Okada K, Masuda A, Hoshino H, Hihara T, Nakajima N, Kawashima T, Miyakita H, Nishizawa K, Shiramizu M, Nagata Y
Department of Urology, Tokai University, School of Medicine.
Hinyokika Kiyo. 1990 Mar;36(3):319-31.
We examined bacteria isolated from urine of patients in our urological department from 1985 through 1987. A total of 2,566 strains were isolated from outpatients. They were 834 strains of gram-positive coccus (32.5%). E. coli (20.8%) was isolated most frequently, followed by Proteus sp. (12.6%), Enterococcus (9.6%), P. aeruginosa (6.7%), S. epidermidis (5.5%), and K. pneumoniae (3.7%) and others. A total of 784 strains were isolated from inpatients. They were 313 strains of gram-positive coccus (39.9%). Enterococcus (22.6%) was isolated most frequently, followed by P. aeruginosa (10.1%), S. marcescens (9.7%), E. coli (8.2%), S. epidermidis (7.9%), and K. pneumoniae (4.3%) and others. Gram-positive bacterium occupied a larger proportion of the total-isolates from both outpatients and inpatients, than in our previous examination. Fewer P. aeruginosa and Enterococcus were isolated from outpatients, and fewer P. aeruginosa from inpatients than previously. More S. marcescens were isolated from inpatients than previously. S. marcescens, E. cloacae, C. freundii, S. epidermidis, and S. aureus all isolated from outpatients showed a higher sensitivity to all drugs we tested than those isolated from inpatients.
我们检查了1985年至1987年从我院泌尿外科患者尿液中分离出的细菌。共从门诊患者中分离出2566株菌株。其中革兰氏阳性球菌834株(占32.5%)。分离频率最高的是大肠杆菌(占20.8%),其次是变形杆菌属(占12.6%)、肠球菌(占9.6%)、铜绿假单胞菌(占6.7%)、表皮葡萄球菌(占5.5%)、肺炎克雷伯菌(占3.7%)等。共从住院患者中分离出784株菌株。其中革兰氏阳性球菌313株(占39.9%)。分离频率最高的是肠球菌(占22.6%),其次是铜绿假单胞菌(占10.1%)、黏质沙雷氏菌(占9.7%)、大肠杆菌(占8.2%)、表皮葡萄球菌(占7.9%)、肺炎克雷伯菌(占4.3%)等。与我们之前的检查相比,革兰氏阳性菌在门诊和住院患者分离出的所有菌株中所占比例更大。从门诊患者中分离出的铜绿假单胞菌和肠球菌比之前更少,从住院患者中分离出的铜绿假单胞菌也比之前更少。从住院患者中分离出的黏质沙雷氏菌比之前更多。从门诊患者中分离出的黏质沙雷氏菌、阴沟肠杆菌、弗氏柠檬酸杆菌、表皮葡萄球菌和金黄色葡萄球菌对我们测试的所有药物的敏感性均高于从住院患者中分离出的同类细菌。