J.Jpn. Surg. Soc.. 97(12): 1066-1071, 1996

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Feature topic

SEVERE SURGICAL INFECTION WITH NO INFORMATION IN TERMS OF BACTERIA

The incidence of bacteria caused postoperative infections was performed at the timing when bacteria or fungi is not yet deteced. This period is important for management of postoperative infections.
MRSA, E. faecalis, P. aeruginasa and fungi were detected with high frequency irrespective of the surgical area. After the operation of esophageal cancer, the most frequent infection was postoperative pneumonia, and the isolated bacteria was P. aeruginasa frequently. In the cases of gastric cancer, hepato-biliary-pancreas cancer and colorectal cancer, intraabdominal sepsis was the highest incidence, and the isolated bacteria was E. faecalis. In terms of intravenous catheter infection, fungus was common.
Thus, it may suggest that we can identify the bacteria caused, and the management for postoperative infections was performed appropriately by using the antibiotics which have the sensitive against the expected pathogen.

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