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Culturing and Maintaining Clostridium difficile in an Anaerobic Environment
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[Clostridium spp. isolated from surgical specimens].

Nagao Shinagawa1, Jiro Yura, Hiromitsu Takeyama

  • 1Department of Surgery, NTT West Tokai Hospital.

The Japanese Journal of Antibiotics
|September 18, 2007
PubMed
Summary

Clostridium species are infrequently isolated from surgical abdominal infections but often occur with other bacteria. While Clostridium perfringens remains sensitive to common antibiotics, other Clostridium species show emerging resistance.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Medicine

Context:

  • Clostridium species are anaerobic bacteria that can cause serious infections.
  • Surgical site infections, particularly abdominal infections, are a significant concern in healthcare settings.
  • Understanding the prevalence and antimicrobial susceptibility of Clostridium spp. is crucial for effective treatment.

Purpose:

  • To determine the isolation rate of Clostridium species from surgical abdominal infection specimens over a 24-year period.
  • To analyze the types of surgical infections associated with Clostridium spp. isolation.
  • To evaluate the antimicrobial susceptibility patterns of isolated Clostridium species.

Summary:

  • Clostridium species were isolated from 1.8% of 3,644 surgical abdominal infection specimens over 24 years.
  • Most frequent sources were secondary peritonitis and hepato-biliary tract infections.
  • Mixed infections were common (90.8%), frequently involving Bacteroides spp. and Escherichia coli. Clostridium perfringens showed high sensitivity to penicillins, cephems, and carbapenems, but other Clostridium species exhibited resistance to cephems, erythromycin, clindamycin, and fosfomycin.

Impact:

  • Highlights the importance of considering Clostridium species in polymicrobial abdominal infections.
  • Identifies potential emerging antibiotic resistance in Clostridium species beyond C. perfringens.
  • Informs empirical antibiotic selection and treatment strategies for surgical abdominal infections.