{"id":5177,"date":"2025-12-22T12:04:17","date_gmt":"2025-12-22T03:04:17","guid":{"rendered":"https:\/\/readtrends.com\/ko\/high-dose-rifampin-tb-meningitis\/"},"modified":"2025-12-22T12:04:17","modified_gmt":"2025-12-22T03:04:17","slug":"high-dose-rifampin-tb-meningitis","status":"publish","type":"post","link":"https:\/\/readtrends.com\/ko\/high-dose-rifampin-tb-meningitis\/","title":{"rendered":"\u2018\uc6a9\ub7c9\uc744 \ub298\ub824\ub3c4 \uc0b4\ub9ac\uc9c0 \ubabb\ud588\ub2e4\u2019\u2026\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc, \uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540\uc758 \ud55c\uacc4 &#8211; \uae08\uc735\uacbd\uc81c\ud50c\ub7ec\uc2a4"},"content":{"rendered":"<article>\n<h2>\ud575\uc2ec \uc694\uc57d<\/h2>\n<p>\ub274\uc789\uae00\ub79c\ub4dc\uc800\ub110\uc624\ube0c\uba54\ub514\uc2e0(NEJM)\uc5d0 \uac8c\uc7ac\ub41c \ub2e4\uad6d\uac00 \ubb34\uc791\uc704 \ub300\uc870\uc2dc\ud5d8\uc5d0\uc11c \uace0\uc6a9\ub7c9 \uacbd\uad6c \ub9ac\ud31c\ud540(35mg\/kg)\uc744 \ucd94\uac00 \ud22c\uc5ec\ud55c \uc131\uc778 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc \ud658\uc790\ub294 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc5d0\uc11c \ud45c\uc900\uc694\ubc95\uacfc \uc720\uc758\ud55c \ucc28\uc774\ub97c \ubcf4\uc774\uc9c0 \uc54a\uc558\ub2e4. \ucd1d 499\uba85(\uace0\uc6a9\ub7c9\uad70 249\uba85, \ud45c\uc900\uad70 250\uba85)\uc744 \ubd84\uc11d\ud588\uc73c\uba70, \uace0\uc6a9\ub7c9\uad70\uc758 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc740 44.6%\ub85c \ud45c\uc900\uad70 40.7%\uc640 \ucc28\uc774\uac00 \uc5c6\uc5c8\ub2e4. \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c\ub294 \uac04\ub3c5\uc131 \ubc1c\uc0dd\ub960\uc774 \ub354 \ub192\uc558\uace0, 6\uac1c\uc6d4 \uc774\ub0b4 \uc0ac\ub9dd\uc790\uc758 \uc911\uc559 \uc0ac\ub9dd \uc2dc\uc810\uc740 \uc624\ud788\ub824 \ub354 \ube68\ub790\ub2e4.<\/p>\n<h2>\ud575\uc2ec \uc0ac\uc2e4<\/h2>\n<ul>\n<li>\uc5f0\uad6c \ub514\uc790\uc778: \uc778\ub3c4\ub124\uc2dc\uc544\u00b7\ub0a8\uc544\ud504\ub9ac\uce74\uacf5\ud654\uad6d\u00b7\uc6b0\uac04\ub2e4\uc5d0\uc11c \uc2dc\ud589\ub41c \uc774\uc911\ub9f9\uac80, \ubb34\uc791\uc704, \uc704\uc57d\ub300\uc870 \ub2e4\uae30\uad00 \uc784\uc0c1\uc2dc\ud5d8\uc774\ub2e4.<\/li>\n<li>\ub300\uc0c1\uc790 \uc218: \ucd1d 499\uba85(\uace0\uc6a9\ub7c9\uad70 249\uba85, \ud45c\uc900\uc6a9\ub7c9\uad70 250\uba85)\uc774 \uce58\ub8cc \uc758\ub3c4 \ubd84\uc11d\uc5d0 \ud3ec\ud568\ub410\ub2e4.<\/li>\n<li>\ud22c\uc57d\ubc95: \ubaa8\ub4e0 \ud658\uc790\ub294 \ud45c\uc900 4\uc81c\uc694\ubc95(\uc774\uc18c\ub2c8\uc544\uc9c0\ub4dc, \ub9ac\ud31c\ud540 10mg\/kg, \uc5d0\ud0d0\ubd80\ud1a8, \ud53c\ub77c\uc9c4\uc544\ubbf8\ub4dc)\uc744 \ubc1b\uc558\uace0, \uace0\uc6a9\ub7c9\uad70\uc740 \uc5ec\uae30\uc5d0 \ucd94\uac00\ub85c \uacbd\uad6c \ub9ac\ud31c\ud540\uc744 \ud22c\uc5ec\ud574 \ucd1d 35mg\/kg\uc744 8\uc8fc\uac04 \ubcf5\uc6a9\ud588\ub2e4.