セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	A study on the management of acute respiratory tract infection in adults.
掲載誌名	正式名：The Japanese journal of antibiotics ISSNコード：03682781
巻・号・頁	67(4),223-32頁
著者・共著者	Yoshihiro Yamamoto,Mitsuhide Ohmichi,Akira Watanabe,Yoshito Niki,Nobuki Aoki,Shin Kawai,Kingo Chida,Keiichi Mikasa,Masafumi Seki,Tadashi Ishida,Jun-ichi Kadota,Hiroto Matsuse,Jiro Fujita,Shigeru Kohno
発行年月	2014/08
概要	Antimicrobials are commonly used to treat acute respiratory tract infection in adults. Furthermore, their overuse has raised concern. We conducted a field survey study that included 170 medical institutions from January 2008 to June 2010. The purpose of this study was to clarify the relationship between the rate of antimicrobial use and patient outcomes with each indication. The study included 1753 patients diagnosed with acute respiratory tract infection. Antimicrobials were used for treatment of 1420 of these patients, whereas 333 cases were not treated with antimicrobials. After 3 days of treatment, patients administered antimicrobials experienced a higher improvement rate than those who did not receive antimicrobial treatment (92.2% vs. 83.3%, p<0.0001). However, after 7 days of treatment, the rates of improvement for patients in both groups were similar (95.0% and 93.4%, respectively, p = 0.2391). In addition, according to the criteria for the usage of antimicrobials described in the Japanese Respiratory Society guidelines for the management of respiratory tract infection in adults, the patients were classified into the 3 categories (6 indication factors for antimicrobial us
PMID	25420318