{"created":"2023-05-15T16:30:42.231053+00:00","id":1930,"links":{},"metadata":{"_buckets":{"deposit":"de8ebc5f-76d7-4edb-b0a1-64123db4f303"},"_deposit":{"created_by":2,"id":"1930","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"1930"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00001930","sets":["35:36"]},"author_link":["8940","8941","8944","8947","8951","8953","8943","8946","8949","8942","8950","8948","8954","8945","8952"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-05-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"1519","bibliographicPageStart":"1512","bibliographicVolumeNumber":"98","bibliographic_titles":[{"bibliographic_title":"The American Journal of Tropical Medicine and Hygiene"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The widespread unregulated use of antibiotics without medical consultation contributes to the burden of antibiotic resistance in Southeast Asian countries. This study investigated antibiotic use before hospital consultation. In a\nprospective observational study from February 2, 2015, to July 2, 2015, we enrolled febrile patients attending the\nemergency room in San Lazaro Hospital, Manila, the Philippines.Aurine sample was collected and a bioassay was used to\ndetect antibiotic activity in urine using Bacillus stearothermophilus (ATCC7953), Escherichia coli (ATCC25922), and\nStreptococcus pyogenes (ATCC19615). Patients or caregivers reported their medication history, clinical information, and\nsocioeconomic status. During the study period, 410 patients were enrolled. The median (interquartile range) age was 14\n(7?23) years and 158 (39%) reported prior antibiotic use, predominantly a beta-lactam antibiotic. A total of 164 (40%,95%\nconfidence interval [CI]: 35?45) patients were urine bioassay positive with any of three organisms. The Bacillus assay was\nthe most sensitive, detecting 162 (99%, 95%CI: 96?100) cases. Among bioassay positive patients, dengue (N= 91, 55%,95% CI: 48?63) was the most frequent diagnosis, followed by other viral infections, including measles, rubella, and mumps (N= 17, 10%,95%CI: 6?16). Patients with a positive bioassay were significantly more likely to be from the lowestincome group (adjusted odds ratio [AOR]: 1.7; 95% CI: 1.1?2.6) and required hospital admission (AOR: 2.1; 95% CI:\n1.3?3.5). Unnecessary antibiotic use for febrile illnesses before hospital consultation is common in a low-income, highly populated urban community in Manila. Education targeting this group should be implemented to reduce unnecessary\nantibiotic use.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"The American journal of tropical medicine and hygiene, 98(5), pp.1512-1519; 2018","subitem_description_type":"Other"}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"The American Society of Tropical Medicine and Hygiene"}]},"item_2_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.4269/ajtmh.17-0564","subitem_relation_type_select":"DOI"}}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"c 2018 by The American Society of Tropical Medicine and Hygiene"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00029637","subitem_source_identifier_type":"ISSN"}]},"item_2_source_id_8":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"14761645","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Saito, Nobuo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takamura, Noriko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Retuerma, Grace P."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Frayco, Carina H."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Solano, Paul S."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ubas, Cherlyn D."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Lintag, Arianne V."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ribo, Maricel R."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Solante, Rontgene M."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Dimapilis, Alexis Q."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Telan, Elizabeth O."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Go, Winston S."}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Suzuki, Motoi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ariyoshi, Koya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Parry, Christopher M."}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-18"}],"displaytype":"detail","filename":"AJTMH98_1512.pdf","filesize":[{"value":"108.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AJTMH98_1512.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/1930/files/AJTMH98_1512.pdf"},"version_id":"8e6d78f7-b7ed-47d3-a7a0-1a432d08165d"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Frequent Community Use of Antibiotics among a Low-Economic Status Population in Manila, the Philippines: A Prospective Assessment Using a Urine Antibiotic Bioassay","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Frequent Community Use of Antibiotics among a Low-Economic Status Population in Manila, the Philippines: A Prospective Assessment Using a Urine Antibiotic Bioassay"}]},"item_type_id":"2","owner":"2","path":["36"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-06-05"},"publish_date":"2019-06-05","publish_status":"0","recid":"1930","relation_version_is_last":true,"title":["Frequent Community Use of Antibiotics among a Low-Economic Status Population in Manila, the Philippines: A Prospective Assessment Using a Urine Antibiotic Bioassay"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2023-05-16T03:54:55.286975+00:00"}