<\/li>\n<li>\uc8fc\ud3c9\uac00\ubcc0\uc218: 1\ucc28 \ud3c9\uac00\ub294 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc774\uc5c8\ub2e4. \uacb0\uacfc\ub294 \uace0\uc6a9\ub7c9\uad70 109\uba85(44.6%), \ud45c\uc900\uad70 100\uba85(40.7%)\uc73c\ub85c \uc704\ud5d8\ube44 1.17(95% CI 0.89\u20131.54), P=0.25\uc600\ub2e4.<\/li>\n<li>\uc0ac\ub9dd \uc2dc\uc810: 6\uac1c\uc6d4 \uc774\ub0b4 \uc0ac\ub9dd\uc790\ub9cc \ubd84\uc11d\ud588\uc744 \ub54c \uc911\uc559 \uc0ac\ub9dd \uc2dc\uc810\uc740 \uace0\uc6a9\ub7c9\uad70 13\uc77c, \ud45c\uc900\uad70 24\uc77c\ub85c \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c \ub354 \ube60\ub974\uac8c \uc0ac\ub9dd\uc774 \ubc1c\uc0dd\ud588\ub2e4.<\/li>\n<li>HIV \ub3d9\uc2dc\uac10\uc5fc: \ub300\uc0c1\uc790 \uc911 60.9%\uac00 HIV \uc591\uc131\uc774\uc5c8\uace0, \uc804\uccb4\uc758 85.8%\ub294 \ud655\uc9c4 \ub610\ub294 \ucd94\uc815 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc \ud658\uc790\uc600\ub2e4.<\/li>\n<li>\uc548\uc804\uc131: \uc57d\ubb3c \uc720\ubc1c\uc131 \uac04 \uc190\uc0c1\uc740 \uace0\uc6a9\ub7c9\uad70 8.0% vs \ud45c\uc900\uad70 4.4%\ub85c \uace0\uc6a9\ub7c9\uc5d0\uc11c \ub354 \ube48\ubc1c\ud588\ub2e4. \uac04 \uc190\uc0c1\uc73c\ub85c \uc778\ud55c \uc9c1\uc811 \uc0ac\ub9dd\uc740 \ubcf4\uace0\ub418\uc9c0 \uc54a\uc558\ub2e4.<\/li>\n<\/ul>\n<h2>\uc0ac\uac74 \ubc30\uacbd<\/h2>\n<p>\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc\uc740 \uacb0\ud575\uade0\uc774 \uc911\ucd94\uc2e0\uacbd\uacc4\ub85c \uce68\ubc94\ud574 \ubc1c\uc0dd\ud558\ub294 \uac00\uc7a5 \uce58\uba85\uc801\uc778 \ud615\ud0dc\uc758 \uacb0\ud575 \uc911 \ud558\ub098\ub85c, \uc801\uc808\ud55c \ud56d\uacb0\ud575 \uce58\ub8cc\uc640 \ubcf4\uc870\uc801 \uc2a4\ud14c\ub85c\uc774\ub4dc\uc5d0\ub3c4 \ubd88\uad6c\ud558\uace0 \ub192\uc740 \uc0ac\ub9dd\ub960\uacfc \uc2ec\uac01\ud55c \uc2e0\uacbd\ud559\uc801 \ud6c4\uc720\uc99d\uc744 \ub0a8\uae34\ub2e4. \ub9ac\ud31c\ud540\uc740 \ud45c\uc900 \ud56d\uacb0\ud575\uc694\ubc95\uc758 \ud575\uc2ec \uc57d\ubb3c\uc774\uc9c0\ub9cc \ubd84\uc790\uc801\uc73c\ub85c \ud608\ub1cc\uad00\ubb38(BBB) \ud1b5\uacfc\uc131\uc774 \uc81c\ud55c\uc801\uc774\ub77c \ub1cc\ucc99\uc218\uc561 \ub0b4 \uc57d\ubb3c \ub18d\ub3c4\uac00 \ub0ae\uac8c \uc720\uc9c0\ub418\ub294 \ubb38\uc81c\uac00 \uc9c0\uc801\ub3fc \uc654\ub2e4.<\/p>\n<p>\uc774\ub7ec\ud55c \uc57d\ubb3c\ub3d9\ub825\ud559\uc801 \ud55c\uacc4 \ub54c\ubb38\uc5d0 \uacfc\uac70 \uc18c\uaddc\ubaa8 \uc5f0\uad6c\uc640 \uc774\ub860\uc801 \ub17c\uc758\uc5d0\uc11c \ub9ac\ud31c\ud540 \uc6a9\ub7c9\uc744 \uc99d\uac00\uc2dc\ud0a4\uba74 \uc911\ucd94\uc2e0\uacbd\uacc4 \uc57d\ubb3c \ub18d\ub3c4\ub97c \ub192\uc5ec \uce58\ub8cc \ud6a8\uacfc\ub97c \uac1c\uc120\ud560 \uc218 \uc788\ub2e4\ub294 \uac00\uc124\uc774 \uc81c\uae30\ub410\ub2e4. \uadf8\ub7ec\ub098 \uc6a9\ub7c9 \uc99d\ub7c9\uc740 \ub2e8\uc21c\ud788 \ud608\uc911 \ub18d\ub3c4\ub97c \uc62c\ub9ac\ub294 \uac83 \uc678\uc5d0 \uc5fc\uc99d \ubc18\uc751, \uc57d\ubb3c \uc0c1\ud638\uc791\uc6a9, \ub3c5\uc131 \uc99d\uac00 \ub4f1 \ubcf5\ud569\uc801 \uc601\ud5a5\uc744 \ubbf8\uce60 \uc218 \uc788\uc5b4 \uc784\uc0c1\uc801 \uc720\u00b7\ubb34\uc775\uc774 \ubd88\ud655\uc2e4\ud588\ub2e4.