3\uff13\" width=\"300\" height=\"187\" class=\"aligncenter size-medium wp-image-1358\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff13-300x187.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff13.png 633w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff14.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff14-300x198.png\" alt=\"\u4f50\u91ce\u5148\u751f\u56f3\uff14\" width=\"300\" height=\"198\" class=\"aligncenter size-medium wp-image-1359\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff14-300x198.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/08\/\u4f50\u91ce\u5148\u751f\u56f3\uff14.png 571w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u3000CLDM\u7fa4\u3001ST\u7fa4\u306f\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u6cbb\u7652\u7387\u304c\u9ad8\u304b\u3063\u305f\u3002(ST\u7fa4\u3068\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u306eITT\u89e3\u6790\u3067\u306f\u6709\u610f\u5dee\u306f\u751f\u3058\u306a\u304b\u3063\u305f\u304c)<br \/>\nCLDM\u7fa4\u3068ST\u7fa4\u3068\u306e\u6bd4\u8f03\u3067\u306f\u5dee\u306f\u751f\u3058\u306a\u304b\u3063\u305f\u3002<br \/>\n\u3000\u57f9\u990a\u7d50\u679c\u3067\u5206\u3051\u308b\u3068\u3001S.aureus\u304c\u691c\u51fa\u3055\u308c\u305f\u7fa4(MRSA\u3001MSSA\u3044\u305a\u308c\u3082)\u3067CLDM\u7fa4\u3001ST\u7fa4\u3068\u30d7\u30e9\u30bb\u30dc\u7fa4\u3068\u3067\u5dee\u3092\u751f\u3058\u305f\u3002\u305f\u3060\u3057CLDM\u7fa4\u3068ST \u7fa4\u3068\u3067\u306f\u5dee\u3092\u751f\u3058\u306a\u304b\u3063\u305f\u3002S.aureus\u304c\u691c\u51fa\u3055\u308c\u306a\u304b\u3063\u305f\u7fa4\u3067\u306f3\u8005\u3067\u306e\u5dee\u306f\u751f\u3058\u306a\u304b\u3063\u305f\u3002<br \/>\n\u30001\u30f6\u6708\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u3067\u306fCLDM\u7fa4\u304c\u6700\u3082\u65b0\u898f(\u518d\u767a)\u611f\u67d3\u306e\u983b\u5ea6\u304c\u4f4e\u304b\u3063\u305f\u304c\u3001\u6709\u5bb3\u4e8b\u8c61\u3082\u6700\u3082\u591a\u3044\u3068\u3044\u3046\u7d50\u679c\u3067\u3042\u3063\u305f\u3002<\/p>\n<p><strong>Discussion\uff1a<\/strong><br \/>\n\u3000\u672c\u7814\u7a76\u3067\u306fCLDM\u3068ST\u306e2\u5264\u3092\u7528\u3044\u3066\u3044\u308b\u304c\u3001\u4ed6\u306b\u3082\u5358\u7d14\u6027\u76ae\u4e0b\u81bf\u760d\u306e\u9069\u5fdc\u306e\u3042\u308b\u85ac\u5264(\u4f8b\u3048\u3070DOXY\u3082MRSA\u3078\u306e\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u308b)\u306e\u691c\u8a0e\u306f\u3055\u308c\u3066\u3044\u306a\u3044\u3002<br \/>\n\u3000\u307e\u305f\u3001\u60a3\u8005\u306e\u6cbb\u7652\u7387\u306f\u9ad8\u304b\u3063\u305f\u305f\u3081\u3001\u6297\u751f\u5264\u306b\u3088\u3063\u3066\u5f97\u3089\u308c\u305f\u30e1\u30ea\u30c3\u30c8\u306f\u5c0f\u3055\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002<br \/>\n\u3000\u60a3\u8005\u306e\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306f1\u30f6\u6708\u3067\u3042\u308a\u3001\u305d\u308c\u4ee5\u964d\u306e\u518d\u767a\u306b\u3064\u3044\u3066\u306f\u8a55\u4fa1\u3067\u304d\u3066\u3044\u306a\u3044\u3002\u6cbb\u7642\u7d42\u4e86\u304b\u30897-10\u65e5\u306e\u6642\u70b9\u3067\u6cbb\u7642\u5931\u6557\u3068\u306a\u3063\u3066\u3044\u305f\u7fa4\u306f1\u30f6\u6708\u5f8c\u306e\u30d5\u30a9\u30ed\u30fc\u304b\u3089\u7701\u3044\u3066\u3044\u308b\u3001\u3068\u3044\u3063\u305f\u89b3\u5bdf\u671f\u9593\u306b\u8d77\u56e0\u3059\u308b\u9650\u754c\u3082\u307f\u3089\u308c\u305f\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u30002017\u5e748\u67084\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Daum RS. A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses. N Engl J Med. 2017 Jun 29 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1355\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses.<\/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":[17],"tags":[],"class_list":["post-1355","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1355","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=1355"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1355\/revisions"}],"predecessor-version":[{"id":1361,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1355\/revisions\/1361"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}