title: [Bacteria isolated from surgical infections and its susceptibilities to antimicrobial agents--special references to bacteria isolated between April 2002 and March 2003].
abstract: Tendency of isolated bacteria from infections in general surgery during the period from April 2002 to March 2003 were investigated in a multicenter study in Japan, and the following results were obtained. In this series, 334 strains were isolated from 131 (75.3%) of 174 patients with surgical infections. One hundred and seventy-one strains were isolated from primary infections, and 163 strains were isolated from post-operative infections. From primary infections, anaerobic Gram-positive bacteria were predominant, while aerobic Gram-positive bacteria were predominant from postoperative infections. Among aerobic Gram-positive bacteria, although the isolation rate of Staphylococcus aureus was the highest, followed by that of Enterococcus faecalis from primary infections, the isolation rate of E. faecalis was the highest from postoperative infections. Among anaerobic Gram-positive bacteria, the isolation rate of Peptostreptococcus spp. was the highest from both types of infections. Among aerobic Gram-negative bacteria, Escherichia coli was the most predominantly isolated from primary infections, followed by Klebsiella pneumoniae and Pseudomonas aeruginosa in this order, and from postoperative infections, E. coli was the most predominantly isolated, followed by P. aeruginosa, Enterobacter cloacae, and Citobacter freundii. Among anaerobic Gram-negative bacteria, the isolation rate of Bacteroides fragilis group was the highest from both types of infections. The isolation rate of aerobic Gram-negative bacteria from primary infections and that of aerobic Gram-positive bacteria from postoperative infections were high in the last several years. We noticed no vancomycin-resistant Gram-positive cocci nor P. aeruginosa producing metallo-beta-lactamase. But we noticed cefazolin-resistant E. coli probably producing extended spectrum beta-lactamase.
authors.affiliation: Department of Surgery, Nagoya Midori Municipal Hospital.
authors.forename: Nagao
authors.initials: N
authors.lastname: Shinagawa
authors.forename: Tadatoshi
authors.initials: T
authors.lastname: Takayama
authors.forename: Koumei
authors.initials: K
authors.lastname: Kato
authors.forename: Koichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Tadashi
authors.initials: T
authors.lastname: Katsuramaki
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Mukaiya
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sato
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Ushijima
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Ushida
authors.forename: Jiro
authors.initials: J
authors.lastname: Yura
authors.forename: Naoki
authors.initials: N
authors.lastname: Aikawa
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sekine
authors.forename: Tadao
authors.initials: T
authors.lastname: Manabe
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Hasegawa
authors.forename: Noriaki
authors.initials: N
authors.lastname: Tanaka
authors.forename: Hiromi
authors.initials: H
authors.lastname: Iwagaki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Taniguchi
authors.forename: Sadayoshi
authors.initials: S
authors.lastname: Fuchimoto
authors.forename: Keiji
authors.initials: K
authors.lastname: Mashita
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kimura
authors.forename: Syu
authors.initials: S
authors.lastname: Ishikawa
authors.forename: Eiji
authors.initials: E
authors.lastname: Konaga
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takeuchi
authors.forename: Akira
authors.initials: A
authors.lastname: Mizuno
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Ken
authors.initials: K
authors.lastname: Morimoto
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Takesue
authors.forename: Mikio
authors.initials: M
authors.lastname: Fujimoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Yokoyama
authors.forename: Eizo
authors.initials: E
authors.lastname: Hiyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanimura
authors.forename: Seiyo
authors.initials: S
authors.lastname: Ikeda
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Yasunami
authors.forename: Hiroki
authors.initials: H
authors.lastname: Yamaue
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ohnishi
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001419:Bacteria / Q000187:drug effects* / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000382:microbiology*; D013505:Digestive System Surgical Procedures; D024881:Drug Resistance, Bacterial; D006801:Humans; D007564:Japan; D011183:Postoperative Complications / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000382:microbiology*; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents