The first nationwide surveillance of antibacterial susceptibility patterns of pathogens isolated from skin and soft-tissue infections in dermatology departments in Japan

被引：24

作者：

Watanabe, Shinichi ^{[1
,2
,7
]}

Ohnishi, Takamitsu ^{[1
,2
,7
]}

Yuasa, Akira ^{[1
,2
]}

Kiyota, Hiroshi ^{[3
,4
]}

Iwata, Satoshi ^{[3
,4
]}

Kaku, Mitsuo ^{[3
,4
]}

Watanabe, Akira ^{[3
,4
]}

Sato, Junko ^{[3
,4
]}

Hanaki, Hideaki ^{[5
,6
]}

Manabe, Motomu ^{[8
,9
]}

Suzuki, Tamio ^{[10
]}

Otsuka, Fujio ^{[11
]}

Aihara, Michiko ^{[12
]}

Iozumi, Ken ^{[13
]}

Tamaki, Takeshi ^{[14
]}

Funada, Yuichi ^{[15
]}

Shinozaki, Mikio ^{[16
]}

Kobayashi, Motoko ^{[17
]}

Okuda, Masaru ^{[18
]}

Kikyo, Go ^{[19
]}

Kikuchi, Kumi ^{[20
]}

Okada, Yoshitane ^{[18
]}

Takeshima, Masanori ^{[21
]}

Kaneko, Osamu ^{[22
]}

Ogawa, Natsuki ^{[23
]}

Ito, Rie ^{[24
]}

Okuyama, Ryuhei ^{[25
]}

Shimada, Shinji ^{[26
]}

Shimizu, Tadamichi ^{[27
]}

Hatta, Naohito ^{[28
]}

Manabu, Maeda ^{[29
]}

Tsutsui, Kiyohiro ^{[30
]}

Tanaka, Toshihiro ^{[31
]}

Miyachi, Yoshiki ^{[32
]}

Asada, Hideo ^{[33
]}

Furukawa, Fukumi ^{[34
]}

Kurokawa, Ichiro ^{[35
]}

Iwatsuki, Keiji ^{[36
]}

Hide, Michihiro ^{[37
]}

Muto, Masahiko ^{[38
]}

Yamamoto, Osamu ^{[39
]}

Niihara, Hiroyuki ^{[40
]}

Takagaki, Kenji ^{[41
]}

Kubota, Yasuo ^{[42
]}

Sayama, Koji ^{[43
]}

Sano, Shigetoshi ^{[44
]}

Furue, Masutaka ^{[45
]}

Kanekura, Takuro ^{[46
]}

机构：

[1] JAID, Dermatol Sub Comm & Surveillance Comm Japanese So, Tokyo, Japan

[2] JSCM, Tokyo, Japan

[3] Surveillance Comm JSC, JAID, Tokyo, Japan

[4] JSCM, Tokyo, Japan

[5] Kitasato Univ, Infect Control Lab, Tokyo, Japan

[6] Kitasato Univ, Infect Control Res Ctr, Tokyo, Japan

[7] Teikyo Univ, Sch Med, Dept Dermatol, Tokyo, Japan

[8] Akita Univ, Dept Dermatol & Plast Surg, Grad Sch Med, Akita, Japan

[9] Fac Med, Akita, Japan

[10] Yamagata Univ, Fac Med, Dept Dermatol, Yamagata, Japan

[11] Univ Tsukuba Hosp, Dept Dermatol, Ctr Med Educ & Training, Ibaraki, Japan

[12] Yokohama City Univ, Grad Sch Med, Dept Environm Immuno Dermatol, Kanagawa, Japan