<\/p>\n<h2>\uc8fc\uc694 \uc0ac\uac74<\/h2>\n<p>\uc5f0\uad6c\uc9c4\uc740 \uc131\uc778 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc \ud658\uc790\ub97c \ub300\uc0c1\uc73c\ub85c HIV \uc0c1\ud0dc\uc5d0 \ub530\ub77c \uce35\ud654 \ubb34\uc791\uc704\ubc30\uc815\uc744 \uc2dc\ud589\ud558\uace0, \uace0\uc6a9\ub7c9\uad70\uc5d0\ub294 \ucd94\uac00 \uacbd\uad6c \ub9ac\ud31c\ud540\uc744 \ud22c\uc5ec\ud574 8\uc8fc\uac04 \ucd1d 35mg\/kg\uc744 \ud22c\uc5ec\ud588\ub2e4. \uc774\ud6c4 9~12\uac1c\uc6d4\uac04 \ud45c\uc900 \uce58\ub8cc\ub97c \uc720\uc9c0\ud558\uba70 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc744 1\ucc28 \uacb0\uacfc\ub85c \uc124\uc815\ud588\ub2e4. \uc5f0\uad6c\ub294 \uc774\uc911\ub9f9\uac80\uc73c\ub85c \uc124\uacc4\ub3fc \ud658\uc790\uc640 \uc5f0\uad6c\uc9c4\uc774 \ud22c\uc57d\uad70\uc744 \ubaa8\ub974\uac8c \uc9c4\ud589\ub410\ub2e4.<\/p>\n<p>\ucd1d 499\uba85\uc774 \uce58\ub8cc \uc758\ub3c4 \ubd84\uc11d\uc5d0 \ud3ec\ud568\ub410\uace0, \ub300\uc0c1\uc790\uc758 60.9%\uac00 HIV \uc591\uc131\uc774\uc5c8\ub2e4. \uacb0\uacfc\uc801\uc73c\ub85c \uace0\uc6a9\ub7c9 \ud22c\uc5ec\uac00 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc744 \uc720\uc758\ud558\uac8c \ub0ae\ucd94\uc9c0\ub294 \ubabb\ud588\uc73c\uba70(\uace0\uc6a9\ub7c9 44.6% vs \ud45c\uc900 40.7%), \ud1b5\uacc4\uc801 \uc720\uc758\uc131\uc740 \ud655\ubcf4\ub418\uc9c0 \uc54a\uc558\ub2e4(\uc704\ud5d8\ube44 1.17, 95% CI 0.89\u20131.54, P=0.25).<\/p>\n<p>\uc911\uc694\ud55c \uc548\uc804\uc131 \uc2e0\ud638\ub85c \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c \uc57d\ubb3c \uc720\ubc1c\uc131 \uac04 \uc190\uc0c1 \ube44\uc728\uc774 \ub354 \ub192\uc558\uace0(8.0% vs 4.4%), \ud765\ubbf8\ub86d\uac8c\ub3c4 6\uac1c\uc6d4 \uc774\ub0b4\uc5d0 \uc0ac\ub9dd\ud55c \ud658\uc790\ub4e4\uc5d0\uc11c \uace0\uc6a9\ub7c9\uad70\uc758 \uc911\uc559 \uc0ac\ub9dd \uc2dc\uc810\uc740 13\uc77c\ub85c \ud45c\uc900\uad70(24\uc77c)\ubcf4\ub2e4 \ube68\ub790\ub2e4. \uc5f0\uad6c\uc9c4\uc740 \uc774 \uc0ac\uc2e4\uc744 \ud574\uc11d\ud560 \ub54c \ub2e4\uc591\ud55c \ubcd1\ud0dc\uc0dd\ub9ac\ud559\uc801 \uac00\ub2a5\uc131\uc744 \uace0\ub824\ud574\uc57c \ud55c\ub2e4\uace0 \ubc1d\ud614\ub2e4.<\/p>\n<h2>\ubd84\uc11d \ubc0f \uc758\ubbf8<\/h2>\n<p>\uc774\ubc88 \ub300\uaddc\ubaa8 \ubb34\uc791\uc704\uc2dc\ud5d8\uc740 \ub2e8\uc77c \uc57d\ubb3c\uc758 \ub2e8\uc21c \uc6a9\ub7c9 \uc99d\ub7c9\uc774 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc\uc758 \uc784\uc0c1\uc801 \uc608\ud6c4\ub97c \uac1c\uc120\ud558\uc9c0 \ubabb\ud55c\ub2e4\ub294 \ud604\uc2e4\uc801\uc778 \uad50\ud6c8\uc744 \uc81c\uc2dc\ud55c\ub2e4. \ub9ac\ud31c\ud540\uc758 \ud608\uc911 \ub18d\ub3c4\ub97c \ub192\uc774\ub294 \uac83\uc774 \ub1cc\ucc99\uc218\uc561 \ub0b4 \ud65c\uc131 \ub18d\ub3c4\ub97c \ucda9\ubd84\ud788 \ud655\ubcf4\ud558\uac70\ub098, \uc5fc\uc99d-\uba74\uc5ed \ubc18\uc751\uc73c\ub85c \uc778\ud55c \uc870\uc9c1 \uc190\uc0c1\uc744 \uc644\ud654\ud574 \uc0dd\uc874\uc744 \uac1c\uc120\ud558\ub294 \ub370 \ud544\uc218\uc801\uc774\uc9c0 \uc54a\uc74c\uc744 \uc2dc\uc0ac\ud55c\ub2e4.