2020(R2)年 年報
(2)病原菌検出状況調査(医療機関検出分)
県内の6総合病院から報告を受け、病院細菌検査室で検出された検査材料別の病原菌の集計を行っている。
2020年に検出された各分離材料別の菌種別グラフ
表26 過去10年間の病原体検出状況(医療機関)
1 分離材料:糞便
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
E.coli(EHEC/VTEC) | 15 | 6 | 2 | 3 | 7 | 3 | | 3 | | 1 | 40 |
E.coli(ETEC) | 3 | 10 | 16 | 10 | 10 | 21 | 12 | 2 | 2 | 17 | 103 |
E.coli(EIEC) | | | | | 1 | | 1 | | | |
2 |
E.coli(EPEC) | 83 | 90 | 86 | 151 | 185 | 237 | 205 | 147 | 123 | 160 | 1467 |
E.coli(その他・不明) | 65 | 19 | 4 | | | 2 | 10 | 3 | 6 | 13 | 122 |
Salmonella Typhi | | | | | 2 | | | | |
| 2 |
Salmonella O4 | 3 | 2 | | 4 | 2 | 5 | 3 | 6 | 5 | | 30 |
Salmonella O7 | 4 | 4 | 9 | 7 | 6 | 2 | 4 | 4 | 9 | 7 | 56 |
Salmonella O8 | | 1 | | 1 | 1 | 2 | 1 | | | |
6 |
Salmonella O9 | 1 | 2 | 1 | | | 2 | | 1 | 1 | | 8 |
Salmonella O3,10 | | 1 | | | | | | | |
| 1 |
Salmonella O13 | 1 | | | | | | | | | |
1 |
Salmonella 群不明 | 1 | 3 | 1 | | | 1 | 4 | | | 2 | 12 |
Yersinia entercolitica | | | | 1 | 2 | | | | 1 | |
4 |
Yersinia pseudotuberclosis | | | | | | | | 1 | |
1 | 2 |
Vibrio parahaemolyticus | | | | | 1 | | | | |
| 1 |
Vibrio fluvialis | | | | | | | | 2 | 2 | |
4 |
Aeromonas hydrophila | | | | | | | | 2 | |
1 | 3 |
Aeromonas hydrophila/sobria種別せず | | | | 2 | | | | 1 | |
| 3 |
Plesiomonas shigelloides | | | | 1 | | | | | |
| 1 |
Campylobacter jejuni | 8 | 11 | 6 | 10 | 8 | 12 | 10 | 18 | 15 | 27 | 125 |
Campylobacter coli | | | | | 4 | | | 2 | | |
6 |
Campylobacter jejuni/coli種別せず | 12 | 7 | 25 | 26 | 19 | 16 | 6 | 16 | 12 | 20 |
159 |
Sta.aureus(MRSA) | 47 | 36 | 32 | 34 | 21 | 30 | 20 | 33 | 35 | 45 | 333 |
Sta.aureus(MRSA以外) | 14 | 19 | 25 | 19 | 17 | 26 | 21 | 21 | 30 | 52 | 244 |
Clostridium perfringens | | 2 | 2 | | | | 4 | 2 | 3 | 5 |
18 |
Bacillus cereus | | 2 | 1 | 7 | 1 | 2 | 2 | 4 | 22 | 25 | 66 |
合計 | 257 | 215 | 210 | 276 | 287 | 361 | 303 | 268 | 266 | 376 | 2819 |
2 分離材料:穿刺液(胸水・腹水・関節液など)
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
E.coli | 45 | 53 | 48 | 43 | 40 | 42 | 54 | 55 | 67 | 68 | 515 |
Klebsiella pneumoniae | 23 | 18 | 13 | 23 | 10 | 17 | 16 | 27 | 40 | 36 | 223 |
Haemophilus influenzae | 2 | 1 | | 1 | | | | 1 | | |
5 |
Neisseria meningitidis | | | | | | | | | 1 |
| 1 |
Pseudomonas aeruginosa | 16 | 15 | 9 | 9 | 5 | 16 | 17 | 26 | 16 | 17 | 146 |
Mycobacterium spp. | | 1 | 1 | 1 | | | | | | 3 |
6 |
Sta.aureus(MRSA) | 33 | 29 | 25 | 13 | 17 | 28 | 27 | 23 | 17 | 26 | 238 |
Sta.aureus(MRSA以外) | 65 | 47 | 42 | 23 | 29 | 31 | 60 | 40 | 38 | 50 | 425 |
Sta.(コアグラーゼ陰性) | 26 | 50 | 24 | 24 | 24 | 21 | 31 | 43 | 22 | 39 | 304 |
PRSP/PISP | | | | | | | 1 | | | |
1 |