[13] Tokyo Metropolitan Police Hosp, Dept Dermatol, Tokyo, Japan

[14] Ctr Hosp, Natl Ctr Global Hlth & Med, Dept Dermatol, Tokyo, Japan

[15] Tobudaishimae Clin, Tokyo, Japan

[16] Shinozaki Dermatol Clin, Tokyo, Japan

[17] Kobayashi Dermatol Clin, Tokyo, Japan

[18] Okuda Dermatol Clin, Tokyo, Japan

[19] Go Dermatol Clin, Tokyo, Japan

[20] Kikuchi Orthoped Clin, Tokyo, Japan

[21] Takeshima Dermatol Clin, Tokyo, Japan

[22] Kaneko Dermatol Clin, Saitama, Japan

[23] Fujimino Dermatol Clin, Saitama, Japan

[24] Saitama Cooperat Hosp, Dept Dermatol, Saitama, Japan

[25] Shinshu Univ, Sch Med, Dept Dermatol, Nagano, Japan

[26] Univ Yamanashi Hosp, Dept Dermatol, Yamanashi, Japan

[27] Toyama Univ, Grad Sch Med & Pharmaceut Sci, Dept Dermatol, Toyama, Japan

[28] Toyama Prefectural Cent Hosp, Dept Dermatol, Toyama, Japan

[29] Gifu Prefectural Gen Med Ctr, Dept Dermatol, Gifu, Japan

[30] Ishikawa Prefectural Cent Hosp, Dept Dermatol, Kanazawa, Ishikawa, Japan

[31] Shiga Univ, Med Sci, Dept Dermatol, Shiga, Japan

[32] Kyoto Univ, Grad Sch Med, Dept Dermatol, Kyoto, Japan

[33] Nara Med Univ Hosp, Dept Dermatol, Nara, Japan

[34] Wakayama Med Univ, Dept Dermatol, Wakayama, Japan

[35] Meiwa Hosp, Dept Dermatol, Nishinomiya, Hyogo, Japan

[36] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Dermatol, Okayama, Japan

[37] Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Dermatol, Hiroshima, Japan

[38] Yamaguchi Univ, Grad Sch Med, Dept Dermatol, Yamaguchi, Japan

[39] Tottori Univ Hosp, Dept Dermatol, Tottori, Japan

[40] Shimane Univ Hosp, Dept Dermatol, Izumo, Shimane, Japan

[41] Shimane Prefectural Cent Hosp, Dept Dermatol, Izumo, Shimane, Japan

[42] Kagawa Univ Hosp, Dept Dermatol, Kagawa, Japan

[43] Ehime Univ, Grad Sch Med, Dept Dermatol, Matsuyama, Ehime, Japan

[44] Kochi Med Sch Hosp, Dept Dermatol, Kochi, Japan

[45] Kyushu Univ, Grad Sch Med Sci, Dept Dermatol, Fukuoka, Japan

[46] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Dermatol, Kagoshima, Japan

来源：

JOURNAL OF INFECTION AND CHEMOTHERAPY | 2017年 / 23卷 / 08期

关键词：

Surveillance; Susceptibility; Skin and soft-tissue infection (SSTI); Methicillin-resistant S. aureus (MRSA); Community-acquired MRSA (CAMRSA); RESISTANT STAPHYLOCOCCUS-AUREUS; EMERGENCE;

D O I：

10.1016/j.jiac.2017.05.006

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

To investigate the trends of antimicrobial resistance in pathogens isolated from skin and soft-tissue infections (SSTI) at dermatology departments in Japan, a Japanese surveillance committee conducted the first nationwide survey in 2013. Three main organisms were collected from SSTI at 30 dermatology departments in medical centers and 10 dermatology clinics. A total of 860 strains - 579 of Staphylococcus aureus, 240 of coagulase-negative Staphylococci, and 41 of Streptococcus pyogenes - were collected and shipped to a central laboratory for antimicrobial susceptibility testing. The patient profiles were also studied. Among all 579 strains of S. aureus, 141 (24.4%) were methicillin-resistant (MRSA). Among 97 Staphylococcus epidermidis strains, 54 (55.7%) were methicillin-resistant (MRSE). MRSA and MRSE were more frequently isolated from inpatients than from outpatients. Furthermore, these methicillin-resistant strains were also isolated more frequently from patients with histories of taking antibiotics within 4 weeks and hospitalization within 1 year compared to those without. However, there were no significant differences in MIC values and susceptibility patterns of the MRSA strains between patients with a history of hospitalization within 1 year and those without. Therefore, most of the isolated MRSA cases at dermatology departments are not healthcare-acquired, but community-acquired MRSA. S. pyogenes strains were susceptible to most antibiotics except macrolides. The information in this study is not only important in terms of local public health but will also contribute to an understanding of epidemic clones of pathogens from SSTI. (C) 2017 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

引用

页码：503 / 511

页数：9

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