BACTERIA ISOLATED FROM SURGICAL INFECTIONS AND ITS SUSCEPTIBILITIES TO ANTIMICROBIAL AGENTS

DOI Web Site PubMed 11 Citations 26 References
  • SHINAGAWA NAGAO
    Department of Surgery, Nagoya Midori Municipal Hospital
  • HIRATA KOICHI
    First Department of Surgery, Sapporo Medical University, School of Medicine
  • KATSURAMAKI TADASHI
    First Department of Surgery, Sapporo Medical University, School of Medicine
  • HATA FUMITAKE
    First Department of Surgery, Sapporo Medical University, School of Medicine
  • SHIJIMA YASUHIDUE
    Department of Surgery, National Hospital Organization, Saitama National Hospital
  • USHIDA TOMOHIRO
    Department of Surgery, National Hospital Organization, Saitama National Hospital
  • AIKAWA NAOKI
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • YO KIKUO
    Department of Emergency and Critical Care Medicine, School of Medicine, Keio University
  • TAKAYAMA TADATOSHI
    Department of Digestive Surgery, Nihon University School of Medicine
  • SATO TAKESHI
    Department of Digestive Surgery, Nihon University School of Medicine
  • KATO KOUMEI
    Department of Digestive Surgery, Nihon University School of Medicine
  • YURA JIRO
    Digestive Disease Center, Matsunami General Hospital
  • MANABE TADAO
    Nagoya City University Graduate School of Medical Sciences, Department of Gastroenterological Surgery
  • TAKEYAMA HIROMITSU
    Nagoya City University Graduate School of Medical Sciences, Department of Gastroenterological Surgery
  • HASEGAWA MASAMITSU
    Department of Surgery, Nagoya City Koseiin Hospital
  • TANIGUCHI MASAAKI
    Department of Surgery, Chita Kosei Hospital
  • MASHITA KEIJI
    Department of Surgery, Bisai Hospital
  • ISHIKAWA SYU
    Department of Surgery, Takahama Municipal Hospital
  • MIZUNO AKIRA
    Department of Surgery, Inabe General Hospital
  • KUBO SHOJI
    Gastroenterological Surgery, Osaka City University, Graduate School of Medicine
  • TAKADA NOBUYASU
    Gastroenterological Surgery, Osaka City University, Graduate School of Medicine
  • FUJIMOTO MIKIO
    Department of Surgery, Fujiidera City Hospital
  • TANIMURA HIROSHI
    Department of Surgery, Wakayama Rosai Hospital
  • TANIGUCHI KATSUTOSHI
    Department of Surgery, Wakayama Rosai Hospital
  • YAMAUE HIROKI
    Second Department of Surgery, Wakayama Medical School
  • OHNISHI HIRONOBU
    Second Department of Surgery, Wakayama Medical School
  • TANAKA NORIAKI
    Division of Gastroenterological Surgery, Okayama University, School of Medicine
  • IWAGAKI HIROMI
    Division of Gastroenterological Surgery, Okayama University, School of Medicine
  • FUCHIMOTO SADAYOSHI
    Department of Surgery, National Hospital Organization, Fukuyama National Hospital
  • KIMURA HIDEYUKI
    Department of Surgery, Okayama Saiseikai Hospital
  • TAKEUCHI HITOSHI
    Department of Surgery, National Hospital Organization, Iwakuni National Hospital
  • YASUI YOSHIMASA
    Department of Surgery, National Hospital Organization, Iwakuni National Hospital
  • SUEDA TAIJIRO
    Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University
  • TAKESUE YOSHIO
    Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University
  • HIYAMA EIZO
    Department of General Medicine, Hiroshima University, School of Medicine
  • YOKOYAMA TAKASHI
    Aki City Hospital
  • IDEDA SEIYO
    Department of Surgery 1, Fukuoka University, School of Medicine
  • YASUNAMI YOICHI
    Department of Surgery 1, Fukuoka University, School of Medicine
  • SUZUKI YUMIKO
    Section of Studies, Yamada Evidence Research

Bibliographic Information

Other Title
  • 外科感染症分離菌とその薬剤感受性
  • 外科感染症分離菌とその薬剤感受性--2003年度分離菌を中心に
  • ゲカ カンセンショウ ブンリキン ト ソノ ヤクザイ カンジュセイ 2003ネンド ブンリキン オ チュウシン ニ
  • SPECIAL REFERENCES TO BACTERIA ISOLATED BETWEEN APRIL 2003 AND MARCH 2004
  • 2003年度分離菌を中心に

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Abstract

Tendency of isolated bacteria from infections in general surgery during the period from April 2003 to March 2004 were investigated in a multicenter study in Japan, and the following results were obtained.<BR>In this series, 455 strains including 14 strains of Candida spp. were isolated from 191 (75.2%) of 254 patients with surgical infections. Two hundred and thirty-nine strains were isolated from primary infections, and 216 strains were isolated from postoperative infections. From primary infections, anaerobic Gram-positive bacteria and aerobic Gram-negative bacteria were predominant, while aerobic Gram-positive bacteria were predominant from postoperative infections. The isolation rate of aerobic Gram-positive bacteria, such as Enterococcus spp. and Staphylococcus aureus were higher from both types of infections. Among anaerobic Gram-positive bacteria, the isolation rate of Peptostreptococcus spp. was the highest from both types of infections. Among aerobic Gram-negative bacteria, Escherichia coil was the most predominantly isolated from primary infections, followed by Klebsiella pneumoniae, Enterobacter cloacae and Pseudomonas aeruginosa in this order, and from postoperative infections, E. coil was the most predominantly isolated, followed by P. aeruginosa, E.cloacae, and K. pneumoniae. Among anaerobic Gram-negative bacteria, the isolation rate of Bacteroides fragilis group was the highest from both types of infections. The isolation rate of anaerobic Gram-positive bacteria from primary infections and that of aerobic Gram-positive bacteria from postoperative infections were high in the last several years.<BR>In this series, we noticed no vancomycin-resistant Gram-positive cocci, but a few strains of moderately arbekacin-resistant MRSA. Carbapenm-resistant P. aeruginosa was seen in less than 10 per cents. Last year we noticed that there were cefazolin-resistant E. coil producing extended spectrum β-lactamase, but there was no highly cefazolin-resistant E. coli in this year. In the next series, increase of both anaerobic bacteria and Enterococcus spp. should be carefully followed up.

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