Association between prophylactic antibiotic use for transarterial chemoembolization and occurrence of liver abscess: a retrospective cohort study.

• 資料種別: 博士論文
• ISSN: 1198-743X
• タイトル: Association between prophylactic antibiotic use for transarterial chemoembolization and occurrence of liver abscess: a retrospective cohort study.
• 巻次・部編番号: 27 10
• 著者・編者: Yoshihara, Shingo; Yamana, Hayato; Akahane, Manabu; Kishimoto, Miwa; Nishioka, Yuichi; Noda, Tatsuya; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Kasahara, Kei; Imamura, Tomoaki
• 著者標目: Yoshihara, Shingo; Yamana, Hayato; Akahane, Manabu; Kishimoto, Miwa; Nishioka, Yuichi; Noda, Tatsuya; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Kasahara, Kei; Imamura, Tomoaki
• 出版事項: Elsevier
• 出版年月日等: 2021-10; 27 10
• 出版年（W3CDTF）: 2021-10
• 並列タイトル等: 経動脈的化学塞栓術における予防的抗菌薬と肝膿瘍発症の関連 : 後方視的コホート研究
• タイトル（掲載誌）: Clinical microbiology and infection
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2021-06-25
• 授与年月日（W3CDTF）: 2021-06-25
• 報告番号: 甲第794号
• 学位: 博士（医学）
• 博論授与番号: 甲第794号
• 本文の言語コード: eng
• 件名標目: Liver abscess; Propensity score; Prophylactic antibiotics; Real-world data; Transarterial chemoembolization
• 対象利用者: 一般
• 一般注記: type:Thesis; Objectives: Clinical evidence on prophylactic antibiotics for transarterial chemoembolization (TACE) to prevent liver abscess is limited because liver abscess is a rare event. This study aimed to analyse the association between prophylactic antibiotic use for TACE and the occurrence of liver abscess after TACE. Methods: Using the nationwide Diagnosis Procedure Combination database in Japan, we retrospectively identified patients who underwent TACE for hepatic cancer between July 2010 and March 2017. The primary outcome was liver abscess requiring procedural intervention within 30 days of TACE. Secondary outcomes included 30-day in-hospital mortality and length of stay. Propensity score matching was performed to adjust for potential confounding factors and compare outcomes between patients with and without prophylactic antibiotics. Results: Among 167 544 eligible patients, 134 712 received antibiotics and 32 832 did not. In the matched cohort of 29 211 pairs, the proportion of patients with liver abscess requiring procedural intervention was significantly lower in the antibiotics group than in the no-antibiotics group (0.08% vs. 0.22%, p 0.001; relative risk (95% confidence interval), 0.35 (0.22-0.57); absolute risk reduction, 0.0014 (0.0008-0.0021); and number needed to treat, 696 (476-1223)). There was no significant difference in 30-day in-hospital mortality between the groups. The length of stay was longer in the antibiotics group than in the no-antibiotics group (median, 10 vs. 9 days, p < 0.001). Conclusions: Prophylactic antibiotic use in patients undergoing TACE was associated with a reduced occurrence of liver abscess requiring procedural intervention.; 博士（医学）・甲第794号・令和3年6月25日; Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.; identifier:Clinical microbiology and infection Vol.27 No.10 p.1514.e5-1514.e10 (2021 Oct); identifier:1198743X; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3940; identifier:Clinical microbiology and infection, 27(10): 1514.e5-1514.e10
• DOI: info:doi/10.1016/j.cmi.2021.01.014; https://doi.org/info:doi/10.1016/j.cmi.2021.01.014
• 国立国会図書館永続的識別子: info:ndljp/pid/12154227; https://dl.ndl.go.jp/pid/12154227
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-03-06T04:54:00+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10564/3940
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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