Tanimura H, Tsunoda T, Ishimoto K, Hirokawa F, Sakaguchi S
Second Department of Surgery, Wakayama Medical School, Japan.
Nihon Geka Gakkai Zasshi. 1996 Dec;97(12):1066-71.
The incidence of bacteria caused postoperative infections was performed at the timing when bacteria or fungi is not yet detected. This period is important for management of postoperative infections. MRSA, E. faecalis, P. aeruginosa and fungi were detected with high frequency irrespective of the surgical area. After the operation of esophageal cancer, the most frequent infection was postoperative pneumonia, and the isolated bacteria was P. aeruginosa frequently. In the cases of gastric cancer, hepato-biliary-pancreas cancer and colorectal cancer, intraabdominal sepsis was the highest incidence, and the isolated bacteria was E. faecalis. In terms of intravenous catheter infection, fungus was common. Thus, it may suggest that we can identify the bacteria caused, and the management for postoperative infections was performed appropriately by using the antibiotics which have the sensitive against the expected pathogen.
在尚未检测到细菌或真菌时统计细菌引起的术后感染发生率。这一时期对于术后感染的管理很重要。无论手术部位如何，耐甲氧西林金黄色葡萄球菌、粪肠球菌、铜绿假单胞菌和真菌的检出频率都很高。食管癌手术后，最常见的感染是术后肺炎，分离出的细菌 frequently 为铜绿假单胞菌。在胃癌、肝胆胰癌和结直肠癌病例中，腹腔内脓毒症的发生率最高，分离出的细菌为粪肠球菌。就静脉导管感染而言，真菌很常见。因此，这可能表明我们可以识别所引起的细菌，并通过使用对预期病原体敏感的抗生素来适当进行术后感染的管理。
原文中“frequently”位置有误，应放在“铜绿假单胞菌”后。