Streptococcus pneumoniae(PRSP/PISP以外) | 4 | 3 | 1 | 1 | 2 | 1 | 5 | 2 | 1 | 1 |
21 |
Anaerobes | 21 | 20 | 18 | 15 | 23 | 32 | 34 | 35 | 28 | 38 | 264 |
合計 | 235 | 237 | 181 | 153 | 150 | 188 | 245 | 252 | 230 | 278 | 2149 |
3 分離材料:髄液
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
E.coli | | | | | | 2 | | | | |
2 |
Haemophilus influenzae | 1 | | | | | 2 | | | |
| 3 |
Listeria monocytogenes | | | | 3 | | | | | 1 |
| 4 |
Sta.aureus(MRSA) | 1 | | 1 | | 1 | 2 | 1 | | | |
6 |
Sta.aureus(MRSA以外) | 2 | | 1 | 1 | | 1 | 2 | 2 | 1 | | 10 |
Streptococcus B | | | 1 | | | | | 2 | | 1 |
4 |
PRSP/PISP | | 1 | 1 | 3 | | | 1 | | | | 6 |
Streptococcus pneumoniae(PRSP/PISP以外) | 1 | 1 | 1 | 2 | 1 | 1 | 2 | 3 | | 1 |
13 |
合計 | 5 | 2 | 5 | 9 | 2 | 8 | 6 | 7 | 2 | 2 | 48 |
4 分離材料:血液
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
E.coli | 190 | 177 | 201 | 252 | 355 | 618 | 645 | 694 | 706 | 766 | 4604 |
Salmonella Typhi | | | | | 1 | | | | |
| 1 |
Salmonella spp. | 1 | 1 | | 2 | | 1 | 1 | 1 | 2 | 2 | 11 |
Haemophilus influenzae | 5 | 4 | 2 | 2 | 3 | 2 | 3 | 3 | 5 | 4 | 33 |
Listeria monocytogenes | | 1 | 2 | 1 | 1 | 1 | | 2 | 2 | |
10 |
Pseudomonas aeruginosa | 24 | 24 | 27 | 19 | 23 | 35 | 37 | 36 | 30 | 39 | 294 |
Sta.aureus(MRSA) | 44 | 43 | 44 | 47 | 34 | 61 | 43 | 52 | 49 | 57 | 474 |
Sta.aureus(MRSA以外) | 66 | 67 | 62 | 62 | 71 | 73 | 114 | 129 | 94 | 121 | 859 |
Sta.(コアグラーゼ陰性) | 213 | 226 | 164 | 182 | 152 | 154 | 177 | 187 | 200 | 222 | 1877 |
Streptococcus B | 4 | 9 | 11 | 10 | 8 | 14 | 22 | 13 | 19 | 27 | 137 |
PRSP/PISP | 1 | 2 | 6 | 3 | 1 | 3 | 2 | | 1 | 4 | 23 |
Streptococcus pneumoniae(PRSP/PISP以外) | 18 | 12 | 16 | 20 | 11 | 18 | 30 | 33 | 13 | 12 |
183 |
Anaerobes | 24 | 29 | 25 | 32 | 61 | 44 | 52 | 67 | 63 | 72 | 469 |
合計 | 590 | 595 | 560 | 632 | 721 | 1024 | 1126 | 1217 | 1184 | 1326 | 8975 |
5 分離材料:咽頭および鼻咽喉からの材料
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
Haemophilus influenzae | 539 | 375 | 281 | 369 | 456 | 418 | 436 | 444 | 401 | 162 |
3881 |
Neisseria meningitidis | | | 1 | | | | | | |
| 1 |
Streptococcus A | 87 | 65 | 59 | 75 | 68 | 36 | 54 | 52 | 33 | 17 | 546 |
PRSP/PISP | 36 | 27 | 21 | 2 | | 8 | 11 | 13 | 3 | 3 | 124 |
Streptococcus pneumoniae(PRSP/PISP以外) | 217 | 155 | 126 | 88 | 68 | 135 | 149 | 186 | 210 | 93 |
1427 |
合計 | 879 | 622 | 488 | 534 | 592 | 597 | 650 | 695 | 647 | 275 | 5979 |
6 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 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
Mycobacterium tuberculosis | 33 | 31 | 28 | 21 | 10 | 13 | 11 | 20 | 13 | 15 |
195 |
Mycobacterium avium-intracellulare complex | 51 | 41 | 55 | 56 | 54 | 18 | 60 | 52 | 55 | 48 |
490 |
