感染症 年報
(2)病原菌検出状況調査(医療機関検出分)
2001(平成13)年4月より県内の6総合病院で検出された病原菌を検査材料別に報告してもらい、集計
を行っている。
糞便材料の検出数は一年を通じて横ばい状態であるが、検出総数はここ数年減少傾向にある。(622件→556件
→520件)咽頭および鼻咽喉材料の検出数も例年より少なかった(図16)。
糞便検出病原菌の構成をみると、EPECやETECなどの大腸菌が全体の62%をしめた。Salmonella属は減少し
(51件→32件→15件)、島根県においてSalmonella属による集団食中毒もみられなかった。(図17)
血液、喀痰・気管吸引液および下気道材料からはStaphlococcus aureus(MRSA)を含むStaphlococcus 属
の分離率が高かった。(血液70.0%、喀痰・気管吸引液および下気道46.3%)
調査対象医療機関名
松江赤十字病院、島根県立中央病院、公立雲南総合病院、浜田医療センター、益田赤十字病院、隠岐広域連合立隠岐病院
表25 2004年 病原体検出状況(医療機関)
分離材料:糞便
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
E.coli(EHEC/VTEC) | | | | | | | 1 | | | | 1 | | 2 |
E.coli(ETEC) | | 3 | 1 | 7 | 8 | 2 | 6 | 3 | 13 | 6 | 3 | 12 | 64 |
E.coli(EIEC) | | 1 | | | | | | 1 | | | | | 2 |
E.coli(EPEC) | 34 | 29 | 24 | 28 | 17 | 23 | 21 | 7 | 22 | 16 | 15 | 17 | 253 |
E.coli(その他・不明) | | | | | | | | | | | | | 0 |
Salmonella Typhi | | | | | | | | | | | | | 0 |
Salmonella Paratyphi A | | | | | | | | | | | | | 0 |
Salmonella O4 | 1 | | | | | | | 2 | 1 | 1 | | 1 | 6 |
Salmonella O7 | | | | | | | 2 | | | | | 1 | 3 |
Salmonella O8 | | | | | | | | 1 | | | | | 1 |
Salmonella O9 | | | | 1 | | | | 1 | 1 | | 2 | | 5 |
Salmonella O9,46 | | | | | | | | | | | | | 0 |
Salmonella O3,10 | | | | | | | | | | | | | 0 |
Salmonella O1,3,19 | | | | | | | | | | | | | 0 |
Salmonella O13 | | | | | | | | | | | | | 0 |
Salmonella O18 | | | | | | | | | | | | | 0 |
Salmonella 上記以外の群 | | | | | | | | | | | | | 0 |
Salmonella 群不明 | | | | | | | | | | | | | 0 |
Listeria monocytogenes | | | | | | | | | | | | | 0 |
Yersinia entercolitica | | | | | | 1 | | 1 | | | | | 2 |
Yersinia pseudotuberclosis | | | | | | | | | | | | | 0 |
V.choleraeO1:Eltor, Ogawa,CT(+) | | | | | | | | | | | | | 0 |
V.choleraeO1:Eltor, Ogawa,CT(-) | | | | | | | | | | | | | 0 |
V.choleraeO1:Eltor, Inaba,CT(+) | | | | | | | | | | | | | 0 |
V.choleraeO1:Eltor, Inaba,CT(-) | | | | | | | | | | | | | 0 |
V.choleraeO139,CT(+) | | | | | | | | | | | | | 0 |
V.choleraeO139,CT(-) | | | | | | | | | | | | | 0 |
V.choleraeO1&O139以外 | | | | | | | | | | | | | 0 |
Vibrio parahaemolyticus | | | | | | | | 5 | 2 | | | | 7 |
Vibrio fluvialis | | | | | | | | | | | | | 0 |
Vibrio mimicus | | | | | | | | | | | | | 0 |
Aeromonas hydrophila | | | | | 1 | 1 | | | | 1 | | 2 | 5 |
Aeromonas sobria | | | | | | | | 1 | | | | | 1 |
Aeromonas hydrophila/sobria種別せず | | | | | | | | | | | | | 0 |
Plesiomonas shigelloides | | | | | | | | | | | | | 0 |
Campylobacter jejuni | | | 1 | | 1 | 3 | 1 | | | | | 2 | 8 |
Campylobacter coli | | | | | | | | | | | | | 0 |
Campylobacter jejuni/coli種別せず | 1 | | 3 | 5 | 2 | 4 | 4 | 2 | 3 | | 2 | 2 | 28 |
Sta.aureus(MRSA) | 6 | 13 | 14 | 14 | 12 | 3 | 7 | 8 | 5 | 8 | 10 | 8 | 108 |
Sta.aureus(MRSA以外) | 1 | 3 | 3 | | 1 | 2 | 3 | 1 | 2 | 2 | 3 | 1 | 22 |
Clostridium perfringens | | | | | | | | | | | | | 0 |
Clostridium botulinum E | | | | | | | | | | | | | 0 |
Clostridium botulinum E以外 | | | | | | | | | | | | | 0 |
Bacillus cereus | | | | | | | 1 | | | 1 | | | 2 |
Shigella dysenteriae | | | | | | | | | | | | | 0 |
Shigella flexneri | | | | | | | | | | 1 | | | 1 |
Shigella boydii | | | | | | | | | | | | | 0 |
Shigella sonni | | | | | | | | | | | | | 0 |
Shigella 群不明 | | | | | | | | | | | | | 0 |
Entamoeba histolytica | | | | | | | | | | | | | 0 |
Cryptosporidium | | | | | | | | | | | | | 0 |
Giardia lamblia | | | | | | | | | | | | | 0 |
合計 | 43 | 49 | 46 | 55 | 42 | 39 | 46 | 33 | 49 | 36 | 36 | 46 | 520 |
分離材料:穿刺液(胸水・腹水・関節液など)
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
E.coli | 2 | | 5 | | 3 | | 3 | 2 | 7 | 2 | 4 | 4 | 32 |
Klebsiella pneumoniae | 4 | 4 | 1 | 1 | 1 | 1 | 2 | 1 | | 3 | 1 | | 19 |
Haemophilus influenzae | | | | | | | | | | 1 | | | 1 |
Neisseria meningitidis | | | | | | | | | | | | | 0 |
Pseudomonas areuginosa | 3 | 2 | 5 | 5 | 6 | 2 | 1 | 1 | 1 | 1 | 4 | 2 | 33 |
Mycobacterium spp. | | | | | | | | | | | | | 0 |
Sta.aureus(MRSA) | 5 | 6 | 6 | 1 | 6 | 7 | 6 | 2 | 1 | 13 | 12 | 5 | 70 |
Sta.aureus(MRSA以外) | 4 | 3 | 3 | 7 | 2 | 1 | 5 | 1 | 4 | 5 | 4 | 7 | 46 |
Sta.(コアグラーゼ陰性) | 1 | | 3 | 3 | 2 | 4 | 4 | 3 | 1 | | 5 | 1 | 27 |
PRSP/PISP | | | | | | | | | | | | 1 | 1 |
Streptococcus pneumoniae(PRSP/PISP以外) | 1 | | | 1 | | | | | 1 | 1 | 1 | | 5 |
Anaerobes | 7 | 2 | 1 | 2 | 1 | 5 | 4 | 5 | 2 | 5 | | 1 | 35 |
Mycoplasma pneumoniae | | | | | | | | | | | | | 0 |
合計 | 27 | 17 | 24 | 20 | 21 | 20 | 25 | 15 | 17 | 31 | 31 | 21 | 269 |
分離材料:髄液
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
E.coli | | 1 | | | 1 | | 1 | | | | | | 3 |
Haemophilus influenzae | | | | | 1 | | | | | 2 | | 1 | 4 |
Neisseria meningitidis | | | | | | | | | | | | | 0 |
Listeria monocytogenes | | | | | | | | | | | | 1 | 1 |
Sta.aureus(MRSA) | | | | | | | | | | | | | 0 |
Sta.aureus(MRSA以外) | | | | | | | | | | | | | 0 |
Streptococcus B | | | | | | 2 | | | | | | | 2 |
PRSP/PISP | | | | | | | | | | | | | 0 |
Streptococcus pneumoniae(PRSP/PISP以外) | | | | | | | | | | | | 1 | 1 |
合計 | 0 | 1 | 0 | 0 | 2 | 2 | 1 | 0 | 0 | 2 | 0 | 3 | 11 |
分離材料:血液
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
E.coli | 5 | 2 | 7 | 4 | 4 | 2 | 5 | 5 | 3 | 6 | 2 | 4 | 49 |
Salmonella Typhi | | | | | | | | | | | | | 0 |
Salmonella Paratyphi A | | | | | | | | | 1 | | | | 1 |
Salmonella spp. | | | | | | | | | | | | | 0 |
Haemophilus influenzae | | 1 | | | 1 | 1 | | | 1 | 1 | | | 5 |
Neisseria meningitidis | | | | | | | | | | | | | 0 |
Listeria monocytogenes | | | | | | | | | | | | 1 | 1 |
Pseudomonas areuginosa | | 1 | | 1 | 1 | 1 | 2 | 2 | 1 | 2 | 1 | | 12 |
Sta.aureus(MRSA) | 5 | 7 | 3 | 3 | 7 | 11 | 5 | 4 | 7 | 1 | 2 | 6 | 61 |
Sta.aureus(MRSA以外) | 3 | 3 | 5 | 1 | 4 | 4 | 3 | 5 | 1 | 4 | 2 | 1 | 36 |
Sta.(コアグラーゼ陰性) | 9 | 11 | 3 | 7 | 6 | 6 | 4 | 13 | 20 | 10 | 8 | 11 | 108 |
Streptococcus B | 1 | | | | | 1 | | 1 | 2 | | 1 | 1 | 7 |
PRSP/PISP | | 1 | | | 1 | | | | | | | | 2 |
Streptococcus pneumoniae(PRSP/PISP以外) | | | | 1 | 2 | 1 | | | | | | | 4 |
Anaerobes | | | | | | 1 | | | 2 | 1 | 1 | | 5 |
Plasmodium spp. | | | | | | | | | | | | | 0 |
合計 | 23 | 26 | 18 | 17 | 26 | 28 | 19 | 30 | 38 | 25 | 17 | 24 | 291 |
分離材料:咽頭および鼻咽喉からの材料
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
Bordetella pertussis | | | | | | | | | | | | | 0 |
Haemophilus influenzae | 101 | 107 | 116 | 146 | 103 | 128 | 73 | 33 | 55 | 61 | 58 | 97 | 1078 |
Neisseria meningitidis | | | | | | | | | | | | | 0 |
Streptococcus A | 15 | 16 | 14 | 7 | 20 | 18 | 14 | 7 | 12 | 12 | 11 | 23 | 169 |
PRSP/PISP | 44 | 46 | 41 | 45 | 39 | 53 | 13 | 22 | 11 | 21 | 41 | 36 | 412 |
Streptococcus pneumoniae(PRSP/PISP以外) | 28 | 28 | 24 | 31 | 25 | 20 | 15 | 12 | 23 | 18 | 31 | 18 | 273 |
Corynebacterium diphtheriae | | | | | | | | | | | | | 0 |
合計 | 188 | 197 | 195 | 229 | 187 | 219 | 115 | 74 | 101 | 112 | 141 | 174 | 1932 |
分離材料:喀痰、気管吸引液および下気道からの材料
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
Mycobacterium tuberculosis | 2 | 3 | | 3 | | 1 | 2 | | 3 | 1 | 2 | 1 | 18 |
Mycobacterium avium-intracellulare complex | 1 | 2 | 3 | 2 | 3 | 1 | 2 | 3 | 2 | 2 | 1 | 1 | 23 |
Klebsiella pneumoniae | 25 | 27 | 31 | 38 | 30 | 44 | 51 | 37 | 27 | 40 | 50 | 31 | 431 |
Haemophilus influenzae | 14 | 20 | 36 | 17 | 8 | 25 | 18 | 17 | 11 | 26 | 26 | 28 | 246 |
