{"id":34,"date":"2015-06-04T11:34:39","date_gmt":"2015-06-04T02:34:39","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=34"},"modified":"2015-08-06T11:35:44","modified_gmt":"2015-08-06T02:35:44","slug":"%e5%ad%90%e3%81%a9%e3%82%82%e3%81%ae%e9%a2%a8%e9%82%aa%e3%81%ab%e6%8a%97%e7%94%9f%e5%89%a4%e3%82%92%e5%87%a6%e6%96%b9%e3%81%97%e3%81%aa%e3%81%84%e3%81%9f%e3%82%81%e3%81%ab%e3%81%af","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=34","title":{"rendered":"\u5b50\u3069\u3082\u306e\u98a8\u90aa\u306b\u6297\u751f\u5264\u3092\u51e6\u65b9\u3057\u306a\u3044\u305f\u3081\u306b\u306f"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nRita Mangione-smith, et al. Communication practices and antibiotic use for acute respiratory tract infections in children.Annals of family medicine. 2015;3(13):p.221-227.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u3000\u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u5c0f\u5150\u306e\u98a8\u90aa\uff08\u6025\u6027\u547c\u5438\u5668\u611f\u67d3\u75c7acute respiratory tract infection\uff1bARTI\uff09\u306e\u8a3a\u7642\u306b\u304a\u3051\u308b\u3001\u533b\u5e2b\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3068\u6297\u751f\u5264\u51e6\u65b9\u304a\u3088\u3073\u89aa\u306b\u3088\u308b\u8a3a\u7642\u8a55\u4fa1\u3068\u306e\u95a2\u4fc2\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u3002<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br \/>\n\u3000ARTI\u306e\u75c7\u72b6\u3092\u4e3b\u8a34\u306b\u53d7\u8a3a\u3057\u305f\u5c0f\u5150\u306e\u8a3a\u76421285\u4ef6\u306b\u3064\u3044\u3066\u6a2a\u65ad\u7814\u7a76\u3092\u884c\u3063\u305f\u3002\u5bfe\u8c61\u3068\u306a\u3063\u305f\u5c0f\u5150\u306f2007\u5e7412\u6708\u304b\u30892009\u5e744\u6708\u307e\u3067\u306e\u9593\u306b\u30ef\u30b7\u30f3\u30c8\u30f3\u5dde\u30b7\u30a2\u30c8\u30eb\u5e02\u306e10\u306e\u8a3a\u7642\u6240\u306b\u52e4\u52d9\u3059\u308b28\u4eba\u306e\u5c0f\u5150\u79d1\u533b\u306e\u3044\u305a\u308c\u304b1\u4eba\u306e\u8a3a\u7642\u3092\u53d7\u3051\u305f\u3002\u533b\u5e2b\u306f\u5c0f\u5150\u306e\u75c7\u72b6\u30fb\u8eab\u4f53\u6240\u898b\u30fb\u8a3a\u65ad\u30fb\u6cbb\u7642\u3092\u8a3a\u5bdf\u5f8c\u8abf\u67fb\u7968\u306b\u8a18\u5165\u3057\u3001\u89aa\u306f\u533b\u5e2b\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3068\u8a3a\u7642\u306e\u8a55\u4fa1\u3092\u8a3a\u5bdf\u5f8c\u8abf\u67fb\u7968\u306b\u8a18\u5165\u3059\u308b\u3002\u591a\u5909\u91cf\u89e3\u6790\u3092\u884c\u3044\u3001ARTI\u306b\u5bfe\u3059\u308b\u6297\u751f\u5264\u51e6\u65b9\u304a\u3088\u3073\u89aa\u306e\u8a3a\u7642\u8a55\u4fa1\u306b\u5bfe\u3057\u3066\u30ad\u30fc\u3068\u306a\u308b\u4e88\u6e2c\u56e0\u5b50\u3092\u7279\u5b9a\u3057\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011\uff08Table 1-4\u53c2\u7167\uff09<br \/>\n\u3000\u5b50\u3069\u3082\u306e\u75c7\u72b6\u3092\u3084\u308f\u3089\u3052\u308b\u305f\u3081\u306b\u89aa\u304c\u3067\u304d\u308b\u3053\u3068\u3092\u63d0\u6848\u3059\u308b\u3053\u3068(positive treatment recommendations)\u306f\u3001\u305d\u308c\u5358\u72ec\u3067\u3001\u307e\u305fnegative treatment recommendations(\u6297\u751f\u5264\u306e\u5fc5\u8981\u6027\u3092\u5426\u5b9a\u3059\u308b)\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3068\u3055\u3089\u306b\u3001\u6297\u751f\u5264\u51e6\u65b9\u306e\u6e1b\u5c11\u3068\u95a2\u9023\u3059\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f(adjusted