In order to investigate polymicrobial infections in respiratory tract, 30 aged patients with terminalpneumonia showing positive postmortem lung cultures of 90 aged patients performed an autopsy werestudied clinicopathologically.
The following results were obtained:
1) The incidence of polymicrobial isolation from the lung was 67% of 54 culture positive patients.
2)
K. pneumoniae, E. coli, and
S. faecalis were the more frequently isolated strains of bacteria inpolymicrobial isolation, and both
K. pneumoniae and
E. coli were the main strains of bacteria according tothe bacterial amount.
3) In 30 cases with terminal pneumonia, the incidence of polymicrobial isolation in the group whoseADL was 0 to 5 was significantly higher than that in the group whose ADL was 6 to 15.
4) The patients with terminal pneumonia showed positive correlation between the incidence ofpolymicrobial isolation and the duration of illness which was more than 4 weeks.
5) The patients with terminal pneumonia showed positive correlation between the incidence ofpolymicrobial isolation and the duration of antibiotic therapy which was more than 4 weeks.
6) Two or three different species of
K. pneumoniae, glucose non-fermentative gram-negativebacilli,
S. faecalis, E. coli, and
P. aeruginosa were usually isolated from the terminal pneumonia withpolymicrobial isolation. The clinical condition of infection did not vary with the combination ofpathogens participating in the polymicrobial isolation.
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