アンチバイオグラム 2015：弘前大学医学部附属病院感染制御センター

アンチバイオグラム 2015：弘前大学医学部附属病院　感染制御センター
赤字：第１選択として推奨　◎, ○, ×：一般的な感受性傾向,　2013年4月-2014年3月分離株
G
球
陽
菌
性
呼
吸関
器連
・細
咽菌
頭
Staphylococcus aureus (MSSAのみ)
Staphylococcus aureus (MRSA含む)
Coagulase Negative Staphylococci ※
Enterococcus faecalis
その他のEnterococcus属
Streptococcus pneumoniae
Streptococcus pyogenes (A群）
Streptococcus agalactiae (B群）
Moraxella catarrhalis
Haemophilus influenzae 非BLNAR
Haemophilus influenzae BLNAR
株
数
ﾍﾟﾆｼﾘﾝG
ｱﾓｷｼｼﾘﾝ
(ｻﾜｼﾘﾝ)
440
546
175
185
37%
28%
12%
98%
×
PCG
AMPC
(
G
腸
陰
内
性
細
桿
菌
菌
)
ブ非
ド発
ウ酵
糖菌
環境/皮膚
常在菌
嫌
気
性
菌
Pseudomonas aeruginosa
Acinetobacter
Stenotrophomonas maltophilia
Bacillus cereus ※
Corynebacterium species ※
Peptostreptcoccus species
Veillonella species
Clostridium species
Bacteroides fragilis
その他のBacteroides group
Prevotella species
Fusobacterim species
ｱﾝﾋﾟｼﾘﾝ
(ﾋﾞｸｼﾘﾝ)
AMPC/CVA ABPC
○
◎
○
×
◎
×
×
◎
×
×
100%
×
＞80%以上,
ｱﾝﾋﾟｼﾘﾝ/
ｽﾙﾊﾞｸﾀﾑ
(ﾕﾅｼﾝS)
ABPC/SBT
99%
74%
36%
100%
×
原則非推奨（無効 or 第１選択は不適） ,
ﾋﾟﾍﾟﾗｼﾘﾝ/
ﾀｿﾞﾊﾞｸﾀﾑ
(ｿﾞｼﾝ)
ｾﾌｧﾚｷｼﾝ
(ｹﾌﾗｰﾙ)
PIPC/TAZ
CEX
◎
○
×
◎
×
×
×
×
株数
PCG
AMPC
AMPC/CVA
ABPC ABPC/SBT PIPC/TAZ
44
10
29
20
31
2
100%
100%
100%
◎
◎
◎
◎
◎
◎
◎
○
○
100%
100%
ABPC/SBT
株数 AMPC/CVA
Escherichia coli
Klebsiella pneumoniae
ESBL産生菌（E.coli, Klebsiella 等）
AmpC産生菌（E.coli,Klebsiella 等）
Klebsiella oxytoca
Enterobacter cloacae
Enterobacter aerogenes
Serratia marcescens
Proteus mirabilis
＞90%以上,
ｱﾓｷｼｼﾘﾝ/
ｸﾗﾊﾞﾓｯｸｽ
(ｵｰｸﾞﾒﾝﾁﾝ)
ｾﾌｧｿﾞﾘﾝ
(ｾﾌｧﾒｼﾞﾝ
α )
ｾﾌﾒﾀｿﾞｰﾙ
ｾﾌｫﾁｱﾑ
(ｾﾌｧﾋﾟｺｰﾙ,
ﾊﾟﾝｽﾎﾟﾘﾝ)
ｾﾌﾄﾘｱｷｿﾝ
(ﾛｾﾌｨﾝ)
ｲﾐﾍﾟﾈﾑ/
ｼﾗｽﾀﾁﾝ
(ﾁｴﾅﾑ)
CMZ
CTM
CTRX
IPM/CS
◎
◎
×
×
×
×
CEZ
100%
74%
37%
100%
74%
37%
×
×
100%
74%
37%
100%
×
(ﾏｷｼﾋﾟｰﾑ)
予測困難
ｸﾘﾝﾀﾞ
ﾏｲｼﾝ
MEPM CLDM
ﾒﾛﾍﾟﾈﾑ
100%
74%
37%
52%
×
79%
61%
47%
0%
×
ﾚﾎﾞﾌﾛ
ｷｻｼﾝ
(ｸﾗﾋﾞｯﾄ)
LVFX
92%
73%
48%
91%
×
ｼﾞｽﾛﾏｯｸ
85%
72%
68%
CEX
CEZ
CMZ
CTM
CTRX
CFPM
IPM/CS MEPM
○
○
○
◎
◎
◎
◎
◎
○
◎
54%
0%
◎
◎
◎
◎
◎
○
○
○
○
97%
100%
100%
100%
100%
100%
95%
100%
100%
◎
100%
100%
100%
◎
◎
◎
100%
100%
PIPC/TAZ
