[Clostridium spp. isolated from surgical specimens].
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.
Shinagawa
Nagao
N
Department of Surgery, NTT West Tokai Hospital.
Yura
Jiro
J
Takeyama
Hiromitsu
H
Taniguchi
Masaaki
M
D003013:Clostridium / Q000302:isolation & purification*; D024881:Drug Resistance, Bacterial; D006801:Humans; D013530:Surgical Wound Infection / Q000382:microbiology*