尿路感染症分離菌に対する経口並びに注射用抗菌薬の抗菌力比較 (第14報1992年) その2. 患者背景

熊本 悦明; 広瀬 崇興; 田仲 紀明; 引地 功侃; 茂田 士郎; 白岩 康夫; 亀岡 浩; 吉田 浩; 尾形 正裕; 田崎 寛; 入 久巳; 内田 博; 小林 芳夫; 松田 静治; 北川 龍一; 藤目 真; 藤田 和彦; 猪狩 淳; 小栗 豊子; 小酒井 望; 山口 恵三; 餅田 親子; 古澤 太郎; 竹内 泰子; 守山 洋美; 柴田喜 久太郎; 米津 精文; 高羽 津; 松宮 清美; 田中 美智男; 賀来 満夫; 菅原 和行

doi:10.11553/antibiotics1968b.48.1658

COMPARATIVE STUDIES ON ACTIVITIES OF ANTIMICROBIAL AGENTS AGAINST CAUSATIVE ORGANISM S ISOLATED FROM URINARY TRACT INFECTIONS (1992)

II. BACKGROUND OF PATIENTS

YOSHIAKI KUMAMOTO, TAKAOKI HIROSE, NORIAKI TANAKA, YOSHINAO HIKICHI, SHIRO SHIGETA, YASUO SHIRAIWA, HIROSHI KAMEOK, HIROSHI YOSHIDA, MASAHIRO OGATA, HIROSHI TAZAKI, HISAMI IRI, HIROSHI UCHIDA, YOSHIO KOBAYASHI, SEIJI MATSUDA, RYUICHI KITAGAWA, MAKOTO FUJIME, KAZUHIKO FUJITA, JUN IGARI, TOYOKO OGURI, NOZOMU KOSAKAI, KEIZO YAMAGUCHI, CHIKAKO MOCHIDA, TARO FURUSAWA, YASUKO TAKEUCHI, HIROMI MORIYAMA, KIKUTARO SHIBATA, SEIBUN YONEZU, MINATO TAKAHA, KIYOMI MATSUMIYA, MICHIO TANAKA, MITSUO KAKU, KAZUYUKI SUGAWARA

Author information

YOSHIAKI KUMAMOTO
Department of Urology, Sapporo Medical University, School of Medicine
TAKAOKI HIROSE
Department of Urology, Sapporo Medical University, School of Medicine
NORIAKI TANAKA
Department of Urology, Sapporo Medical University, School of Medicine
YOSHINAO HIKICHI
Katta Polyclin ic Hospital
SHIRO SHIGETA
Department of Bacteriology, Fukushima Medical College
YASUO SHIRAIWA
Department of Urology, Fukushima M edical College
HIROSHI KAMEOK
Department of Urology, Fukushima M edical College
HIROSHI YOSHIDA
Department of Laboratory Medicine, Fukushim a Medical College
MASAHIRO OGATA
Department of Laboratory Medicine, Fukushim a Medical College
HIROSHI TAZAKI
Department of Urology, School of Medicine, Keio University
HISAMI IRI
Central Clinical Laboratories, School of Medicine, Keio University
HIROSHI UCHIDA
Central Clinical Laboratories, School of Medicine, Keio University
YOSHIO KOBAYASHI
Central Clinical Laboratories, School of Medicine, Keio University
SEIJI MATSUDA
Department of Gyne cology, Koto Hospital
RYUICHI KITAGAWA
Department of Urology, Juntendo University, School of M edicine
MAKOTO FUJIME
Department of Urology, Juntendo University, School of M edicine
KAZUHIKO FUJITA
Department of Urology, Juntendo University, School of M edicine
JUN IGARI
Department of Clinical Pathology, Juntendo University, School of Medicine
TOYOKO OGURI
Central Clinical Laboratories, Juntendo University
NOZOMU KOSAKAI
Juntendo University Urayasu Hospital
KEIZO YAMAGUCHI
Department of Microbiology, School of Medicine, Toho University
CHIKAKO MOCHIDA
Department of Microbiology, School of Medicine, Toho University
TARO FURUSAWA
Department of Urology, Kyoto Second Red Cross Hospital
YASUKO TAKEUCHI
Central Clinical Laboratories, Kyoto Second Red Cross H ospital
HIROMI MORIYAMA
Central Clinical Laboratories, Kyoto Second Red Cross H ospital
KIKUTARO SHIBATA
Central Clinical Laboratories, Kyoto Second Red Cross H ospital
SEIBUN YONEZU
The First Department of Internal M edicine, Kansai Medical University
MINATO TAKAHA
Department of Urology, National O saka Hospital
KIYOMI MATSUMIYA
Department of Urology, National O saka Hospital
MICHIO TANAKA
Clinical Laboratories, N ational Osaka Hospital
MITSUO KAKU
Department Laboratory, School of Medicine, Nagasaki University
KAZUYUKI SUGAWARA
Department Laboratory, School of Medicine, Nagasaki University

JOURNAL FREE ACCESS

1995 Volume 48 Issue 11 Pages 1658-1670

DOI https://doi.org/10.11553/antibiotics1968b.48.1658

Details

Abstract

Clinical background was investigated on 913 bacterial strains isolated from patients with urinary tract infections (UTIs) in 11 hospitals during the period from June, 1992 to May, 1993.
1. Distribution of sex, age and infections
Among over forties males, the majority was taken by complicated urinary tract infections. Among females, the uncomplicated urinary tract infections was most frequent without a relation of age.
2. Distribution of sex, age and pathogens isolated from UTIs
In uncomplicated UTIs,Escherichia coli was most frequently isolated without a relation of age, and next CNS in under fifties. In complicated UTIs without indwelling catheter, E. coli and Enterococcus faecalis were isolated with a frequency of 12-28%, respectively. In complicated UTIs with indwelling catheter, Pseudomonas aeruginosa were most frequently isolated, and next E. faecalis.
3. Administration of antibiotics and pathogens isolated from UTIs
In uncomplicated UTIs, pathogens, after administration of anti biotics, isolated from patients have obviously decreased from 306 to 44 isolates. And also, pathogens of complicated UTIs without indwelling catheter, have decreased from 217 to 76 isolates. However, in complicated UTIs with indwelling catheter, pathogens after or before administration of antibiotics, were not revealed an obvious change.
4. Pathogens and UTIs with or without factor and operation
In uncomplicated UTIs with or without factor and oper ation,E. coil was mainly detected. In complicated UTIs without indwelling catheter and with or without factor and operation,E. coli was mainly detected. In complicated UTIs with indwelling catheter and with factor and operation,P. aeruginosa and E. faecalis were detected, 19.6% and 16.0%, respectively. Without factor and operation,P. aeruginosa was detected, 28.9%, and next E. faecalis 13.3%. The distribution of pathogens after administration of antibiotics was similar.

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