title: [Clostridium spp. isolated from surgical specimens].
abstract: In the present study, the isolation rate of Clostridium spp. from surgical specimens and its antimicrobial susceptibilities were examined. Last 24 years, Clostridium spp. was isolated from 65 (1.8%) out of 3,644 specimens from the surgical abdominal infections. Clostridium spp. was most frequently isolated from secondary peritonitis such as perforated peritonitis, followed by hepato-biliary tract infection. There were 59 cases (90.8%) of mixed infection with Clostridium spp. and other bacteria. The rate of mixed infection with Bacteroides spp. (23.6%) was highest, followed by Escherichia coli (19.7%), other aerobic Gram-negative rods and Enterococcus spp. Although Clostridium perfringens was highly sensitive to penicillins, cephems and carbapenems, a small number of Clostridium spp. other than Clostridium perfringens were resistant to cephems, erythromycin clindamycin and fosfomycin, respectively.
authors.affiliation: Department of Surgery, NTT West Tokai Hospital.
authors.forename: Nagao
authors.initials: N
authors.lastname: Shinagawa
authors.forename: Jiro
authors.initials: J
authors.lastname: Yura
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama
authors.forename: Masaaki
authors.initials: M
authors.lastname: Taniguchi
mesh_terms: D003013:Clostridium / Q000302:isolation & purification*; D024881:Drug Resistance, Bacterial; D006801:Humans; D013530:Surgical Wound Infection / Q000382:microbiology*