Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 13 ) 2008 NTT

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1 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 13 ) 2008 NTT

2 106 ( 14 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr JA (80.5%) Enterococcus faecalis Enterococcus faecium Enterococcus avium Enterococcus spp. Streptococcus anginosus Streptococcus spp. Staphylococcus aureus

3 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 15 ) Staphylococcus spp. Enterococcus spp. Staphylococcus spp. Escherichia coli Klebsiella pneumoniae Pseudomonas aeruginosa P. aeruginosa E. coli Enterobacter cloacae K. pneumoniae Eggerthella lenta Parvimonas micra Streptococcus constellatus Gemella morbillorum E. lenta P. micra Bacteroides fragilis Bacteroides thetaiotaomicron Bacteroides ovatus Bilophila wadsworthia B. fragilis B. thetaiotaomicron B. wadsworthia B. ovatus (MRSA) Enterococcus spp I BTB 37 C 1 3 HK BBE PEA HK PV HK 37 C 3 7 MIC2000 Oxacillin (MPIPC) Ampicillin (ABPC) Tazobactam/Piperacillin (TAZ/PIPC) Cefazolin (CEZ) Cefotiam (CTM) Cefmetazole (CMZ)

4 108 ( 16 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Flomoxef (FMOX) Cefmenoxime (CMX) Latamoxef (LMOX) Ceftazidime (CAZ) Cefpirome (CPR) Cefepime (CFPM) Cefozopran (CZOP) Sulbactam/Cefoperazone (SBT/CPZ) Cefsulodin (CFS) Aztreonam (AZT) Carumonam (CRMN) Imipenem (IPM) Meropenem (MEPM) Gentamicin (GM) Amikacin (AMK) Arbekacin (ABK) Isepamicin (ISP) Clindamycin (CLDM) Minocycline (MINO) Ciprofloxacin (CPFX) Levofloxacin (LVFX) Linezolid (LZD) Vancomycin (VCM) Teicoplanin (TEIC) Fosfomycin (FOM) II (80.5%) Fig Table (68.8%) (60.0%) (68.9%) (92.5%) (95.5%) Fig. 1.

5 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 17 ) Table 1. Fig (57.2%) 38 (22.0%) 17 (9.8%) (Fig. 2) % 16.8% % 3 9.2% 4 7.5% % % % (Fig. 3)

6 110 ( 18 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Fig. 3. Table Table (Candida albicans 5 Candida glabrata 2 Candida kefyr Zygosaccharomyces fermentati 1 9 C. albicans 8 C. glabrata (Table 3)

7 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 19 ) Table 3.

8 112 ( 20 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Enterococcus faecalis Streptococcus anginosus Enterococcus faecium Enterococcus avium Staphylococcus aureus E. faecalis S. aureus Staphylococcus epidermidis E. faecium E. avium Enterococcus spp. Streptococcus spp. Enterococcus spp. Staphylococcus spp (Table 4) Eggerthella lenta Parvimonas micra Streptococcus constellatus Gemella morbillorum E. lenta P. micra Finegoldia magna (Table 5) Escherichia coli Klebsiella pneumoniae Pseudomonas aeruginosa Klebsiella oxytoca P. aeruginosa E. coli Enterobacter cloacae K. pneumoniae (Table 6) Bacteroides fragilis Bacteroides thetaiotaomicron Bacteroides ovatus Bilophila wadsworthia B. fragilis B. thetaiotaomicron B. wadsworthia B. ovatus Bacteroides spp. E. coli Enterococcus spp. Staphylococcus spp. P. aeruginosa (Fig. 4) 3 (Fig. 5) E. coli B. fragilis 2 (Fig. 6) (Fig. 7)

9 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 21 ) Table 4.

10 114 ( 22 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 5.

11 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 23 ) Table 6.

12 116 ( 24 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Fig. 4. Fig. 5. 1

13 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 25 ) Fig Fig. 7. 1

14 118 ( 26 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr E. faecalis S. aureus % P. aeruginosa % % E. coli 10% (Fig. 8) MRSA S. aureus MRSA % (Fig. 9) Bacteroides spp. (18.9%) (23.3%) E. coli (9.9%) Enterococcus spp. (6.0%) Streptococcus spp. (5.9%) E. coli 1990 (Fig. 10) 5 Enterococcus spp. (18.5%) Bacteroides spp. (15.0%) (12.7%) (12.0%) Staphylococcus spp. (10.1%) 1999 Staphylococcus spp. Fig. 8. 2

15 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 27 ) Fig. 9. MRSA Fig. 10.

