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[我科室近10个月耐甲氧西林金黄色葡萄球菌(MRSA)感染的临床研究]

[Clinical studies of methicillin resistant S. aureus (MRSA) infections during the recent 10 months in our department].

作者信息

Takahashi S, Tanaka T, Ashiki A

机构信息

Department of Urology, Seirei Hamamatsu Hospital.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1990 Oct;81(10):1480-6. doi: 10.5980/jpnjurol1989.81.1480.

Abstract

Recently MRSA occupies a prominent position in nosocomial infections. We experienced 9 cases of severe MRSA infections in our department during the 10 months from Apr. 1989 to Jan. 1990. We investigated the clinical background of them. THE RESULTS of studies were as followed: 1) All cases were inpatients. 2) All cases were considered to be compromised hosts. 3) In 7 cases many kinds of catheters and apparatuses were pre-indwelt . 4) In 8 cases over 2 kinds of antibiotics and in 7 cases 3rd generation cephems were pre-administered. 5) The 5 cases, who were selected for coagulase typing, all belonged to type II. 6) All cases had almost similar patterns of drug sensitivity and were resistant to large amounts of antibiotics. All cases had good sensitivity to minocycline. 7) THE RESULTS: 3 died of sepsis and respiratory failure and 6 were alive (MRSA strains were still isolated in 3 cases and were eradicated in the other 3 cases 1-4 months after the therapy was started).

摘要

近年来,耐甲氧西林金黄色葡萄球菌(MRSA)在医院感染中占据显著地位。1989年4月至1990年1月的10个月间,我们科室共收治了9例严重的MRSA感染病例。我们对这些病例的临床背景进行了调查。研究结果如下:1)所有病例均为住院患者。2)所有病例均被认为是免疫功能低下宿主。3)7例患者预先留置了多种导管和器械。4)8例患者预先使用了2种以上抗生素,7例患者预先使用了第三代头孢菌素。5)接受凝固酶分型的5例患者均属于II型。6)所有病例的药敏模式几乎相似,对大量抗生素耐药。所有病例对米诺环素敏感。7)结果:3例死于败血症和呼吸衰竭,6例存活(治疗开始后1至4个月,3例仍分离出MRSA菌株,另3例菌株被清除)。

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