±Þ¼º Ãæ¼ö¿°ÀÇ Ç×»ýÁ¦ Ä¡·á¿Í ¼ö¼úÄ¡·á 5³â Àå±âÃßÀû ºñ±³
(Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial)
[±Ù°Å±â¹Ý ÀÓ»óÁú¹® ´äº¯]
¿¬±¸¸ñÀû
|
ÇÕº´ÁõÀÌ ¾ø´Â ±Þ¼º Ãæ¼öµ¹±â¿° ȯÀÚ¿¡°Ô Ç×»ýÁ¦Ä¡·á°¡ ¼ö¼úÀÇ ´ë¾ÈÀÌ µÉ ¼ö ÀÖ³ª¿ä?
|
±Ù°Å±â¹Ý ´äº¯
|
ÇÕº´ÁõÀÌ ¾ø´Â ±Þ¼º Ãæ¼ö µ¹±â¿° ȯÀÚÀÇ Àå±â ÃßÀû °üÂû°á°ú¸¦ ÅëÇØ ¼ö¼úº¸´Ù´Â Ç×»ýÁ¦ Ä¡·á¸¦ ÅëÇÑ Ãʱâ Ä¡·á°¡ Çö½ÇÀûÀÎ ´ë¾ÈÀÌ µÉ ¼ö ÀÖÀ½À» Á¦¾ÈÇÑ´Ù
|
¼ÁöÁ¤º¸
|
Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial (2018) JAMA.;320(12):1259-1265. doi:10.1001/jama.2018.13201
|
¿¬±¸¸ñÀû
|
ÇÕº´ÁõÀÌ ¾ø´Â ±Þ¼ºÃæ¼öµ¹±â¿°(Uncomplicated Acute Appendicitis)Ä¡·á¸¦ À§ÇØ Ç×»ýÁ¦ »ç¿ëÀÌ Ãæ¼ö¿° Àç¹ß·ü¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» 5³â Àå±âÃßÀûÀ» ÅëÇØ È®ÀÎ
|
¿¬±¸¼³°è
|
Randomized clinical trial: Five-year observational follow-up
|
¿¬±¸´ë»ó
|
ÇÕº´ÁõÀÌ ¾ø´Â Ãæ¼öµ¹±â¿° ȯÀÚ (18¼¼ ~ 60¼¼) : N=530
|
½ÃÇ豺 ÁßÀç
|
Ç×»ýÁ¦Ä¡·á (Antibiotic therapy) : n=257
Á¤¸ÆÁÖ»ç ertapenem 3ÀÏÅõ¿©
7ÀÏ µ¿¾ÈÀÇ ±¸°º¹¿ë levofloxacin and metronidazole.)
|
´ëÁ¶±º ÁßÀç
|
Ãæ¼öÀýÁ¦¼ú (Open appendectomy) : n=273
|
Æò°¡ÁöÇ¥
|
Ç×»ýÁ¦Ä¡·á ÈÄ Ãæ¼öµ¹±â¿° Àç¹ß·ü ( appendicitis recurrence)
ÇÕº´Áõ (complications),
º´¿øÀÔ¿øÀϼö((ength of hospital stay)
º´°¡ (sick leave)
|
ÁÖ¿ä°á°ú
|
ÇÕº´ÁõÀÌ ¾ø´Â ±Þ¼º Ãæ¼ö µ¹±â¿° ȯÀÚ¿¡¼ Ãʱâ Ç×»ýÁ¦ Ä¡·á¸¦ ¹ÞÀº 257 ¸íÀÇ È¯ÀÚ¸¦ ´ë»óÀ¸·Î 5 ³â°£ ÃßÀû °üÂû ÇÑ °á°ú, 1 ³â, 2 ³â, 3 ³â, 4 ³â ¹× 5 ³âÀÇ Ãæ¼ö¿°ÀÇ Àç¹ß ´©Àû ¹ß»ý·üÀº 1 ³â¿¡ 27.3 %, 2 ³â¿¡ 34.0 % , 3³â¿¡ 35.2 %, 4³â ¶§ 37.1 %, 5³â ¶§ 39.1 %·Î º¸°íµÇ¾ú´Ù.
5³â Àå±â ÃßÀûºñ±³ °á°ú, Ãæ¼öÀýÁ¦¼úÀ» ¹ÞÀº ȯÀÚ±º¿¡¼ ÇÕº´Áõ ¹ß»ý·ü(¼ö¼úºÎÀ§ °¨¿°, Àý°³°¨¿°, Å»Àå, º¹Åë µî)ÀÌ ³ô°Ô º¸°íµÇ¾úÀ¸¸ç, ±×·ì°£ÀÇ ÀÔ¿øÀϼö´Â Â÷ÀÌ°¡ ¾ø¾ú°í, º´°¡Àϼö´Â Ãæ¼öµ¹±âÀýÁ¦±º¿¡¼ 11ÀÏÀÌ»ó À¯ÀÇÇÏ°Ô ³ô°Ô³ªÅ¸³µ´Ù.
|
±Ù°Å¼öÁØ
|
High
|
ÀÛ¼ºÀÚ
|
ÀÇ°úÇבּ¸Á¤º¸¼¾ÅÍ(MedRIC)
Copyright © 2015. Medical Research Information Center (MedRIC) Editors
|