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The Journal of the Japanese Society for Clinical Microbiology

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[Vol.28 No.3 contents]
Japanese / English

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Article in Japanese

ArticleTitle A survey of trends in drug-resistant gram-negative bacilli in the Hokuriku District of Japan
Language J
AuthorList Yukiko Sakagami1,23), Yukie Katayama2,23), Minoru Kato3,23), Kazumi Kanaya4,23), Satomi Komichi5,23), Yukari Tsujita6,23), Tatsuya Nakagawa7,23), Akiko Nakano8,23), Etsuko Nakano9,23), Masao Nakamura10,23), Chiemi Nakamuro11,23), Akiko Niikawa12,23), Shiro Nishio13,23), Asaka Nohara14,23), Ikuo Fujita15,23), Kumiko Masuoka16,23), Takahiro Matsumura17,23), Shin-ichiro Miyamae18,23), Kinuyo Morita19,23), Tadanobu Yachi20,23), Maiko Yamaguchi21,23), Daisuke Usuda3,22,23), Yasuhiro Kawai3,22,23), Yoshitsugu Iinuma3,22,23)
Affiliation 1) Department of Clinical Laboratory, Pubulic Central Hospital Matto Ishikawa
2) Department of Clinical Laboratory, Asanogawa General Hospital
3) Department of Clinical Laboratory, National Hospital Organization Nanao National Hospital
4) Department of Clinical Laboratory, Kanazawa Medical University Hospital
5) Department of Clinical Laboratory, Kanazawa Medical University Himi Municipal Hospital
6) Department of Clinical Laboratory, Kouseiiren Namerikawa Hospital
7) Department of Clinical Laboratory, Kouseiiren Takaoka Hospital
8) Department of Clinical Laboratory, Kaga Medical Center
9) Department of Clinical Laboratory, Komatsu Municipal Hospital
10) Department of Clinical Laboratory, Toyama City Hospital
11) Department of Clinical Laboratory, Jouhoku Hospital
12) Department of Clinical Laboratory, Ishikawa Prefectural Central Hospital
13) Department of Clinical Laboratory, National Hospital Organization Kanazawa Medical Center
14) Department of Clinical Laboratory, Nanto Municipal Hospital
15) Department of Clinical Laboratory, Ushitsu General Hospital
16) Department of Clinical Laboratory, Hakui Hospital
17) Department of Clinical Laboratory, Japanese Red Cross Kanazawa Hospital
18) Department of Clinical Laboratory, Suzu General Hospital
19) Department of Clinical Laboratory, Noto General Hospital
20) Department of Clinical Laboratory, Wajima Municipal Hospital
21) Department of Clinical Laboratory, Japan Community Health Care Organization Kanazawa Hospital
22) Department of Infectious Diseases, Kanazawa Medical University
23) Surveillance Study Group of Antimicrobial Resistance in Hokuriku District
Publication J.J.C.M.: 28 (3), 203-212, 2018
Received November 15, 2017
Accepted March 5, 2018
Abstract We investigated the isolation rate of extended-spectrum β-lactamase (ESBL) producing enterobacteriaceae and drug-resistant Pseudomonas aeruginosa incuding multi-drug resistant P. aeruginosa (MDRP) in Hokuriku District of Japan from 2011 to 2016. The isolation rates of ESBL producing E. coli remarkably increased from 6.5 to 15.7%. Similarly, the isolation rates of ESBL producing Klebsiella pneumonia increased from 1.1 to 2.8%. On the contrary, the isolation rates of ESBL producing K. oxytoca (1.2 to 2.9%) and Proteus mirabilis (0.5 to 2.0%) showed no significant change. The isolation rate of both of carbapenem and fluoroquinolone resistant P. aeruginosa was within a range of 2.0 to 4.4% and MDRP decreased from 1.4 to 0.2%. However, metallo-β-lactamase producing P. aeruginosa was continuously isolated. Adoption of new CLSI criteria (document M100-S22) did not influence the isolation rate of drug-resistant P. aeruginosa. Local surveillance data of drug resistant bacteria in Hokuriku district may facilitate the review of infection control in each facility, and showed important information for the infection control and prevention across this area.
Keywords
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