16 120 ( 28 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Fig. 11. (Fig. 11) E. coli Klebsiella spp Enterococcus spp. E. coli Klebsiella spp. 5 Klebsiella spp. (Fig. 12) 1994 Enterococcus spp. 5 Enterobacter spp. (16.1%) Klebsiella spp. (9.7%) P. aeruginosa (9.7%) E. coli (9.7%) (Fig. 13) 3 5 Bacteroides spp. 40.8% Enterococcus spp. Staphylococcus spp. E. coli Klebsiella spp. (Fig. 14) 5 Table 7 44 MIC 1 Staphylococcus spp. S. aureus 24 MPIPC MIC mg/ml 19 (79.2%)

17 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 29 ) Fig. 12. Fig. 13.

18 122 ( 30 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Fig mg/ml ABPC 5 MIC 0.5 mg/ml 1 4 mg/ml mg/ml VCM TEIC LZD MIC 2 mg/ml ABK 1 MIC 8 mg/ml MIC 2 mg/ml GM 9 MIC 1 mg/ml MIC 8 mg/ml CLDM 6 MIC mg/ml 18 MIC 128 mg/ml (Table 7) S. epidermidis 22 MPIPC MIC 1 MIC mg/ml 1 mg/ml 20 4 mg/ml MINO MIC 0.25 mg/ml MIC 90 LZD ABK VCM TEIC LVFX CZOP CTM CLDM MIC mg/ml mg/ml 8 (Table 8) Staphylococcus spp. 7 (Staphylococcus capitis 3 Staphylococcus caprae 2 Staphylococcus haemolyticus Staphylococcus lugdunensis 1 MIC 90 MINO ABK TEIC LZD VCM LVFX (Table 9) 2 Streptococcus spp. S. anginosus 13 CMX MIC mg/ml MEPM IPM CPR TEIC ABPC TAZ/PIPC MIC 0.25 m g/ml CLDM 2 MIC 128 mg/ml 0.25 mg/ml FOM (Table 10)

19 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 31 ) Table 7. Staphylococcus aureus 24

20 124 ( 32 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 8. Staphylococcus epidermidis 22

21 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 33 ) Table 9. Staphylococcus spp. 7

22 126 ( 34 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 10. Streptococcus anginosus 13

23 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 35 ) Table 11. Streptococcus spp. 12

24 128 ( 36 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 12. Enterococcus faecalis 46

25 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 37 ) Table 13. Enterococcus faecium 15

26 130 ( 38 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 14. Enterococcus avium 12

27 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 39 ) Table 15. Enterococcus spp. 13

28 132 ( 40 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 16. Corynebacterium spp. 11

29 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 41 ) Table 17. Escherichia coli 51

30 134 ( 42 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 18. Klebsiella pneumoniae 19

31 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 43 ) Table 19. Klebsiella oxytoca 8

32 136 ( 44 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 20. Enterobacter cloacae 13

33 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 45 ) Table 21. Citrobacter spp. 11

34 138 ( 46 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 22. Pseudomonas aeruginosa 23

35 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 47 ) Table 23. Streptococcus constellatus 12

36 140 ( 48 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 24. Gemella morbillorum 10

37 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 49 ) Table 25. Finegoldia magna 7

38 142 ( 50 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 26. Parvimonas micra 18

39 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 51 ) Table 27. Eggerthella lenta 22

40 144 ( 52 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 28. Lactobacillus spp. 14

41 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 53 ) Table 29. Bifidobacterium spp. 5

42 146 ( 54 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 30. Propionibacterium spp. 8

43 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 55 ) Table 31. Clostridium spp. 19

44 148 ( 56 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 32. Bacteroides fragilis 37

45 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 57 ) Table 33. Bacteroides thetaiotaomicron 27

46 150 ( 58 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 34. Bacteroides ovatus 19

47 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 59 ) Table 35. Bacteroides uniformis 10

48 152 ( 60 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 36. Bacteroides spp. 116

49 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 61 ) Table 37. Bilophila wadsworthia 19

50 154 ( 62 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 38. Veillonella spp. 8

51 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 63 ) Table 39. Fusobacterium nucleatum 12

52 156 ( 64 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 40. Fusobacterium spp. 10

