WATANABE, A., OIZUMI, K., MATSUNO, K., NISUINO, T., MOTOMIYA, M. and NUKIWA, T.
Antibiotic Susceptibility of the Sputum Pathogens and Throat Swab Pathogens Isolated from the Patients Undergoing Treatment in Twenty-one Private Clinics in Japan. Tohoku J. Exp. Med., 1995,
175 (4), 235-247 - Bacteriology of the respiratory isolates from 2, 539 patients with respiratory infections in 21 primary care clinics was documented. Of a total of 1, 887 strains of potential pathogens recovered from 1, 507 patients, 996 were gram-positive and 891 were gram-negative. Major pathogens were
Staphylococcus aurus, Haemophilus influenzae, Streptococcus pneumoniae and
Streptococcus pyogenes. The MIC's against microbial isolates of six antimicrobial agents were determined. Ciprofloxacin and ofloxacin were more active against
S. aurues, Moraxella catarrhalis and
Pseudomonas aeruginosa, and ampicillin and cefteram were more active against
S. pneumoniae and
S. pyogenes than four other antimicrobials tested, respectively, in this experiment. New quinolones and new generation cephems were active against
H. influenzae and
Enterobacteriaceae. Only one strain of
S.
auruus was methicillin-resistant. As regards other pathogens, 6.5% of
S.
pneumoniae and 14.9% of
H. influenzae were resistant to ampicillin, and 26.7% of
H. influenzae were β-lactamase-positive. MRSA was found infrequently. But ampicillin-resistant
S. pneumoniae and
H. influenzae were found in primary care clinics almost as frequently as in intensive-medication-oriented clinics.
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