{"id":741,"date":"2010-09-01T11:02:50","date_gmt":"2010-09-01T02:02:50","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=741"},"modified":"2015-08-07T11:03:21","modified_gmt":"2015-08-07T02:03:21","slug":"%ef%bd%9e%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2%e3%81%ae%e5%a4%96%e6%9d%a5%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e6%8a%97%e8%8f%8c%e8%96%ac%e6%8a%95%e4%b8%8e%e3%81%8c","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=741","title":{"rendered":"\uff5e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u5916\u6765\u306b\u304a\u3051\u308b\u6297\u83cc\u85ac\u6295\u4e0e\u304c\u4e0e\u3048\u308b\u6297\u83cc\u85ac\u8010\u6027\u3078\u306e\u5f71\u97ff\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u3011<br \/>\nCeille Costelloe, et.al.: Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis. BMJ: volume340, pp2096, 2010.<br \/>\n\u3053\u306e\u6587\u732e\u3078\u306e\u30ea\u30f3\u30af\u306f\u3053\u3061\u3089<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\u300a\u76ee\u7684\u300b<br \/>\n\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u306b\u304a\u3044\u3066\u6297\u83cc\u85ac\u3092\u6295\u4e0e\u3055\u308c\u305f\u60a3\u8005\u306b\u5f15\u304d\u7d9a\u3044\u3066\u8d77\u3053\u308b\u6297\u83cc\u85ac\u8010\u6027\u306b\u95a2\u3059\u308b\u7814\u7a76\u306esystematic review\u3002\u53ef\u80fd\u306a\u3089meta-analysis\u3082\u5b9f\u65bd\u3059\u308b\u3002<br \/>\n\u300a\u30c7\u30b6\u30a4\u30f3\u300b<br \/>\nMeta-analysis\u3082\u5b9f\u65bd\u3057\u305fsystematic review<br \/>\n\u300aReview\u306e\u65b9\u6cd5\u300b<br \/>\nMEDLINE\u3084EMBASE\u3001Cochrane data base\u3092\u691c\u7d22\u3057\u3066\u5f97\u305f\uff14\uff13\uff17\uff13\u306e\u6587\u732e\u304c\u5bfe\u8c61\u3002<br \/>\n\uff12\u540d\u306e\u72ec\u7acb\u3057\u305f\u8a55\u4fa1\u8005\u304c\u6587\u732e\u3092\u8a55\u4fa1\u3057\u3001\u30c7\u30fc\u30bf\u3092\u62bd\u51fa\u3057\u305f\u3002<br \/>\n\u540c\u69d8\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u7814\u7a76\u306b\u95a2\u3057\u3066meta-analysis\u3092\u5b9f\u65bd\u3057\u305f\u3002<br \/>\n\u300a\u7d50\u679c\u300b<br \/>\n\uf06c\uff12\uff14\u306e\u7814\u7a76\u304c\u30ec\u30d3\u30e5\u30fc\u306b\u63a1\u7528\u3055\u308c\u305f\u3002<br \/>\n\uf06c\uff12\uff12\u306e\u7814\u7a76\u304c\u611f\u67d3\u75c7\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3082\u306e\u3001\uff12\u3064\u306e\u7814\u7a76\u306f\u5065\u5eb7\u306a\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3044\u305f\u3002<br \/>\n\uf06c\uff11\uff19\u306e\u7814\u7a76\u304c\u89b3\u5bdf\u7814\u7a76\uff08\u3046\u3061\uff12\u3064\u306fprospective\uff09\u3067\uff15\u3064\u306e\u7814\u7a76\u304c\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\u3067\u3042\u3063\u305f\u3002<br \/>\n\uf06c\u5c3f\u8def\u611f\u67d3\u75c7\u3092\u5bfe\u8c61\u3068\u3057\u305f\uff18\u3064\u306e\u7814\u7a76\u306e\u3046\u3061\u3001\uff15\u3064\u304cmeta-analysis\u306b\u8db3\u308b\u7814\u7a76\u3067\u3042\u3063\u305f\u3002<br \/>\n\u6297\u83cc\u85ac\u306b\u3088\u308b\u6cbb\u7642\u5f8c\uff12\u304b\u6708\u4ee5\u5185\u306e\u8010\u6027\u83cc\u691c\u51fa\u306e\u30aa\u30c3\u30ba\u6bd4\u306f2.5\uff0895%CI 2.1 &#8211; 2.9\uff09<br \/>\n\uff11\uff12\u304b\u6708\u4ee5\u5185\u3067\u306f1.33\uff0895%CI 1.2 &#8211; 1.5\uff09\u3067\u3042\u3063\u305f\u3002<br \/>\n\uf06c\u547c\u5438\u5668\u611f\u67d3\u75c7\u3092\u5bfe\u8c61\u3068\u3057\u305f\uff19\u3064\u306e\u7814\u7a76\u306e\u3046\u3061\u3001\uff17\u3064\u304cmeta-analysis\u306b\u542b\u307e\u308c\u305f\u3002<br \/>\n\u6297\u83cc\u85ac\u306b\u3088\u308b\u6cbb\u7642\u5f8c\uff12\u304b\u6708\u4ee5\u5185\u306e\u8010\u6027\u83cc\u691c\u51fa\u306e\u30aa\u30c3\u30ba\u6bd4\u306f2.4\uff0895%CI1.4 &#8211; 3.9\uff09<br \/>\n\uff11\uff12\u304b\u6708\u4ee5\u5185\u3067\u306f2.4\uff0895%CI1.3-4.5\uff09\u3067\u3042\u3063\u305f\u3002<br \/>\n\uf06c\u6295\u4e0e\u3057\u305f\u6297\u83cc\u85ac\u306e\u91cf\u306b\u3064\u3044\u3066\u30ec\u30dd\u30fc\u30c8\u3057\u3066\u3044\u308b\u7814\u7a76\u3067\u306f\u6297\u83cc\u85ac\u6295\u4e0e\u671f\u9593\u304c\u9577\u3044\u307b\u3069\u3001\u307e\u305f\u8907\u6570\u306e\u6297\u83cc\u85ac\u3092\u4f7f\u7528\u3057\u305f\u3068\u304d\u307b\u3069\u8010\u6027\u83cc\u691c\u51fa\u306e\u983b\u5ea6\u304c\u9ad8\u304b\u3063\u305f\u3002<br \/>\n\uf06c\u6297\u83cc\u85ac\u306b\u3088\u308b\u8010\u6027\u83cc\u691c\u51fa\u306e\u9055\u3044\u306f\u4eca\u56de\u306e\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u50be\u5411\u306f\u3064\u304b\u3081\u306a\u304b\u3063\u305f\u3002<br \/>\n\uf06c\u671f\u9593\u306b\u3088\u308b\u8010\u6027\u83cc\u691c\u51fa\u306e\u5909\u5316\u3092\u8ffd\u3063\u305f\u7814\u7a76\u304c\uff11\u4f8b\u306e\u307f\u8a8d\u3081\u3089\u308c\u305f\u3002<br \/>\n\u6297\u83cc\u85ac\u6cbb\u7642\u5f8c\uff11\u9031\u9593\u3067\u306f\u30aa\u30c3\u30ba\u6bd4\u304c12.2\uff0895%CI 6.8-22.1\uff09\uff0c\uff11\u304b\u6708\u3067\u306f6.1\uff08\u540c2.8-13.4\uff09\uff0c\uff12\u304b\u6708\u3067\u306f3.6\uff08\u540c2.2-6.0\uff09\uff0c\uff16\u304b\u6708\u3067\u306f2.2\uff08\u540c1.3-3.6\uff09\u3002<br \/>\n\u300a\u7d50\u8ad6\u300b<br \/>\n\u547c\u5438\u5668\u307e\u305f\u306f\u5c3f\u8def\u611f\u67d3\u75c7\u306b\u305f\u3044\u3057\u3066\u6297\u83cc\u85ac\u306e\u6295\u4e0e\u3092\u53d7\u3051\u305f\u500b\u4eba\u306f\u305d\u306e\u6297\u83cc\u85ac\u306b\u5bfe\u3059\u308b\u8010\u6027\u3092\u7372\u5f97\u3059\u308b\u3002<br \/>\n\u305d\u306e\u5f71\u97ff\u306f\u6297\u83cc\u85ac\u306b\u3088\u308b\u6cbb\u7642\u5f8c\u306e\uff11\u304b\u6708\u4ee5\u5185\u304c\u3082\u3063\u3068\u3082\u5927\u304d\u3044\u304c\u3001\uff11\uff12\u304b\u6708\u6301\u7d9a\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br \/>\n\u3053\u306e\u5f71\u97ff\u306ffirst line\u306e\u6297\u83cc\u85ac\u306b\u5bfe\u3059\u308b\u8010\u6027\u83cc\u3092\u5730\u57df\u5185\u306b\u307e\u3093\u5ef6\u3055\u305b\u308b\u3070\u304b\u308a\u3067\u306a\u304f\u3001second line\u306e\u6297\u83cc\u85ac\u4f7f\u7528\u3092\u3082\u5897\u3084\u3057\u3066\u3057\u307e\u3046\u7d50\u679c\u3092\u751f\u3080\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\uff12\uff10\uff11\uff10\u5e74\uff19\u6708\uff11\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u3011 Ceille Costelloe, et.al.: Effect of antibiotic prescribing in primary care on antimicrobial resistance in &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=741\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u5916\u6765\u306b\u304a\u3051\u308b\u6297\u83cc\u85ac\u6295\u4e0e\u304c\u4e0e\u3048\u308b\u6297\u83cc\u85ac\u8010\u6027\u3078\u306e\u5f71\u97ff\uff5e<\/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":[4],"tags":[],"class_list":["post-741","post","type-post","status-publish","format-standard","hentry","category-4"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/741","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=741"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/741\/revisions"}],"predecessor-version":[{"id":742,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/741\/revisions\/742"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}