53 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 65 ) Table 41. Prevotella intermedia 10

54 158 ( 66 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 42. Prevotella spp. 17

55 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 67 ) Table 43. Porphyromonas spp. 9

56 160 ( 68 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Table 44. Parabacteroides distasonis 11

57 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 69 ) Streptococcus spp. 12 Streptococcus salivarius 3 Streptococcus oralis Streptococcus mitis 2 Streptococcus sanguis Streptococcus parasanguinis Streptococcus bovis 1 Streptococcus spp. 2 TEIC MIC 0.25 m g/ml CMX CPR IPM MEPM CFPM CZOP VCM LZD (Table 11) 3 Enterococcus spp. E. faecalis 46 TEIC MIC 0.5 mg/ml ABPC LZD VCM IPM TAZ/PIPC (Table 12) E. faecium 15 TEIC MIC 0.5 mg/ml VCM MIC 1 mg/ml LZD MIC 2 mg/ml MINO MIC 8 mg/ml (Table 13) E. avium 12 TEIC MIC 0.5 mg/ml VCM LZD CPFX LVFX MINO (Table 14) Enterococcus spp. 13 Enterococcus pseudoavium 3 Enterococcus gallinarum Enterococcus raffinosus 2 Enterococcus hirae Enterococcus mundtii 1 Enterococcus spp. 4 TEIC LZD VCM MINO LVFX CPFX (Table 15) 4 Corynebacterium spp. Corynebacterium spp. 11 Corynebacterium striatum 5 Corynebacterium minutissimum Corynebacterium argentoratense 1 Corynebacterium spp. 4 LZD TEIC VCM MINO (Table 16) 5 Escherichia coli E. coli 51 MIC 90 MEPM MIC m g/ml CFPM CPR CZOP CMX FMOX CRMN 0.25 mg/ml IPM AZT LMOX MIC 128 mg/ml ABPC 12 CEZ CTM CMX CPR CZOP TAZ/PIPC 2 (Table 17 6 Klebsiella spp. K. pneumoniae 19 ABPC FOM (Table 18) K. oxytoca 8 K. pneumoniae CEZ (Table 19) 7 Enterobacter cloacae E. cloacae 13 FOM FMOX MIC 90 MEPM mg/ml CPFX LVFX GM IPM CFPM AMK MINO CZOP CPR (Table 20) 8 Citrobacter spp. Citrobacter spp. 11 Citrobacter freundii 6 Citrobacter koseri Citrobacter amalonaticus

58 162 ( 70 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Citrobacter braakii 1 MEPM CFPM CPR CZOP CRMN CPFX LMOX (Table 21) 9 Pseudomonas aeruginosa P. aeruginosa 23 MIC 90 CPFX CZOP LVFX 2 mg/ml GM CAZ 4 mg/ml (Table 22) IPM MIC 16 mg/ml 5 (21.7%) AMK CPFX CPFX MIC 4 mg/ml 1 (4.3%) IPM AMK AMK MIC 32 mg/ml 3 MIC 64 mg/ml CZOP MIC 4 mg/ml 10 Streptococcus constellatus S. constellatus 12 IPM CLDM MEPM TEIC CMX CPR MIC 0.25 mg/ml (Table 23) 11 Gemella morbillorum G. morbillorum 10 FOM CAZ (Table 24) 12 Finegoldia magna F. magna 7 TAZ/PIPC TEIC MEPM ABPC FMOX VCM IPM (Table 25) 13 Parvimonas micra P. micra 18 CLDM (Table 26) 14 Eggerthella lenta E. lenta 22 TEIC MIC 0.25 mg/ml LZD MEPM ABPC VCM IPM (Table 27) 15 Lactobacillus spp. Lactobacillus spp. 14 (Lactobacillus acidophilus 5 Lactobacillus casei 4 Lactobacillus gasseri 3 Lactobacillus fermentum Lactobacillus sp. 1 MIC 90 ABPC MIC 2 mg/ml TAZ/PIPC LZD MINO IPM (Table 28) 16 Bifidobacterium spp. Bifidobacterium spp. 5 MINO TEIC ABPC IPM MEPM LZD VCM (Table 29) 17 Propionibacterium spp. Propionibacterium spp. 8 Propionibacterium acnes 4 Propionibacterium granulosum 2 Propionibacterium thoenii Propionibacterium sp. 1 IPM ABPC MINO TAZ/PIPC MEPM CMX (Table 30) 18 Clostridium spp. Clostridium spp. 19 Clostridium clostridioforme 6 Clostridium perfringens 3 Clostridium difficile Clostridium symbiosum 2