Klebsiella pneumoniae | 364 | 331 | 470 | 438 | 409 | 405 | 513 | 503 | 502 | 469 |
4404 |
Haemophilus influenzae | 233 | 235 | 225 | 258 | 287 | 343 | 316 | 318 | 301 | 169 |
2685 |
Legionella pneumophila | | | 1 | | | | | | |
| 1 |
Pseudomonas aeruginosa | 373 | 336 | 370 | 399 | 338 | 366 | 345 | 361 | 339 | 388 |
3615 |
Sta.aureus(MRSA) | 617 | 629 | 601 | 496 | 478 | 390 | 358 | 333 | 376 | 323 |
4601 |
Sta.aureus(MRSA以外) | 361 | 364 | 453 | 563 | 507 | 450 | 507 | 589 | 640 | 483 |
4917 |
Streptococcus A | 7 | 7 | 12 | 20 | 16 | 7 | 25 | 11 | 21 | 19 | 145 |
Streptococcus B | 190 | 234 | 274 | 204 | 160 | 130 | 135 | 105 | 106 | 93 | 1631 |
PRSP/PISP | 29 | 38 | 21 | 6 | 19 | 17 | 17 | 15 | 13 | 23 | 198 |
Streptococcus pneumoniae(PRSP/PISP以外) | 219 | 186 | 252 | 193 | 144 | 138 | 191 | 179 | 176 | 98 |
1776 |
Anaerobes | 3 | 1 | 2 | 3 | 4 | 7 | 1 | 1 | 4 | 13 | 39 |
Mycoplasma pneumoniae | | | | 2 | | 1 | 43 | 2 | 11 | 3 |
62 |
合計 | 2480 | 2433 | 2764 | 2659 | 2426 | 2285 | 2522 | 2489 | 2557 | 2144 | 24759 |
7 分離材料:尿
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
E.coli | 1326 | 1413 | 1536 | 1580 | 1814 | 2269 | 2608 | 2758 | 2959 | 3022 |
21285 |
Enterobacter spp. | 226 | 238 | 277 | 249 | 231 | 228 | 287 | 317 | 387 | 416 |
2856 |
Klebsiella pneumoniae | 255 | 244 | 320 | 287 | 296 | 321 | 418 | 455 | 473 | 478 |
3547 |
Acinetobacter spp. | 12 | 23 | 27 | 19 | 24 | 25 | 16 | 22 | 38 | 20 | 226 |
Pseudomonas aeruginosa | 243 | 197 | 239 | 268 | 213 | 229 | 305 | 300 | 352 | 356 |
2702 |
Sta.aureus(MRSA) | 141 | 125 | 117 | 81 | 88 | 76 | 73 | 76 | 75 | 55 | 907 |
Sta.aureus(MRSA以外) | 67 | 98 | 92 | 91 | 87 | 97 | 91 | 123 | 122 | 144 | 1012 |
Sta.(コアグラーゼ陰性) | 202 | 174 | 203 | 240 | 202 | 185 | 211 | 318 | 320 | 363 | 2418 |
Enterococcus spp. | 546 | 560 | 660 | 651 | 662 | 682 | 792 | 843 | 949 | 901 |
7246 |
Candida albicans | 133 | 114 | 151 | 148 | 139 | 145 | 191 | 184 | 239 | 238 |
1682 |
合計 | 3151 | 3186 | 3622 | 3614 | 3756 | 4257 | 4992 | 5396 | 5914 | 5993 | 43881 |
8 分離材料:陰部尿道頸管擦過(分泌)物
菌種・群・型 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 |
2017 | 2018 | 2019 | 2020 | 計 |
Sta.aureus(MRSA以外) | 1 | 2 | 1 | 3 | 2 | | | 1 | 1 | 1 | 12 |
Streptococcus A | 364 | 397 | 326 | 324 | 328 | 348 | 406 | 391 | 415 | 330 |
3629 |
Streptococcus B | 11 | 20 | 13 | 6 | 10 | 8 | 8 | 6 | 14 | 14 | 110 |
PRSP/PISP | | | | 3 | | 1 | | | | |
4 |
Streptococcus pneumoniae(PRSP/PISP以外) | 510 | 575 | 560 | 499 | 478 | 394 | 405 | 426 | 335 | 280 |
4462 |
Anaerobes | | | | 1 | | | | | 3 | |
4 |
合計 | 886 | 994 | 900 | 836 | 818 | 751 | 819 | 824 | 768 | 625 | 8221 |