risk ratio(aRR) 0.48; 95%CI, 0.24-0.95; and aRR 0.15; 95%CI, 0.06-0.40, respectively)\u3002positive\/negative treatment recommendations\u306e\u7d44\u307f\u5408\u308f\u305b\u3092\u63d0\u793a\u3055\u308c\u305f\u89aa\u306f\u8a3a\u7642\u306b\u5bfe\u3057\u3066\u6700\u9ad8\u306e\u8a55\u4fa1\u3092\u3059\u308b\u50be\u5411\u306b\u3042\u3063\u305f\u3002<\/p>\n<p>\u3010\u7d50\u8ad6\u3011<br \/>\n\u3000positive\/negative treatment recommendations\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u3001\u30a6\u30a4\u30eb\u30b9\u6027\u306eARTI\u306e\u5c0f\u5150\u3078\u306e\u6297\u751f\u5264\u51e6\u65b9\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3057\u3001\u540c\u6642\u306b\u8a3a\u7642\u306e\u8a55\u4fa1\u3092\u9ad8\u3081\u3046\u308b\u3002\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u30fb\u500b\u4eba\u30ec\u30d9\u30eb\u3067\u6297\u751f\u5264\u8010\u6027\u5316\u306e\u8105\u5a01\u304c\u9ad8\u307e\u3063\u3066\u304a\u308a\u3001\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u30c6\u30af\u30cb\u30c3\u30af\u306f\u6700\u524d\u7dda\u306e\u533b\u5e2b\u304c\u3053\u3046\u3057\u305f\u554f\u984c\u306b\u53d6\u308a\u7d44\u3080\u4e0a\u3067\u52a9\u3051\u3068\u306a\u308b\u3060\u308d\u3046\u3002<\/p>\n<p>\u2015\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u2015<br \/>\n\u3000\u4eca\u56de\u306e\u7814\u7a76\u3067\u306f\u3001\u89aa\u304c\u8a3a\u5bdf\u524d\u306b\u6297\u751f\u5264\u306e\u51e6\u65b9\u3092\u671f\u5f85\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u306f\u8a55\u4fa1\u3057\u3066\u3044\u306a\u304b\u3063\u305f\u3002\u3053\u306e\u305f\u3081\u524d\u533b\u304b\u3089\u306e\u7d99\u7d9a\u51e6\u65b9\u3092\u671f\u5f85\u3057\u3066\u3044\u308b\u89aa\u306b\u5bfe\u8c61\u3092\u7d5e\u308b\u3068\u7d50\u679c\u304c\u5909\u308f\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b\u304c\u3001\u7b2c1\u5b50\u306e\u98a8\u90aa\u3067\u306e\u521d\u8a3a\u306a\u3069\u306e\u6a5f\u4f1a\u306bpositive\/negative\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u89aa\u306e\u6559\u80b2\u3092\u884c\u3063\u3066\u3044\u304f\u3053\u3068\u306f\u91cd\u8981\u3068\u601d\u308f\u308c\u305f\u3002<br \/>\n\u3000positive treatment recommendations\u3068\u3057\u3066\u3069\u3093\u306a\u60c5\u5831\u63d0\u4f9b\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u304b\uff1f<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2015\u5e746\u67083\u65e5(\u6c34)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Rita Mangione-smith, et al. Communication practices and antibiotic use for acute respiratory tract infec &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=34\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u5b50\u3069\u3082\u306e\u98a8\u90aa\u306b\u6297\u751f\u5264\u3092\u51e6\u65b9\u3057\u306a\u3044\u305f\u3081\u306b\u306f<\/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":[10],"tags":[],"class_list":["post-34","post","type-post","status-publish","format-standard","hentry","category-10"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/34","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=34"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/34\/revisions"}],"predecessor-version":[{"id":35,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/34\/revisions\/35"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}