CEZ
CMZ
CTM
CTRX
(ﾜｲｽﾀｰﾙ)
ｾﾌﾀｼﾞｼﾞﾑ
IPM/CS
MEPM
LVFX
◎
◎
0%
0%
◎
○
○
○
◎
◎
◎
◎
○
◎
◎
◎
◎
◎
○
○
◎
◎
◎
87%
98%
0%
0%
95%
83%
87%
97%
83%
90%
98%
0%
50%
95%
100%
100%
100%
83%
100%
100%
100%
96%
100%
100%
100%
100%
100%
100%
100%
100%
96%
100%
100%
100%
100%
100%
CPFX
◎
◎
94%
99%
95%
4%
100%
1%
0%
88%
100%
CAZ
CFPM
80%
96%
0%
0%
65%
0%
0%
0%
85%
CPZ/SBT
77% 77%
98% 98%
36% 36%
93% 93%
95% 95%
96% 96%
100% 100%
86% 86%
75% 75%
ST
ｺﾘｽﾁﾝ
MINO
VCM
TEIC
LZD
194
144
22
27
46
66
62
36
12
○
○
×
×
○
○
×
×
×
×
×
○
×
○
◎
○
○
◎
○
株数
PIPC/TAZ
CAZ
CFPM
IPM/CS
MEPM
CPFX
LVFX
GM
AMK
TOB
150
48
50
81%
95%
90%
97%
44%
86%
95%
71%
100%
75%
100%
88%
89%
96%
95%
97%
97%
98%
95%
×
×
○
96%
67%
◎
82%
97%
78%
81%
59
48
100%
94%
株数
PCG
ABPC/SBT
PIPC/TAZ
CMZ
IPM/CS
MEPM
CLDM
MTZ　(ｱｽｿﾞｰﾙ, ｱﾈﾒﾄﾛ)
71
12
22
33
40
38
19
87%
66%
63%
0%
15%
39%
94%
81%
100%
100%
100%
97%
100%
94%
98%
100%
100%
100%
100%
100%
100%
98%
100%
77%
93%
70%
100%
94%
100%
100%
95%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
78%
75%
81%
63%
72%
68%
78%
◎
◎
◎
◎
◎
◎
◎
95%
88%
23%
65%
94%
87%
(ｼﾌﾟﾛ)
98%
80%
93%
33%
×
×
◎
◎
◎
◎
67%
50%
100%
100%
100%
◎
100%
100%
ﾃｲｺ
ﾌﾟﾗﾆﾝ
(ﾀｺﾞｼｯﾄﾞ)
ｹﾞﾝﾀﾐﾉｻｲｸﾊﾞﾝｺ
ﾏｲｼﾝ
ﾏｲｼﾝﾘﾝ
GM MINO VCM
100%
100%
100%
100%
100%
TEIC
ﾘﾈｿﾞﾘﾄﾞ
(ｻﾞｲﾎﾞｯ
ｸｽ)
ﾀﾞﾌﾟﾄ
ﾏｲｼﾝ
(ｷｭﾋﾞｼﾝ)
LZD
DAP
100%
100%
100%
100%
100%
100%
100%
94%
100%
94%
◎
◎
◎
◎
◎
ST合剤(ﾊﾞｸﾀ)
AZM
CLDM LVFX
18%
50%
79%
95%
100%
100%
25%
80%
89%
95%
80%
62%
100%
100%
100%
GM
AMK
FOM
93%
99%
68%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
96% 84%
59% 95%
91% 59%
59% 89%
71% 97%
24% 95%
54% 98%
72% 100%
83% 100%
59%
95%
70%
100%
ST
MINO
87%
84%
77%
59%
82%
60%
90%
66%
0%
DAP
100%
100%
★経口カルバペネムは
原則使用する場面はない！
100%
◎
100%
※【血培コンタミ６大菌】
Micrococcus属　→ほぼコンタミ
Propionibacterium属
→ほぼコンタミ
Bacillus属　→まれに血流感染
Clostridium perfringens →まれに外傷からガス壊疽菌感染
Corynebacterium　→まれにジフテリア菌の粘膜感染
CNS
→ときに血流感染,感染性心内膜炎
◎

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