<\/p>\n<p>\uc0ac\ub9dd \uc2dc\uc810\uc774 \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c \ub354 \ube68\ub790\ub2e4\ub294 \uad00\ucc30\uc740 \uba87 \uac00\uc9c0 \ud574\uc11d\uc744 \ub0b3\ub294\ub2e4. \uccab\uc9f8, \ucd08\uae30 \uc5fc\uc99d \ubc18\uc751\uc758 \uae09\uaca9\ud55c \ubcc0\ud654\uac00 \ubcd1\ud0dc\uc0dd\ub9ac\uc801\uc73c\ub85c \ubd88\ub9ac\ud558\uac8c \uc791\uc6a9\ud588\uc744 \uac00\ub2a5\uc131, \ub458\uc9f8, \uace0\ub18d\ub3c4 \ub9ac\ud31c\ud540\uacfc \ub3d9\uc2dc \ud22c\uc5ec\ub418\ub294 \uc57d\ubb3c(\ud2b9\ud788 HIV \ub3d9\uc2dc\uac10\uc5fc \ud658\uc790\uc758 \ud56d\ub808\ud2b8\ub85c\ubc14\uc774\ub7ec\uc2a4\uc81c) \uac04 \uc0c1\ud638\uc791\uc6a9\uc73c\ub85c \uc778\ud55c \uc608\uae30\uce58 \uc54a\uc740 \uc720\ud574 \ubc18\uc751, \uc14b\uc9f8, \uac04\ub3c5\uc131 \ub4f1\uc758 \ud569\ubcd1\uc99d\uc774 \uc784\uc0c1 \uacbd\uacfc\ub97c \uc545\ud654\uc2dc\ucf30\uc744 \uac00\ub2a5\uc131\uc774 \uac80\ud1a0\ub418\uc5b4\uc57c \ud55c\ub2e4.<\/p>\n<p>\uc784\uc0c1\uc801 \uc758\ubbf8 \uce21\uba74\uc5d0\uc11c \uc774 \uacb0\uacfc\ub294 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc \uce58\ub8cc \uc804\ub7b5\uc758 \uc7ac\uac80\ud1a0\ub97c \ucd09\uad6c\ud55c\ub2e4. \ub2e8\uc77c \uc57d\ubb3c\uc758 \uc6a9\ub7c9 \uc99d\ub7c9\ubcf4\ub2e4\ub294 \ud56d\uacb0\ud575\uc81c \uc870\ud569\uc758 \uc7ac\uc124\uacc4, \ud56d\uc5fc\u00b7\uba74\uc5ed\uc870\uc808\uc81c \ubcd1\uc6a9, \ub354 \ub098\uc740 \uc911\ucd94\uc2e0\uacbd\uacc4 \ud22c\uacfc\ub97c \uac00\uc9c0\ub294 \uc2e0\uc57d \uac1c\ubc1c \ub4f1\uc758 \uc811\uadfc\uc774 \ud544\uc694\ud558\ub2e4. \ub610\ud55c HIV \ub3d9\uc2dc\uac10\uc5fc \ud658\uc790 \ud2b9\uc720\uc758 \uc57d\ubb3c\uc0c1\ud638\uc791\uc6a9\uacfc \uba74\uc5ed\ud68c\ubcf5\uc5fc\uc99d\uc99d\ud6c4\uad70(IRIS) \uad00\ub9ac\uac00 \uacb0\uacfc\uc5d0 \uc601\ud5a5\uc744 \ubbf8\ucce4\uc744 \uac00\ub2a5\uc131\ub3c4 \uba74\ubc00\ud788 \uc0b4\ud3b4\uc57c \ud55c\ub2e4.<\/p>\n<h2>\ube44\uad50 \ubc0f \ub370\uc774\ud130<\/h2>\n<figure>\n<table>\n<thead>\n<tr>\n<th>\ud56d\ubaa9<\/th>\n<th>\uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540(35mg\/kg)<\/th>\n<th>\ud45c\uc900 \uc6a9\ub7c9<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\ub300\uc0c1\uc790 \uc218<\/td>\n<td>249<\/td>\n<td>250<\/td>\n<\/tr>\n<tr>\n<td>6\uac1c\uc6d4 \uc0ac\ub9dd\ub960<\/td>\n<td>109\uba85 (44.6%)<\/td>\n<td>100\uba85 (40.7%)<\/td>\n<\/tr>\n<tr>\n<td>6\uac1c\uc6d4 \uc774\ub0b4 \uc911\uc559 \uc0ac\ub9dd \uc2dc\uc810<\/td>\n<td>13\uc77c<\/td>\n<td>24\uc77c<\/td>\n<\/tr>\n<tr>\n<td>\uc57d\ubb3c \uc720\ubc1c\uc131 \uac04 \uc190\uc0c1<\/td>\n<td>8.0%<\/td>\n<td>4.4%<\/td>\n<\/tr>\n<\/tbody>\n<\/table><figcaption>\uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540 \ub300 \ud45c\uc900\uc694\ubc95 \uac04 \uc8fc\uc694 \uacb0\uacfc \ube44\uad50(\ucd9c\ucc98: NEJM, \ub2e4\uae30\uad00 \ubb34\uc791\uc704 \uc784\uc0c1\uc2dc\ud5d8)<\/figcaption><\/figure>\n<p>\ud45c\ub294 \ud575\uc2ec \uacb0\uacfc\ub97c \uc694\uc57d\ud574 \ube44\uad50\ud55c \uac83\uc774\ub2e4. \uc22b\uc790\ub294 \uc5f0\uad6c \uc6d0\ubb38\uc5d0 \uc81c\uc2dc\ub41c \uce58\ub8cc \uc758\ub3c4 \ubd84\uc11d \uacb0\uacfc\ub97c \uadf8\ub300\ub85c \uc778\uc6a9\ud588\uc73c\uba70, \ud1b5\uacc4\uc801 \uc720\uc758\uc131\uc740 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc5d0\uc11c \ud655\ubcf4\ub418\uc9c0 \uc54a\uc558\ub2e4. \uc2dc\uac04-\uc758\uc874\uc801 \ud6a8\uacfc\uc640 \ud558\uc704\uad70(\uc608: HIV \uc591\uc131 vs \uc74c\uc131) \ubd84\uc11d\uc740 \ucd94\uac00 \ubd84\uc11d\uc774 \ud544\uc694\ud558\ub2e4.<\/p>\n<h2>\ubc18\uc751 \ubc0f \uc778\uc6a9<\/h2>\n<p>\uc5f0\uad6c \uacb0\uacfc \ubc1c\ud45c \ud6c4 \uc5f0\uad6c\uc9c4\uc740 \ub17c\ubb38\uc758 \uacb0\ub860\uacfc \ud55c\uacc4\ub97c \ud568\uaed8 \uc81c\uc2dc\ud558\uba70 \uc2e0\uc911\ud55c \ud574\uc11d\uc744 \uad8c\uace0\ud588\ub2e4.<\/p>\n<blockquote>\n<p>\uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540\uc740 \ud608\uc911 \ub18d\ub3c4 \uc0c1\uc2b9\uc744 \uc77c\uc73c\ucf30\uc9c0\ub9cc \uc784\uc0c1\uc801 \uc774\ub4dd\uc740 \ud655\uc778\ub418\uc9c0 \uc54a\uc558\ub2e4.<\/p>\n<p><cite>\uc5f0\uad6c\uc9c4(NEJM \uac8c\uc7ac\ud300)<\/cite><\/p><\/blockquote>\n<p>\uc5f0\uad6c\uc9c4\uc740 \uc774 \uacb0\uacfc\uac00 \ub2e8\uc21c \uc6a9\ub7c9 \uc99d\ub7c9 \uc804\ub7b5\uc758 \uc720\ud6a8\uc131\uc744 \ubd80\uc815\ud558\ub294 \uac83\uc740 \uc544\ub2c8\uc9c0\ub9cc, \ubcf5\uc7a1\ud55c \ubcd1\ud0dc\uc0dd\ub9ac\uc640 \uc57d\ubb3c \uc0c1\ud638\uc791\uc6a9\uc744 \uace0\ub824\ud560 \ub54c \ub2e8\uc77c \uc57d\ubb3c \uc99d\ub7c9\ub9cc\uc73c\ub85c \ud574\uacb0\ub420 \ubb38\uc81c\uac00 \uc544\ub2d8\uc744 \uac15\uc870\ud588\ub2e4. \ucd94\uac00\uc801\uc778 \uc57d\ubb3c\ub3d9\ub825\ud559\u00b7\uba74\uc5ed\ud559\uc801 \uc5f0\uad6c\uc640 \ud558\uc704\uad70 \ubd84\uc11d\uc774 \ud544\uc694\ud558\ub2e4\uace0 \ub367\ubd99\uc600\ub2e4.<\/p>\n<p>\uc784\uc0c1 \ud604\uc7a5\uc758 \ubc18\uc751\ub3c4 \uc5c7\uac08\ub838\ub2e4. \uc77c\ubd80 \uac10\uc5fc\ub0b4\uacfc \uc804\ubb38\uac00\ub294 \uc774\ubc88 \uacb0\uacfc\uac00 \ud604\uc2e4\uc9c4\ub2e8 \uc5ed\ud560\uc744 \ud55c\ub2e4\uace0 \ud3c9\uac00\ud55c \ubc18\uba74, \ub2e4\ub978 \uc804\ubb38\uac00\ub294 \ud2b9\uc815 \ud558\uc704\uad70\uc5d0\uc11c\uc758 \uc774\ub4dd \uac00\ub2a5\uc131\uc744 \uc644\uc804\ud788 \ubc30\uc81c\ud560 \uc218 \uc5c6\ub2e4\uace0 \uc9c0\uc801\ud588\ub2e4.<\/p>\n<blockquote>\n<p>\uc774\ubc88 \uc5f0\uad6c\ub294 \uac15\ud55c \uc99d\uac70\ub97c \uc81c\uc2dc\ud558\uc9c0\ub9cc, HIV \ub3d9\uc2dc\uac10\uc5fc\uc790 \ub4f1 \ud2b9\uc815 \ud658\uc790\uad70\uc758 \ubc18\uc751\uc744 \ub354 \uba74\ubc00\ud788 \ubd84\uc11d\ud574\uc57c \ud55c\ub2e4.