Shinagawa N, Koide H, Hirata K, Denno R, Mukaiya M, Ishibiki K, Ushijima Y, Aikawa N, Takuma K, Iwai S, Kunimatsu M, Ohtsuka K, Yura J, Manabe T, Mashita K, Ishikawa S, Mizuno A, Kinoshita H, Morimoto K, Fujimoto M, Tanimura H, Ohnishi H, Sakaguchi S, Dounishi H, Oda S
Department of Surgery, Nagoya City Koseiin.
Jpn J Antibiot. 1997 Feb;50(2):143-77.
Isolated bacteria from infections in general surgery during the period from July 1994 to June 1995 were investigated in a multicenter study in Japan, and the following results were obtained. One hundred and sixty-four strains were isolated from primary infections, and 202 strains were isolated from postoperative infections. From primary infections, anaerobic Gram-positive bacteria were predominant, while from post operative infections, aerobic Gram-positive bacteria were predominant. Among aerobic Gram-positive bacteria, the isolation rate of Enterococcus faecalis was the highest, followed by that of Staphylococcus aureus from postoperative infections. Among anaerobic Gram-positive bacteria, the isolation rate of Peptostreptococcus spp. was the highest from both types of infections. Among anaerobic Gram-negative, Escherichia coli was the most predominantly isolated from primary infections, followed by Klebsiella pneumoniae and Pseudomonas aeruginosa in this order, and from postoperative infections, P. aeruginosa was the most predominantly isolated, followed by Enterobacter spp. and Klebsiella spp. Among anaerobic Gram-negative bacteria, the isolation rate of Bacteroides fragilis group was the highest from both types of infections. We noticed that MICs of cefazolin against three out of 23 strains of E. coli were higher than 100 micrograms/ml. Among anaerobic bacteria, there were many resistant strains against penicillins and cephems with MICs higher than 100 micrograms/ml, and the same trend was observed among other Bacteroides spp. and Prevotella spp.
1994年7月至1995年6月期间,在日本的一项多中心研究中,对普通外科感染中分离出的细菌进行了调查,结果如下。从原发性感染中分离出164株菌株,从术后感染中分离出202株菌株。原发性感染中,革兰氏阳性厌氧菌占主导,而术后感染中,革兰氏阳性需氧菌占主导。在革兰氏阳性需氧菌中,粪肠球菌的分离率最高,其次是术后感染中的金黄色葡萄球菌。在革兰氏阳性厌氧菌中,消化链球菌属在两种感染类型中的分离率最高。在革兰氏阴性厌氧菌中,原发性感染中最主要分离出的是大肠埃希菌,其次依次为肺炎克雷伯菌和铜绿假单胞菌,术后感染中最主要分离出的是铜绿假单胞菌,其次是肠杆菌属和克雷伯菌属。在革兰氏阴性厌氧菌中,脆弱拟杆菌群在两种感染类型中的分离率最高。我们注意到,23株大肠埃希菌中有3株对头孢唑林的最低抑菌浓度高于100微克/毫升。在厌氧菌中,有许多对青霉素和头孢菌素耐药的菌株,其最低抑菌浓度高于100微克/毫升,其他拟杆菌属和普雷沃菌属也观察到相同趋势。