59 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 71 ) Clostridium bifermentans Clostridium paraputrificum 1 Clostridium spp. 4 TEIC MEPM LZD MIC 2 mg/ml VCM FMOX 4 mg/ml ABPC CTM CFPM CZOP CLDM LVFX FOM (Table 31) 19 Bacteroides spp. B. fragilis 37 MIC 90 TAZ/PIPC 0.5 m g/ml 1 mg/ml IPM 2 mg/ml MEPM 4 mg/ml MINO SBT/CPZ (Table 32) CPR CFPM CZOP CLDM B. thetaiotaomicron 27 MIC 90 IPM 1 mg/ml 2 mg/ml MEPM 4 mg/ml MINO 8 mg/ml TAZ/ PIPC SBT/CPZ (Table 33) CPR CFPM CZOP CLDM B. ovatus 19 MIC 90 MEPM 1 mg/ml 2 mg/ml IPM MINO 4 mg/ml TAZ/PIPC 8 mg/ml SBT/CPZ (Table 34) CPR CFPM CZOP CLDM Bacteroides uniformis 10 MIC 90 MEPM IPM 0.5 mg/ml 2 mg/ml MINO TAZ/PIPC 8 mg/ml SBT/CPZ (Table 35) CPR CFPM CZOP CLDM B. fragilis 37 B. thetaiotaomicron 27 B. ovatus 19 B. uniformis 10 Bacteroides vulgatus 8 Bacteroides caccae 8 Bacteroides splanchnicus 1 Bacteroides spp MIC 90 MEPM IPM 1 mg/ml 4 mg/ml MINO 8 mg/ml TAZ/PIPC SBT/CPZ (Table 36) CLDM MIC 50 1 mg/ml 44 (37.9%) MIC 128 mg/ml CFPM CZOP CPR 20 Bilophila wadsworthia B. wadsworthia 19 MIC 90 MINO 2 mg/ml MIC 2 mg/ml CPFX LVFX CLDM MIC mg/ml 2 (Table 37) 21 Veillonella spp. Veillonella spp. 8 TEIC VCM CAZ CLDM MIC 0.25 mg/ml (Table 38) 22 Fusobacterium spp. Fusobacterium nucleatum 12 TAZ/PIPC MEPM MINO CLDM FMOX IPM CLDM 1 (Table 39) Fusobacterium spp. 10 Fusobacterium varium 5 Fusobacterium necrophorum 3 Fusobacterium spp. 2 MEPM

60 164 ( 72 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr MIC 0.5 mg/ml MINO CMX FMOX IPM TAZ/PIPC Table Prevotella spp. Prevotella intermedia 10 TAZ/PIPC IPM MEPM SBT/CPZ LVFX CPFX MINO (Table 41) Prevotella spp. 17 (Prevotella melaninogenica 5 Prevotella oris 3 Prevotella denticola Prevotella corporis 2 Prevotella buccae Prevotella loescheii Prevotella bivia 1 Prevotella spp. 2 TAZ/PIPC MEPM IPM SBT/CPZ MINO (Table 42) 24 Porphyromonas spp. Porphyromonas spp. 9 Porphyromonas asaccharolytica 5 Porphyromonas gingivalis 1 Porphyromonas endodontalis 3 (Table 43) 25 Parabacteroides distasonis P. distasonis 11 IPM MEPM MINO (Table 44) III. phylotype 32,33) (Domain Bacteria) (Domain Archaea) 1 34) 35 38) S. aureus MRSA 80% VCM ABK TEIC LZD (CNS) CNS VCM ABK TEIC LZD MRSA MRSA MRSA MRSA b- G MRSA

61 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 73 ) E. coli 1990 CEZ 100 mg/ml MIC 10% 11,13 15) ) ) CEZ CEZ MIC 128 mg/ml 2 Extended spectrum b-lactamases (ESBLs) P. aeruginosa IPM MIC 16 mg/ml 5 (21.7%) AMK CPFX IPM D2 b- 39) IPM MIC 16 mg/ml 32 mg/ml IPM CPFX MIC 4 mg/ml 1 (4.3%) IPM AMK CPFX DNA AMK b- AMK MIC 32 mg/ml 3 IPM IPM CZOP Lactobacillus spp. Clostridium spp. Bacteroides spp. B. wadsworthia 40,41) E. lenta B. fragilis Bacteroides spp. B. wadsworthia C. gracilis Prevotella spp. MINO 2 CLDM MINO VCM ESBLs E. coli P. aeruginosa Bacteroides

