Sensitivity of Clinical Isolates of Bacterial Strains to Antibiotics and the Amount of Antibiotics Used for Inpatients

H. Hashimoto, Osamu Kitamura, Reiko Muramatsu, Yumi Sano, Y. Akaike, T. Goto
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引用次数: 1

Abstract

We investigated the sensitivity of clinical isolates of bacterial strains to antibiotics and the amount of antibiotics dispensed for inpatients in each ward of our hospital.In the surgery ward, Bacteroides sp., E.coli, P.aeruginosa and S.aureus were frequently isolated, and cephem antibiotics and piperacillin sodium (PIPC) were mainly used, while many isolates were resistant to PIPC.In the neurosurgery ward, frequent isolates were S.aureus, P.aeruginosa, S.epidermidis. In the internal and cardiovascular medicine ward, P.aeruginosa, S.aureus, K.pneumoniae and S.epidermidis were frequent isolates.In these wards, imipenem/cilastatin sodium (IPM/CS) and cephem antibiotics were mainly used, although most isolates of S.aureus were resistant to these drugs.In the urology ward, Enterococcus sp.and P.aeruginosa were fre quently isolated, whereas cephem antibiotics which were ineffective to these isolates were mainly used.The frequent isolates which were resistant to cephem drugs or IPM/CS probably resulted from the frequent use of these drugs.Considering the present results, choice of antibiotics should be more discussed.
临床分离菌株对抗生素的敏感性及住院患者抗生素用量
我们调查了我院临床分离菌株对抗生素的敏感性及各病房住院患者抗生素的用量。外科病房常见于拟杆菌、大肠杆菌、铜绿假单胞菌和金黄色葡萄球菌,以头孢类抗生素和哌拉西林钠(PIPC)为主,且多株对PIPC耐药。在神经外科病房,常见的分离株为金黄色葡萄球菌、铜绿假单胞菌、表皮葡萄球菌。在内科和心血管内科病房,常见的是铜绿假单胞菌、金黄色葡萄球菌、肺炎假单胞菌和表皮假单胞菌。这些病房主要使用亚胺培南/西司他汀钠(IPM/CS)和头孢类抗生素,尽管大多数金黄色葡萄球菌分离株对这些药物具有耐药性。泌尿外科病房常见肠球菌和铜绿假单胞菌,主要使用对其无效的头孢类抗生素。频繁出现对头孢类药物或IPM/CS耐药的分离株可能与频繁使用这些药物有关。考虑到目前的结果,抗生素的选择需要更多的讨论。
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