まずはこれだけ! 抗菌薬の選び方と使い方のシンプルメソッド

出版社: 羊土社
著者:
発行日: 2024-04-20
分野: 臨床医学:内科  >  感染症/AIDS
ISBN: 9784758123600
電子書籍版: 2024-04-20 (第1刷)
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「感染症診療のロジック」がわかれば抗菌薬選択に自信がもてる!幅広い診療現場で役立つので,外来医はもちろん,研修医・訪問診療医や,薬剤師・看護師・臨床検査技師などのメディカルスタッフの方々にもおすすめ!

目次

  • 付 録
    (1)感染症診療のフローチャート
    (2)感染症診療シート
    (3)主要抗菌薬一覧
    (4)グラム染色分類
    略語一覧

    第1章 総論~感染症診療の流れ
     1 はじめに:抗菌薬使用のルーチンワーク ~誰もが実践できる,適切なアプローチ
     2 感染症診断のための発熱アプローチ4ステップ
     3 診断:最低限必要なものは?
     4 原因微生物の推定をしよう ~最低限押さえておくべき微生物の基本知識
     5 初学者が押さえておくべき抗菌薬の各論
     6 ソース・コントロール評価 ~抗菌薬以外に大切な治療成功要因
     7 重症度評価と抗菌薬の初期選択の方法 ~起因菌のカバー範囲を決める
     8 治療効果判定 ~臨床経過は「改善,横ばい,悪化」のうちのどれ?

    第2章 市中で感染症を診る~症候/疾患別アプローチ
     1 肺炎アプローチ ~「発熱+咳嗽+呼吸困難」症例の対応
     2 尿路感染症(膀胱炎,腎盂腎炎,前立腺炎)アプローチ ~主訴が「発熱のみ」症例の対応
     3 胆道感染症(胆嚢炎,胆管炎)アプローチ ~患者因子が複雑な症例への対応
     4 蜂窩織炎アプローチ ~クラスター化が重要な症例への対応

    第3章 これだけはダメ! 外来での感染症診療におけるNG行動
     1 ウイルス感染症疑いに抗菌薬を投与する
     2 フォーカス不明型に精査をせずに抗菌薬を投与する
     3 不明熱型に精査をせずに抗菌薬を投与する

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第1章 総論~感染症診療の流れ

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第2章 市中で感染症を診る~症候 / 疾患別アプローチ

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第3章 これだけはダメ ! 外来での感染症診療におけるNG行動

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