IN-VIVO CORRELATES FOR STREPTOCOCCUS-PNEUMONIAE PENICILLIN RESISTANCE IN ACUTE OTITIS-MEDIA

被引:79
作者
GEHANNO, P
LENOIR, G
BERCHE, P
机构
[1] HOP NECKER ENFANTS MALAD,MICROBIOL LAB,F-75015 PARIS,FRANCE
[2] HOP NECKER ENFANTS MALAD,DEPT PEDIAT,F-75015 PARIS,FRANCE
[3] HOP BICHAT CLAUDE BERNARD,SERV ORL,PARIS,FRANCE
关键词
D O I
10.1128/AAC.39.1.271
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Eighty-four children suffering from acute otitis media caused by Streptococcus pneumoniae mere treated prospectively with cefuroxime axetil suspension (30 mg/kg of body weight twice daily for 8 days). The high incidence of isolates with decreased susceptibilities to penicillin (42 of 84 isolates) allowed us to establish a relationship between clinical success and the penicillin MICs for pneumococcal isolates. It was found that cefuroxime axetil is clinically effective in the treatment of acute otitis media caused by penicillin-susceptible and penicillin-intermediate strains of S. pneumoniae. The results indicate that the risk of treatment failure with cefuroxime axetil was increased in children with otitis media caused by S. pneumoniae when the penicillin MIC were greater than or equal to 2 mg/liter.
引用
收藏
页码:271 / 272
页数:2
相关论文
共 9 条
[1]  
APPELBAUM PC, 1977, LANCET, V2, P995
[2]   ANTIMICROBIAL RESISTANCE IN STREPTOCOCCUS-PNEUMONIAE - AN OVERVIEW [J].
APPELBAUM, PC .
CLINICAL INFECTIOUS DISEASES, 1992, 15 (01) :77-83
[3]  
BERCHE P, 1994, ACTUALITES STREPTOCO, P26
[4]  
FREIDLAND TR, 1993, J CLIN MICROBIOL, V31, P1619
[5]  
HOWIE VM, 1992, CLIN INFECT DIS, V14, P209
[6]   TREATMENT AND DIAGNOSIS OF INFECTIONS CAUSED BY DRUG-RESISTANT STREPTOCOCCUS-PNEUMONIAE [J].
JACOBS, MR .
CLINICAL INFECTIOUS DISEASES, 1992, 15 (01) :119-127
[7]   COMPARISON OF CEFUROXIME AXETIL AND AMOXICILLIN-CLAVULANATE SUSPENSIONS IN TREATMENT OF ACUTE OTITIS-MEDIA WITH EFFUSION IN CHILDREN [J].
MCLINN, SE ;
MOSKAL, M ;
GOLDFARB, J ;
BODOR, F ;
ARONOVITZ, G ;
SCHWARTZ, R ;
SELF, P ;
OSSI, MJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1994, 38 (02) :315-318
[8]   RISK-FACTORS AND RESPONSE TO ANTIBIOTIC-THERAPY IN ADULTS WITH BACTEREMIC PNEUMONIA CAUSED BY PENICILLIN-RESISTANT PNEUMOCOCCI [J].
PALLARES, R ;
GUDIOL, F ;
LINARES, J ;
ARIZA, J ;
RUFI, G ;
MURGUI, L ;
DORCA, J ;
VILADRICH, PF .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (01) :18-22
[9]  
VANBUCHEM FL, 1981, LANCET, V2, P883