Iwai S, Akutsu M
Third Department of Surgery, Nihon University, School of Medicine.
Nihon Rinsho. 1994 Feb;52(2):456-61.
There has been a rising trend in the number of methicillin-resistant Staphylococcus aureus (MRSA) infections in recent years, and postoperative MRSA enterocolitis has been on the increase. We conducted a nation wide questionnaire on postoperative enterocolitis from January 1988 to June 1990. Among the 169 institutes which replied, there were 126 cases of postoperative MRSA enterocolitis in 53 institutes. Most of the cases based on malignant disease, especially gastric cancer. Their onset began with diarrhea and fever, between the second and fifth postoperative days. 18 patients died, giving a mortality rate of 14.3%. Examination of the recent antibiotic susceptibility demonstrated that MRSA had rapidly acquired multiple drug resistance. It is important that every effort be made to protect against hospital infection.
近年来，耐甲氧西林金黄色葡萄球菌（MRSA）感染的数量呈上升趋势，术后MRSA小肠结肠炎也在增加。我们在1988年1月至1990年6月期间对术后小肠结肠炎进行了全国范围的问卷调查。在回复的169家机构中，53家机构有126例术后MRSA小肠结肠炎病例。大多数病例基于恶性疾病，尤其是胃癌。它们的发病始于腹泻和发热，发生在术后第二至第五天。18例患者死亡，死亡率为14.3%。近期抗生素敏感性检测表明，MRSA已迅速获得多重耐药性。尽一切努力预防医院感染很重要。