62 166 ( 74 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr spp. B. wadsworthia Prevotella spp. b 1) 1 Jpn. J. Antibiotics 39: , ) 2 Jpn. J. Antibiotics 41: , ) 37: , ) (MRSA) 2: , ) 3: , ) 4: 43 49, ) MRSA 5: , ) Jpn. J. Antibiotics 47: , ) Jpn. J. Antibiotics 47: , ) 24: 40 45, ) Escherichia coli Jpn. J. Antibiotics 49: , ) Pseudomonas aeruginosa Jpn. J. Antibiotics 49: , ) 1994 Jpn. J. Antibiotics 49: , ) 1995 Jpn. J. Antibiotics 50: , ) 1996 Jpn. J. Antibiotics 52: , ) Bacteroides fragilis group 28: 48 54, ) 29: , ) 30: 36 43, ) 30: , ) 1997 Jpn. J. Antibiotics 53: , ) 1998 Jpn. J. Antibiotics 54: , ) 32: , 2002

63 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 75 ) 23) 1999 Jpn. J. Antibiotics 55: , ) 2000 Jpn. J. Antibiotics 55: , ) 2001 Jpn. J. Antibiotics 56: , ) 2002 Jpn. J. Antibiotics 57: 33 69, ) 2003 Jpn. J. Antibiotics 58: , ) 2004 Jpn. J. Antibiotics 59: , ) 2005 Jpn. J. Antibiotics 60: 52 97, ) 2006 Jpn. J. Antibiotics 61: , ) 2007 Jpn. J. Antibiotics 62: , ) HEBB, J. K.; C. R. COHEN, S. G. ASTETE, et al.: Detection of novel organisms associated with salpingitis, by use of 16S rdna polymerase chain reaction. J. Infect. Dis. 190: , ) SIQUEIRA, J. F.; I. N. ROCAS, C. D. CUHA, et al.: Novel bacterial phylotypes in endodontic infections. J. Dent. Res. 84: , ) Jpn. J. Antibiotics 60: , ) 62: , ) 3: , ) SIRS PMX-DHP 3: , ) 8: 26 30, ) MDRP 34: 83 86, ) Clostridium spp. Jpn. J. Antibiotics 60: , ) Bilophila wadsworthia Jpn. J. Antibiotics 59: , 2006

64 168 ( 76 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Bacteria isolated from surgical infections and its susceptibilities to antimicrobial agents Special references to bacteria isolated between April 2008 and March 2009 NAGAO SHINAGAWA and MASAMITSU HASEGAWA Department of Surgery, NTT West Tokai Hospital KOICHI HIRATA, TOMOHISA FURUHATA and TOHRU MIZUKUCHI First Department of Surgery, Sapporo Medical University, School of Medicine HIROYUKI OSANAI Department of Surgery, Sapporo Gekakinen Hospital YOSHIYUKI YANAI Department of Surgery, Medical Corporation Teishinkai Shinsapporokeiaikai Hospital FUMITAKA HATA Department of Surgery, Sapporo Doto Hospital KAZUAKI SASAKI, TETSUFUMI SOMEYA, KEISUKE HARADA and KEISUKE OONO Department of Surgery, Otaru Ekisaikai Hospital SHOJI TOKITA and MASASHI NAKAMURA Department of Surgery, Noboribetsu Kosei-Nenkin Hospital HITOSHI SHIBUYA Department of Surgery, Muroran City General Hospital ITARU HASEGAWA, MASAMI KIMURA, HIDEKI OSHIMA and HIDEKI MAEDA Department of Surgery, Hokkaido Saiseikai Otaru Hospital MITSUHIRO MUKAIYA and CHIKASI KIHARA Department of Surgery, Hokkaidou Social Service Association Hakodate Hospital WATABE KOSHO Department of Surgery, Akabira General Hospital TSUYOSHI HOSHIKAWA and HITOSHI KIMURA Department of Surgery, Takikawa Municipal Hospital YASUHIDE USHIJIMA and YOO YAE-HOON Department of Surgery, National Hospital Organization, Saitama National Hospital NAOKI AIKAWA and SHINYA ABE Department of Emergency and Critical Care Medicine, School of Medicine, Keio University JIRO YURA Digestive Disease Center, Matsunami General Hospital HIROMITSU TAKEYAMA and TAKEHIRO WAKASUGI Nagoya City University Graduate School of Medical Sciences, Department of Gastroenterological Surgery MASAAKI TANIGUCHI Department of Surgery, Ookuma Hospital ISAMU MIZUNO and TAKUJI FUKUI Department of Surgery, Nagoya Midori Municipal Hospital KEIJI MASHITA Department of Surgery, Bisai Hospital SYU ISHIKAWA Department of Surgery, Kariya Toyota General Hospital, Takahama Branch AKIRA MIZUNO Department of Surgery, Inabe General Hospital

