@article{oai:niigata-u.repo.nii.ac.jp:00022788, author = {川口, 英弘 and 吉田, 奎介}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {Incidence of clinical isolates from the pus, bile and catheter tip during about latest twenty years was investigated retrospectively in order to know the actual condition of hospital infection in our ward. Air borne floras in our ward and isolation frequency methicillin resistant staphylococcus aureus (MRSA) from pasients, doctors and nurses were also studied. In the earlier period, gram negative rods were dominant in clinical specimens but recently gram positive cocci, especially MRSA, has become more important. Concerning to the isolates from catheter tips, Ps. cepacia, occupied about 50% of all isolates in 1979. However, no gram negative rods was isolated in the last year (1987). Ps. cepacia, that was the predominant flora in catheter tip infection in 1979, has been completely controlled by changing the skin disinfectant from chlorhexidine solution to povidone iodine. These results showed that MRSA has become the leading pathogen in the hospital infection in our ward. Environmental control seemed necessary to prevent MRSA infection in the surgical ward.}, pages = {734--740}, title = {5) 外科領域における院内感染とその対策(シンポジウム 院内感染と対策, 第442回新潟医学会)}, volume = {103}, year = {1989} }