Annual change and present status of antimicrobial-resistant strains isolated from clinical speciment in Juntendo University Hospital

• IGARI JUN

  Juntendo Urayasu Hospital

Bibliographic Information

Other Title

• 順天堂医院における耐性菌の年次推移と現状
• ジュンテンドウ イイン ニ オケル タイセイキン ノ ネンジ スイイ ト ゲンジョウ

Abstract

This paper reviews the recent emergence and prevalence of penicillin-resistant S. pneumoniae, ampicillin-resistant H. influenzae, extended-spectrum β-lactamases-producing Gram-negative rods and metallo-β-lactamase-producing Gram-negative rods at Juntendo University Hospital. 1. Penicillin-resistant S. pneumoniae (PRSP) emerged in 1980 at Juntendo University Hospital. The rates of PRSP and PISP increased substantially from 13.3% in 1990 to 59.8% in 2003. Most strains of PRSP were also resistant to TC, CP, EM and second and third-generation cephalosporins. A vancomycin-resistant strain has not been isolated. 2. The rate of β-lactamase-positive ampicillin-resistant (BLPAR) H. influenzae was 29 to 31% from 1990 to 1992, subsequently, annual rates have flucutuated, stabilizing at 10 to 16% around 2000. From 2001 to 2003, rates fell to 7 to 6.4%. On the other hand, rates of β-lactamasenegative ampicillin-resistant (BLNAR) strains were 1 to 4% from 1991 to 1999, subsequently, there was a gradual increase from 7 to 11% by 2001, but the incidence increased repidly to 33.1% in 2003 and 41.9% in 2003, BLNAR strains showed high rates of resistance to oral cephalosporins. 3. Extended-spectrum β-lactamase (ESBL) -producing E, coli emerged in the early (1990s) in this hospital. Rates of ESBL producing E, coli were 5.6 to 5.2% from 1994 to 1996 and 7.3 to 8.8% from 2000 to 2001. ESBLs producing strain of E, coli and K pneumoniae isolated from 1995 to 2001 showed high rates of resistance to CTX, CPDX, AZT, CTM, CDTR and CFPM. 4. Among metallo-β-lactamase-producing Gramnegative rods, P. aeruginosa and Serratia are frequenlly isolated in this hospital. The rate was 1.3% in 2002.

Journal

• Juntendo Medical Journal

  Juntendo Medical Journal 50 (2), 124-132, 2004

  The Juntendo Medical Society

Keywords

• PRSP
• BLPAR
• BLNAR
• ESBLsmetallo-β-lactamase

Details

• CRID: 1390001205746645760
• NII Article ID: 130004711847
• NII Article ID: 110004323315
• NII Book ID: AN00113194
• DOI: 10.14789/pjmj.50.124
• ISSN: 21882134
• ISSN: 00226769
• NDL BIB ID: 025099040
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I025099040
• Web Site: https://www.jstage.jst.go.jp/article/pjmj/50/2/50_124/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004264031
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed