尿路セラチア感染症の臨床像に就いて

概要

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Recently serratia marcescens infection of the urinary tract has been more prevalent than realized. Serratia marcescens were isolated from 95 cases out of 1,059 urinary tract infections (44 cases of pure infection diseases, 16 cases associated with calculous diseases, 8 cases with tumors and others) during the last two years at our department. Clinical and laboratory studies were made on Serratia marcescens infection of the urinary tract. The Results are as follows: 1) None of the outpatients with urinary tract infection had a positive culture of serratia marcescens, on the other hand, some of inpatients especially those with indwelling catheter had positive culture. 2) Serratia marcescens infections of the urinary tract are occasionally thought to be hospital acquired, but the frequency of the serratia marcescens of the urinary tract may be attributed to low resistance of host side to infections. 3) Antibiotics sensitivity tests (disc technique) to serratia marcescens are shown sensitive to Gentamycin, Nitrofurantoin, Nalidic acid but resistant to synthetic penicillins or cephalosphorins. 4) Urosepses of Serratia marcescens are rather few but in some cases such as cachexia due to neoplasma or renal failure, the prognosis is lethal.
社団法人日本泌尿器科学会の論文