A Study of Respiratory Infection and Sepsis Caused by MRSA at Hokusho Central Hospital
At Hokushou Central Hospital, we studied the isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) from 1985 to 1989; respiratory infection with MRSA, in 1989; and sepsis of MRSA, from 1988 to 1989. The isolation rate of MRSA from sputum increased from 0% in 1985 to 65.4% in 1989. MRS...
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| Veröffentlicht in: | Kansenshogaku Zasshi 1993/12/20, Vol.67(12), pp.1190-1197 |
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| container_title | Kansenshogaku Zasshi |
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| creator | IWAMOTO, Masanori TAKASE, Tomiko MUKAE, Hiroshi INOUE, Yuuichi MORI, Norihiko ISHINO, Touru TAIRA, Kazushige KAKU, Mitsuo KOGA, Hironobu KOHNO, Shigeru HARA, Kohei |
| description | At Hokushou Central Hospital, we studied the isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) from 1985 to 1989; respiratory infection with MRSA, in 1989; and sepsis of MRSA, from 1988 to 1989. The isolation rate of MRSA from sputum increased from 0% in 1985 to 65.4% in 1989. MRSA was isolated mainly from elderly patients in a geriatric ward, with 55 of 67 strains (82%) being isolated from these patients in 1989. MIC80 of isolated MRSA strains was 0.01 μg/ml to rifampicin, 0.02 μg/ml to minomycine, 3.13 μg/ml to vancomycine, 12.5 μg/ml to ofloxacin and 100 μg/ml to imipenem in 1989. One-third of the 60 isolated cases showed respiratory infections including 10 cases of pneumonia and 10 sepsis patients and 11 blood samples in 1988 and 1989, especially 92.9% of S. aureus isolated in 1989 was MRSA. Four of the 6 patients with respiratory infections of MRSA and 1 of the 3 patients with MRSA sepsis were treated successfully by a combination therapy of imipenem/ cilastatin and cefazolin. |
| doi_str_mv | 10.11150/kansenshogakuzasshi1970.67.1190 |
| format | Article |
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The isolation rate of MRSA from sputum increased from 0% in 1985 to 65.4% in 1989. MRSA was isolated mainly from elderly patients in a geriatric ward, with 55 of 67 strains (82%) being isolated from these patients in 1989. MIC80 of isolated MRSA strains was 0.01 μg/ml to rifampicin, 0.02 μg/ml to minomycine, 3.13 μg/ml to vancomycine, 12.5 μg/ml to ofloxacin and 100 μg/ml to imipenem in 1989. One-third of the 60 isolated cases showed respiratory infections including 10 cases of pneumonia and 10 sepsis patients and 11 blood samples in 1988 and 1989, especially 92.9% of S. aureus isolated in 1989 was MRSA. Four of the 6 patients with respiratory infections of MRSA and 1 of the 3 patients with MRSA sepsis were treated successfully by a combination therapy of imipenem/ cilastatin and cefazolin.</description><identifier>ISSN: 0387-5911</identifier><identifier>EISSN: 1884-569X</identifier><identifier>DOI: 10.11150/kansenshogakuzasshi1970.67.1190</identifier><identifier>PMID: 8294769</identifier><language>eng ; jpn</language><publisher>Japan: The Japanese Association for Infectious Diseases</publisher><subject>Aged ; Aged, 80 and over ; Bacteremia - microbiology ; combination therapy ; Female ; Humans ; Male ; Methicillin Resistance ; MRSA ; MRSA pneumonia ; MRSA sepsis ; Respiratory Tract Infections - microbiology ; Staphylococcal Infections ; Staphylococcus aureus - drug effects ; Staphylococcus aureus - isolation & purification ; ward for aged people</subject><ispartof>Kansenshogaku Zasshi, 1993/12/20, Vol.67(12), pp.1190-1197</ispartof><rights>The Japansese Association for Infectious Diseases</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1881,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8294769$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>IWAMOTO, Masanori</creatorcontrib><creatorcontrib>TAKASE, Tomiko</creatorcontrib><creatorcontrib>MUKAE, Hiroshi</creatorcontrib><creatorcontrib>INOUE, Yuuichi</creatorcontrib><creatorcontrib>MORI, Norihiko</creatorcontrib><creatorcontrib>ISHINO, Touru</creatorcontrib><creatorcontrib>TAIRA, Kazushige</creatorcontrib><creatorcontrib>KAKU, Mitsuo</creatorcontrib><creatorcontrib>KOGA, Hironobu</creatorcontrib><creatorcontrib>KOHNO, Shigeru</creatorcontrib><creatorcontrib>HARA, Kohei</creatorcontrib><title>A Study of Respiratory Infection and Sepsis Caused by MRSA at Hokusho Central Hospital</title><title>Kansenshogaku Zasshi</title><addtitle>J. J. A. Inf. D</addtitle><description>At Hokushou Central Hospital, we studied the isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) from 1985 to 1989; respiratory infection with MRSA, in 1989; and sepsis of MRSA, from 1988 to 1989. The isolation rate of MRSA from sputum increased from 0% in 1985 to 65.4% in 1989. MRSA was isolated mainly from elderly patients in a geriatric ward, with 55 of 67 strains (82%) being isolated from these patients in 1989. MIC80 of isolated MRSA strains was 0.01 μg/ml to rifampicin, 0.02 μg/ml to minomycine, 3.13 μg/ml to vancomycine, 12.5 μg/ml to ofloxacin and 100 μg/ml to imipenem in 1989. One-third of the 60 isolated cases showed respiratory infections including 10 cases of pneumonia and 10 sepsis patients and 11 blood samples in 1988 and 1989, especially 92.9% of S. aureus isolated in 1989 was MRSA. Four of the 6 patients with respiratory infections of MRSA and 1 of the 3 patients with MRSA sepsis were treated successfully by a combination therapy of imipenem/ cilastatin and cefazolin.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacteremia - microbiology</subject><subject>combination therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Methicillin Resistance</subject><subject>MRSA</subject><subject>MRSA pneumonia</subject><subject>MRSA sepsis</subject><subject>Respiratory Tract Infections - microbiology</subject><subject>Staphylococcal Infections</subject><subject>Staphylococcus aureus - drug effects</subject><subject>Staphylococcus aureus - isolation & purification</subject><subject>ward for aged people</subject><issn>0387-5911</issn><issn>1884-569X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9PGzEQxa2qCCLgI1TyCXFZaq_X6_WNKCoFiQqJtKg3a_xnyTab3dTjPaSfvqaJcisXj6z35jczj5Brzm4455J9XsOAYcDV-Arr6Q8grjquFbupVTZo9oHMeNNUhaz1z49kxkSjCqk5PyOXiJ1ljOmKlbI8JadNqStV6xl5mdNlmvyOji19DrjtIqQx7ujD0AaXunGgMHi6DFvskC5gwuCp3dFvz8s5hUTvx_WU96GLMKQIff5nRIL-gpy00GO4PNRz8uPuy_fFffH49PVhMX8snMgHFdznhTxnAryXVnHPrRVaVLLVFW9qKVtXOmtrJ1oZGmgUc4E7ITQ4763n4pxc7bnbOP6eAiaz6dCFvochjBMaVXNVV43Ixtu90cURMYbWbGO3gbgznJl_6Zr_pGtqZd7SzYhPh1mT3QR_BByyzPrLXv-FCV7DUYeYOteHd_nl4X0bdGxwK4gmDOIvwH6c-A</recordid><startdate>199312</startdate><enddate>199312</enddate><creator>IWAMOTO, Masanori</creator><creator>TAKASE, Tomiko</creator><creator>MUKAE, Hiroshi</creator><creator>INOUE, Yuuichi</creator><creator>MORI, Norihiko</creator><creator>ISHINO, Touru</creator><creator>TAIRA, Kazushige</creator><creator>KAKU, Mitsuo</creator><creator>KOGA, Hironobu</creator><creator>KOHNO, Shigeru</creator><creator>HARA, Kohei</creator><general>The Japanese Association for Infectious Diseases</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199312</creationdate><title>A Study of Respiratory Infection and Sepsis Caused by MRSA at Hokusho Central Hospital</title><author>IWAMOTO, Masanori ; TAKASE, Tomiko ; MUKAE, Hiroshi ; INOUE, Yuuichi ; MORI, Norihiko ; ISHINO, Touru ; TAIRA, Kazushige ; KAKU, Mitsuo ; KOGA, Hironobu ; KOHNO, Shigeru ; HARA, Kohei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3150-1d402d103add5b71d1bb39345f9418655fc2cbb6c3f5e8a870ce1c339acddbd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacteremia - microbiology</topic><topic>combination therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Methicillin Resistance</topic><topic>MRSA</topic><topic>MRSA pneumonia</topic><topic>MRSA sepsis</topic><topic>Respiratory Tract Infections - microbiology</topic><topic>Staphylococcal Infections</topic><topic>Staphylococcus aureus - drug effects</topic><topic>Staphylococcus aureus - isolation & purification</topic><topic>ward for aged people</topic><toplevel>online_resources</toplevel><creatorcontrib>IWAMOTO, Masanori</creatorcontrib><creatorcontrib>TAKASE, Tomiko</creatorcontrib><creatorcontrib>MUKAE, Hiroshi</creatorcontrib><creatorcontrib>INOUE, Yuuichi</creatorcontrib><creatorcontrib>MORI, Norihiko</creatorcontrib><creatorcontrib>ISHINO, Touru</creatorcontrib><creatorcontrib>TAIRA, Kazushige</creatorcontrib><creatorcontrib>KAKU, Mitsuo</creatorcontrib><creatorcontrib>KOGA, Hironobu</creatorcontrib><creatorcontrib>KOHNO, Shigeru</creatorcontrib><creatorcontrib>HARA, Kohei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kansenshogaku Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>IWAMOTO, Masanori</au><au>TAKASE, Tomiko</au><au>MUKAE, Hiroshi</au><au>INOUE, Yuuichi</au><au>MORI, Norihiko</au><au>ISHINO, Touru</au><au>TAIRA, Kazushige</au><au>KAKU, Mitsuo</au><au>KOGA, Hironobu</au><au>KOHNO, Shigeru</au><au>HARA, Kohei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Study of Respiratory Infection and Sepsis Caused by MRSA at Hokusho Central Hospital</atitle><jtitle>Kansenshogaku Zasshi</jtitle><addtitle>J. J. A. Inf. D</addtitle><date>1993-12</date><risdate>1993</risdate><volume>67</volume><issue>12</issue><spage>1190</spage><epage>1197</epage><pages>1190-1197</pages><issn>0387-5911</issn><eissn>1884-569X</eissn><abstract>At Hokushou Central Hospital, we studied the isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) from 1985 to 1989; respiratory infection with MRSA, in 1989; and sepsis of MRSA, from 1988 to 1989. The isolation rate of MRSA from sputum increased from 0% in 1985 to 65.4% in 1989. MRSA was isolated mainly from elderly patients in a geriatric ward, with 55 of 67 strains (82%) being isolated from these patients in 1989. MIC80 of isolated MRSA strains was 0.01 μg/ml to rifampicin, 0.02 μg/ml to minomycine, 3.13 μg/ml to vancomycine, 12.5 μg/ml to ofloxacin and 100 μg/ml to imipenem in 1989. One-third of the 60 isolated cases showed respiratory infections including 10 cases of pneumonia and 10 sepsis patients and 11 blood samples in 1988 and 1989, especially 92.9% of S. aureus isolated in 1989 was MRSA. Four of the 6 patients with respiratory infections of MRSA and 1 of the 3 patients with MRSA sepsis were treated successfully by a combination therapy of imipenem/ cilastatin and cefazolin.</abstract><cop>Japan</cop><pub>The Japanese Association for Infectious Diseases</pub><pmid>8294769</pmid><doi>10.11150/kansenshogakuzasshi1970.67.1190</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Bacteremia - microbiology combination therapy Female Humans Male Methicillin Resistance MRSA MRSA pneumonia MRSA sepsis Respiratory Tract Infections - microbiology Staphylococcal Infections Staphylococcus aureus - drug effects Staphylococcus aureus - isolation & purification ward for aged people |
| title | A Study of Respiratory Infection and Sepsis Caused by MRSA at Hokusho Central Hospital |
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