2024-03-29T15:35:37Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00017038
2022-12-15T03:48:27Z
453:456
471:537:538:1115
5)消化器外科手術後の腸管感染症 : MRSAおよびCl. difficile腸炎(シンポジウム 最近の腸管感染症, 第530回新潟医学会)
5)消化器外科手術後の腸管感染症 : MRSAおよびCl. difficile腸炎(シンポジウム 最近の腸管感染症, 第530回新潟医学会)
Enterocolitis due to MRSA and Clostridium Difficile after Gastrointestinal Surgery (Infectious Disease of Intestine in Recent Years)
酒井, 靖夫
山本, 智
畠山, 勝義
enterocolitis
MRSA (methicillin-resistant Staphylococcus aureus)
Clostridium difficile
腸炎
消化器外科術後
腸管感染症
Clinical characteristics of enterocolitis due to MRSA and Clostridium difficile after gastrointestinal surgery in our department were evaluated. MRSA and Clostridium difficile(Cl-D) enterocolitis were occurred in 19 (1.3%) and 31 (2.2%) of the 1297 patients, manifested clinical symptoms, respectively. Enterocolitis due to MRSA (M-group) and Cl-D (C-group) were compared with each other for clinical factors (sex, age, symptoms, general conditions, postoperative complications, number of antibiotics, and duration of administration of antibiotics). Diarrhoea is the most popular symptom, and 97% of M-group and 90% of C-group had diarrhoea, while incidence of bloody stool was relatively low. Such patients were more frequent in M-group than C-group, who were fasted preoperatively (47% vs 19%, p<0.0001), administrated more than 2 kinds of antibiotics (75% vs 55%, p=0.0189), and used longer period of antibiotics (68% vs 45%, p<0.0001), and had more number of postoperative complications (42% vs 23%, p=0.0284). Enterocolitis developed in earlier period following gastrointestinal surgery in patients of C-group, both in early and later period in those of M-group. These results suggest that there are some degree of difference in development of enterocolitis between MRSA and Cl-D.
新潟医学会
1997-10
jpn
departmental bulletin paper
http://hdl.handle.net/10191/45455
https://niigata-u.repo.nii.ac.jp/records/17038
AN00182415
00290440
新潟医学会雑誌
新潟医学会雑誌
111
10
626
632
https://niigata-u.repo.nii.ac.jp/record/17038/files/111(10)_626-632.pdf
application/pdf
1.1 MB
2019-08-08