<\/p>\n<p><cite>\ud55c \uac10\uc5fc\ub0b4\uacfc \uad50\uc218(\ud559\uacc4)<\/cite><\/p><\/blockquote>\n<p>\uc804\ubb38\uac00\ub294 \ud2b9\ud788 \ud56d\ub808\ud2b8\ub85c\ubc14\uc774\ub7ec\uc2a4\uc81c\uc640\uc758 \uc0c1\ud638\uc791\uc6a9, \ucd08\uae30 \uc5fc\uc99d \ubc18\uc751\uc758 \uc2dc\uac04\uc801 \ubcc0\ud654, \uc911\uc99d\ub3c4\ubcc4 \uce58\ub8cc \ubc18\uc751 \ucc28\uc774\uc5d0 \ub300\ud55c \ucd94\uac00 \ubd84\uc11d\uc744 \uc694\uad6c\ud588\ub2e4. \uc2e4\uc81c \uc9c4\ub8cc\uc5d0\uc11c\ub294 \uc548\uc804\uc131 \uc2e0\ud638\uc5d0 \ube44\ucd94\uc5b4 \ubb34\uc791\uc815 \uc6a9\ub7c9\uc744 \uc62c\ub9ac\ub294 \uac83\uc744 \uad8c\uc7a5\ud558\uc9c0 \uc54a\ub294\ub2e4\uace0 \uc9c0\uc801\ud588\ub2e4.<\/p>\n<h2>\n<aside>\n<details>\n<summary>\uc6a9\uc5b4\/\ubc29\ubc95\ub860<\/summary>\n<p>\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc(Tuberculous Meningitis)\uc740 \uacb0\ud575\uade0\uc758 \uc911\ucd94\uc2e0\uacbd\uacc4 \uac10\uc5fc\uc73c\ub85c, \uc9c4\ub2e8\uc774 \uc5b4\ub824\uc6cc \ud655\uc9c4\uae4c\uc9c0 \uc2dc\uac04\uc774 \uac78\ub9ac\ub294 \uacbd\uc6b0\uac00 \ub9ce\ub2e4. \ub9ac\ud31c\ud540\uc740 \uac15\ub825\ud55c \ud56d\uacb0\ud575\uc81c\ub85c \uac04\uc5d0\uc11c \ub300\uc0ac\ub3fc \uc57d\ub3d9\ud559\uc801 \uc0c1\ud638\uc791\uc6a9\uc774 \ub9ce\uace0, \ud608\ub1cc\uad00\ubb38(BBB)\uc744 \ud1b5\uacfc\ud558\ub294 \ube44\uc728\uc774 \ub0ae\uc544 \uc911\ucd94\uc2e0\uacbd\uacc4 \ub18d\ub3c4\uac00 \uc81c\ud55c\ub418\ub294 \uc57d\uc81c\uc774\ub2e4. \ubb34\uc791\uc704\ub300\uc870\uc2dc\ud5d8(RCT)\uc740 \uac1c\uc785\uc758 \uc778\uacfc\ud6a8\uacfc\ub97c \uac80\uc99d\ud558\ub294 \ud45c\uc900\uc801 \ubc29\ubc95\uc774\uba70, \uc774\uc911\ub9f9\uac80 \uc124\uacc4\ub294 \ud3b8\ud5a5\uc744 \uc904\uc778\ub2e4. \uce58\ub8cc \uc758\ub3c4 \ubd84\uc11d(intention-to-treat)\uc740 \ubb34\uc791\uc704\ubc30\uc815 \ub2f9\uc2dc\uc758 \uad70 \uad6c\ubd84\uc744 \uae30\uc900\uc73c\ub85c \uacb0\uacfc\ub97c \ubd84\uc11d\ud574 \uc2e4\uc81c \uc784\uc0c1\uc801 \ud6a8\uacfc\ub97c \ubcf4\uc218\uc801\uc73c\ub85c \ud3c9\uac00\ud55c\ub2e4.<\/p>\n<\/details>\n<\/aside>\n<\/h2>\n<h2>\ubd88\ud655\uc2e4\ud55c \ubd80\ubd84<\/h2>\n<ul>\n<li>\uace0\uc6a9\ub7c9 \ud22c\uc5ec\uad70\uc5d0\uc11c \uc0ac\ub9dd\uc774 \ub354 \ube68\ub790\ub358 \uae30\uc804\uc740 \uba85\ud655\ud558\uc9c0 \uc54a\ub2e4; \uc5fc\uc99d \ubc18\uc751 \ubcc0\ud654, \uc57d\ubb3c \uc0c1\ud638\uc791\uc6a9, \ub610\ub294 \uc120\ud0dd \ud3b8\ud5a5 \uac00\ub2a5\uc131\uc774 \uc788\ub2e4.<\/li>\n<li>\ud558\uc704\uad70 \ubd84\uc11d(\uc608: HIV \uc74c\uc131 \ud658\uc790, \uc911\uc99d\ub3c4\ubcc4 \ubc18\uc751)\uc5d0\uc11c \uc720\uc758\ubbf8\ud55c \ucc28\uc774\uac00 \uc874\uc7ac\ud558\ub294\uc9c0 \uc5ec\ubd80\ub294 \ucd94\uac00 \ubd84\uc11d\uc774 \ud544\uc694\ud558\ub2e4.<\/li>\n<li>\uacbd\uad6c \ud22c\uc5ec \ub300\uc2e0 \uc815\ub9e5 \ud22c\uc5ec \ub4f1 \ub2e4\ub978 \ud22c\uc5ec\uacbd\ub85c\uac00 \uacb0\uacfc\uc5d0 \ubbf8\uce58\ub294 \uc601\ud5a5\uc740 \uc774 \uc5f0\uad6c\ub85c\ub294 \ud655\uc778\ub418\uc9c0 \uc54a\uc558\ub2e4.<\/li>\n<\/ul>\n<h2>\ucd1d\ud3c9<\/h2>\n<p>\uc774\ubc88 \ub2e4\uad6d\uac00 \ubb34\uc791\uc704\uc784\uc0c1\uc740 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc\uc5d0\uc11c \ub9ac\ud31c\ud540\uc758 \ub2e8\uc21c\ud55c \uc6a9\ub7c9 \uc99d\ub7c9 \uc804\ub7b5\uc774 \uc0dd\uc874\uc728\uc744 \uac1c\uc120\ud558\uc9c0 \ubabb\ud568\uc744 \ubd84\uba85\ud788 \ud588\ub2e4. \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c\uc758 \uac04\ub3c5\uc131 \uc99d\uac00\uc640 \uc0ac\ub9dd \uc2dc\uc810\uc758 \ub2e8\ucd95 \uad00\ucc30\uc740 \uc548\uc804\uc131\uacfc \ud6a8\uc6a9\uc744 \ub3d9\uc2dc\uc5d0 \uace0\ub824\ud574\uc57c \ud568\uc744 \ud658\uae30\uc2dc\ud0a8\ub2e4.<\/p>\n<p>\uc784\uc0c1\uacfc \uc815\ucc45 \ucc28\uc6d0\uc5d0\uc11c \uc758\ubbf8\ub294 \ubd84\uba85\ud558\ub2e4. \ub2e8\uc77c \uc57d\uc81c\uc758 \uc6a9\ub7c9 \uc99d\ub7c9\uc5d0 \uc758\uc874\ud558\uae30\ubcf4\ub2e4\ub294 \uc57d\ubb3c \uc870\ud569\uc758 \uc7ac\uc124\uacc4, \ud56d\uc5fc\u00b7\uba74\uc5ed\uc870\uc808 \uc804\ub7b5, \uc0c8\ub85c\uc6b4 \uc57d\ubb3c \uac1c\ubc1c\uacfc \ud568\uaed8 \ud558\uc704\uad70 \ub9de\ucda4 \uce58\ub8cc \uc804\ub7b5\uc744 \ubaa8\uc0c9\ud574\uc57c \ud55c\ub2e4. \ud5a5\ud6c4 \uc5f0\uad6c\ub294 \uc57d\ubb3c\ub3d9\ub825\ud559\uc801 \ud504\ub85c\ud30c\uc77c, \uc57d\ubb3c\uc0c1\ud638\uc791\uc6a9, \uc5fc\uc99d-\uba74\uc5ed \ubc18\uc751\uc758 \uc2dc\uac04\uc801 \ubcc0\ud654\uc5d0 \ub300\ud55c \uc815\uad50\ud55c \ubd84\uc11d\uc744 \ud3ec\ud568\ud574\uc57c \ud55c\ub2e4.<\/p>\n<h2>\ucd9c\ucc98<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.kndaily.co.kr\/news\/articleView.html?idxno=308187\" target=\"_blank\" rel=\"noopener\">\uae08\uc735\uacbd\uc81c\ud50c\ub7ec\uc2a4(\uc5b8\ub860)<\/a> \u2014 \uae30\uc0ac \uc6d0\ubb38 \uc694\uc57d \ubc0f \ubcf4\ub3c4<\/li>\n<li><a href=\"https:\/\/www.nejm.org\/\" target=\"_blank\" rel=\"noopener\">New England Journal of Medicine (\ud559\uacc4\u00b7\uc6d0\ubb38 \uac8c\uc7ac)<\/a> \u2014 \ub2e4\uae30\uad00 \ubb34\uc791\uc704\ub300\uc870\uc2dc\ud5d8 \uc6d0\ubb38<\/li>\n<\/ul>\n<\/article>\n","protected":false},"excerpt":{"rendered":"<p>\ud575\uc2ec \uc694\uc57d \ub274\uc789\uae00\ub79c\ub4dc\uc800\ub110\uc624\ube0c\uba54\ub514\uc2e0(NEJM)\uc5d0 \uac8c\uc7ac\ub41c \ub2e4\uad6d\uac00 \ubb34\uc791\uc704 \ub300\uc870\uc2dc\ud5d8\uc5d0\uc11c \uace0\uc6a9\ub7c9 \uacbd\uad6c \ub9ac\ud31c\ud540(35mg\/kg)\uc744 \ucd94\uac00 \ud22c\uc5ec\ud55c \uc131\uc778 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc \ud658\uc790\ub294 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc5d0\uc11c \ud45c\uc900\uc694\ubc95\uacfc \uc720\uc758\ud55c \ucc28\uc774\ub97c \ubcf4\uc774\uc9c0 \uc54a\uc558\ub2e4. \ucd1d 499\uba85(\uace0\uc6a9\ub7c9\uad70 249\uba85, \ud45c\uc900\uad70 250\uba85)\uc744 \ubd84\uc11d\ud588\uc73c\uba70, \uace0\uc6a9\ub7c9\uad70\uc758 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc740 