Suwa Y, Sakuramoto T
Department of Urology, Toshiba-Rinkan Hospital.
Hinyokika Kiyo. 1994 Nov;40(11):1017-20.
Although severe infection caused by methicillin-resistant Staphylococcus aureus (MRSA) has become a serious social problem in medical facilities, it is relatively uncommon in the urological field. It is supposed that MRSA in the urine is asymptomatic and MRSA urinary colonization is not likely to occur compared with the other Staphylococci. We report a case of sepsis caused by MRSA that occurred in the patient following retropubic prostatectomy. He had had a urinary catheter indwelt and had received anti-bacterial agents before the operation. Factors such as the continuing use of antibiotics and urinary catheterization could contribute to MRSA infections especially following open surgery. Therefore careful management seems important for such patients.
尽管耐甲氧西林金黄色葡萄球菌（MRSA）引起的严重感染在医疗机构中已成为一个严重的社会问题，但在泌尿外科领域相对并不常见。据推测，尿液中的MRSA是无症状的，与其他葡萄球菌相比，MRSA不太可能在泌尿系统定植。我们报告一例耻骨后前列腺切除术后患者发生的由MRSA引起的败血症病例。该患者术前留置了导尿管并接受了抗菌药物治疗。抗生素的持续使用和导尿等因素可能导致MRSA感染，尤其是在开放性手术后。因此，对此类患者进行仔细的管理似乎很重要。