Legionella pneumophila | | | | | | | | | | | | | 0 |
Pseudomonas areuginosa | 49 | 62 | 62 | 41 | 49 | 59 | 55 | 55 | 66 | 57 | 77 | 78 | 710 |
Sta.aureus(MRSA) | 102 | 119 | 130 | 96 | 128 | 131 | 104 | 95 | 81 | 83 | 118 | 103 | 1290 |
Sta.aureus(MRSA以外) | 30 | 37 | 29 | 20 | 29 | 35 | 16 | 25 | 31 | 41 | 34 | 24 | 351 |
Streptococcus A | 1 | 2 | 4 | 3 | | | 1 | 1 | 2 | 1 | | | 15 |
Streptococcus B | 21 | 28 | 22 | 19 | 11 | 21 | 10 | 22 | 5 | 6 | 21 | 15 | 201 |
PRSP/PISP | 7 | 13 | 6 | 9 | 9 | 8 | 4 | 5 | 1 | 8 | 8 | 3 | 81 |
Streptococcus pneumoniae(PRSP/PISP以外) | 10 | 12 | 19 | 14 | 21 | 13 | 7 | 8 | 16 | 9 | 15 | 6 | 150 |
Anaerobes | 1 | 5 | 2 | 2 | 2 | 5 | 1 | | 2 | | | 4 | 24 |
Mycoplasma pneumoniae | | | | | | | | 1 | | | | | 1 |
合計 | 263 | 330 | 344 | 264 | 290 | 343 | 271 | 269 | 247 | 274 | 352 | 294 | 3541 |
分離材料:尿
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
E.coli | 63 | 61 | 74 | 62 | 56 | 77 | 75 | 72 | 84 | 78 | 79 | 73 | 854 |
Enterobacter spp. | 1 | 5 | 2 | 4 | 6 | 3 | 6 | 10 | 7 | 13 | 10 | 5 | 72 |
Klebsiella pneumoniae | 18 | 10 | 9 | 10 | 14 | 10 | 17 | 20 | 14 | 19 | 17 | 14 | 172 |
Acinetobacter spp. | 1 | | | 3 | 1 | 2 | 3 | 1 | 2 | 1 | 2 | | 16 |
Pseudomonas areuginosa | 18 | 13 | 14 | 16 | 21 | 31 | 31 | 30 | 38 | 46 | 38 | 27 | 323 |
Sta.aureus(MRSA) | 16 | 14 | 22 | 22 | 11 | 15 | 17 | 18 | 13 | 20 | 16 | 17 | 201 |
Sta.aureus(MRSA以外) | 10 | 6 | 2 | 9 | 7 | 3 | 2 | 5 | 3 | 10 | 5 | 3 | 65 |
Sta.(コアグラーゼ陰性) | 25 | 18 | 20 | 27 | 16 | 23 | 29 | 20 | 38 | 18 | 25 | 24 | 283 |
Enterococcus spp. | 50 | 45 | 42 | 44 | 49 | 44 | 54 | 35 | 43 | 49 | 62 | 38 | 555 |
Candida albicans | 9 | 9 | 8 | 7 | 9 | 9 | 13 | 12 | 8 | 7 | 10 | 10 | 111 |
合計 | 211 | 181 | 193 | 204 | 190 | 217 | 247 | 223 | 250 | 261 | 264 | 211 | 2652 |
分離材料:陰部尿道頸管擦過(分泌)物
菌種・群・型 | 2004年 | 合計 |
1 | 2 | 3 | 4 | 5 | 6 |
7 | 8 | 9 | 10 | 11 | 12 |
Neisseria gonorrhoeae | 2 | 4 | 3 | | 2 | 3 | 1 | 1 | 1 | 1 | | 1 | 19 |
Streptococcus B | 14 | 14 | 10 | 14 | 15 | 10 | 16 | 1 | 16 | 15 | 10 | 15 | 150 |
Chlamydia trachomatis | 1 | 5 | 2 | 3 | 3 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 23 |
Ureaplasma | | | | | | | | | | | | | 0 |
Candida albicans | 33 | 30 | 30 | 25 | 22 | 33 | 28 | 24 | 37 | 36 | 28 | 22 | 348 |
Trichomonas vaginalis | | | | | | | | | | | | | 0 |
合計 | 50 | 53 | 45 | 42 | 42 | 49 | 46 | 27 | 55 | 53 | 39 | 39 | 540 |