44.6%\ub85c \ud45c\uc900\uad70 40.7%\uc640 \ucc28\uc774\uac00 \uc5c6\uc5c8\ub2e4. \uace0\uc6a9\ub7c9\uad70\uc5d0\uc11c\ub294 \uac04\ub3c5\uc131 \ubc1c\uc0dd\ub960\uc774 \ub354 \ub192\uc558\uace0, 6\uac1c\uc6d4 \uc774\ub0b4 \uc0ac\ub9dd\uc790\uc758 \uc911\uc559 \uc0ac\ub9dd \uc2dc\uc810\uc740 \uc624\ud788\ub824 \ub354 \ube68\ub790\ub2e4. \ud575\uc2ec \uc0ac\uc2e4 \uc5f0\uad6c \ub514\uc790\uc778: &#8230; <a title=\"\u2018\uc6a9\ub7c9\uc744 \ub298\ub824\ub3c4 \uc0b4\ub9ac\uc9c0 \ubabb\ud588\ub2e4\u2019\u2026\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc, \uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540\uc758 \ud55c\uacc4 &#8211; \uae08\uc735\uacbd\uc81c\ud50c\ub7ec\uc2a4\" class=\"read-more\" href=\"https:\/\/readtrends.com\/ko\/high-dose-rifampin-tb-meningitis\/\" aria-label=\"\u2018\uc6a9\ub7c9\uc744 \ub298\ub824\ub3c4 \uc0b4\ub9ac\uc9c0 \ubabb\ud588\ub2e4\u2019\u2026\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc, \uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540\uc758 \ud55c\uacc4 &#8211; \uae08\uc735\uacbd\uc81c\ud50c\ub7ec\uc2a4\uc5d0 \ub300\ud574 \ub354 \uc790\uc138\ud788 \uc54c\uc544\ubcf4\uc138\uc694\">\ub354 \uc77d\uae30<\/a><\/p>\n","protected":false},"author":1,"featured_media":5173,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_title":"\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc, \uace0\uc6a9\ub7c9 \ub9ac\ud31c\ud540\uc740 \ud1b5\ud558\uc9c0 \uc54a\uc558\ub2e4 \u2014 \uae08\uc735\uacbd\uc81c\ud50c\ub7ec\uc2a4","rank_math_description":"NEJM \ub2e4\uad6d\uac00 \ubb34\uc791\uc704\uc2dc\ud5d8\uc5d0\uc11c \uace0\uc6a9\ub7c9 \uacbd\uad6c \ub9ac\ud31c\ud540(35mg\/kg)\uc740 \uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc\uc758 6\uac1c\uc6d4 \uc0ac\ub9dd\ub960\uc744 \uac1c\uc120\ud558\uc9c0 \ubabb\ud588\uace0 \uac04\ub3c5\uc131\uc740 \uc99d\uac00\ud588\ub2e4. \uc5f0\uad6c\uc758 \uc758\ubbf8\uc640 \ud5a5\ud6c4 \uacfc\uc81c\ub97c \uc815\ub9ac\ud55c\ub2e4.","rank_math_focus_keyword":"\uacb0\ud575\uc131 \ub1cc\uc218\ub9c9\uc5fc, \ub9ac\ud31c\ud540, \uace0\uc6a9\ub7c9, \ubb34\uc791\uc704\uc784\uc0c1, \uac04\ub3c5\uc131","footnotes":""},"categories":[2],"tags":[],"class_list":["post-5177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-top-stories"],"_links":{"self":[{"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/posts\/5177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/comments?post=5177"}],"version-history":[{"count":0,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/posts\/5177\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/media\/5173"}],"wp:attachment":[{"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/media?parent=5177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/categories?post=5177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/readtrends.com\/ko\/wp-json\/wp\/v2\/tags?post=5177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}