[Bacteria isolated from surgical infections and their susceptibilities to antimicrobial agents. Special references to bacteria isolated between July 1995 and June 1996].
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.
Shinagawa
N
N
Department of Surgery, Nagoya City Koseiin.
Koide
H
H
Hirata
K
K
Denno
R
R
Mukaiya
M
M
Ishibiki
K
K
Ushijima
Y
Y
Aikawa
N
N
Takuma
K
K
Iwai
S
S
Kunimatsu
M
M
Ohtsuka
K
K
Yura
J
J
Manabe
T
T
Mashita
K
K
Ishikawa
S
S
Mizuno
A
A
Kinoshita
H
H
Morimoto
K
K
Fujimoto
M
M
Tanimura
H
H
Ohnishi
H
H
Sakaguchi
S
S
Dounishi
H
H
Oda
S
S
D001424:Bacterial Infections / Q000382:microbiology; D004352:Drug Resistance, Microbial; D006088:Gram-Negative Aerobic Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D006089:Gram-Negative Anaerobic Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D006094:Gram-Positive Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D006801:Humans; D011183:Postoperative Complications / Q000382:microbiology