65 Apr THE JAPANESE JOURNAL OF ANTIBIOTICS ( 77 ) NORIAKI MOORI and NAOKI SUMITA Department of Surgery, Chita Kosei Hospital SHOJI KUBO and SHIGERU LEE Department of Gastroenterological and Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine TORU OOMURA Department of Surgery, Fujiidera City Hospital YASUHITO KOBAYASHI and TAKESHI TSUJI Department of Surgery, Wakayama Rosai Hospital HIROKI YAMAUE and MANABU KAWAI Second Department of Surgery, Wakayama Medical School YOSHIO TAKESUE Department of Infection Control, Hyogo Medical School NORIAKI TANAKA Dept. of Gastroenterological Surgery, Transplant and Surgical Oncology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences HIDEYUKI KIMURA Department of Surgery, Okayama Saiseikai Hospital HIROMI IWAGAKI Department of Surgery, National Hospital Organization, Fukuyama National Hospital TAIJIRO SUEDA, EISO HIYAMA, YOSHIAKI MURAKAMI, HIROKI OOGE and KENICHIRO UEMURA Department of Surgery, Graduate School of Biomedical Sciences, Hiroshima University HIROAKI TSUMURA Department of Surgery, Hiroshima City Funairi Hospital TAKASHI YOKOYAMA Aki City Hospital HITOSHI TAKEUCHI and KOUJI TANAKAYA Department of Surgery, National Hospital Organization, Iwakuni National Hospital YOICHI YASUNAMI and SHINICHIRO RYU Department of Surgery 1, Fukuoka University, School of Medicine Bacteria isolated from infections in abdominal surgery during the period from April 2008 to March 2009 were investigated in a multicenter study in Japan, and the following results were obtained. In this series, 712 strains including 18 strains of Candida spp. were isolated from 173 (80.5%) of 215 patients with surgical infections. Three hundred and sixty-six strains were isolated from primary infections, and 346 strains were isolated from postoperative infections. From primary infections, anaerobic Gram-negative bacteria were predominant, followed by aerobic Gram-negative bacteria, while from postoperative infections aerobic Gram-positive bacteria were predominant, followed by anaerobic Gram-negative bacteria. Among aerobic Gram-positive bacteria, the isolation rate of Enterococcus spp. was highest, followed by Streptococcus spp., and Staphylococcus spp. in this order, from primary infections, while Enterococcus spp. was highest, followed by Staphylococcus spp. from postoperative 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, P. aeruginosa was most predominantly isolated, followed by E. coli, Enterobacter cloacae, and K. pneumoniae. Among anaerobic Gram-positive bacteria, the isolation rate of Eggerthella lenta was the highest from primary infections, followed by Parvimonas micra, Streptococcus constellatus and Gemella morbillorum, and from postoperative infections, E. lenta was most predominantly isolated.

66 170 ( 78 ) THE JAPANESE JOURNAL OF ANTIBIOTICS 63 _ 2 Apr Among anaerobic Gram-negative bacteria, the isolation rate of Bacteroides fragilis was the highest from primary infections, followed by Bacteroides thetaiotaomicron, Bacteroides ovatus and Bilophila wadsworthia, and from postoperative infections, B. fragilis was most predominantly isolated, followed by B. thetaiotaomicron, B. wadsworthia and B. ovatus, in this order. In this series, we noticed no vancomycin-resistant methicillin-resistant S. aureus, and Enterococcus spp., nor multidrug-resistant P. aeruginosa. We should carefully follow up B. wadsworthia which was resistant to various antibiotics, and also Bacteroides spp. which was resistant to many b lactam antibiotics.

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