Resistencia de streptococcus pneumoniae a penicilina y su asociación con factores clínicos y epidemiológicos / Resistance of streptococcus pneumoniae to penicillin: clinical and epidemiological aspects
Rev. méd. Chile
; 130(1): 26-34, ene. 2002. tab, graf
Article
en Es
| LILACS
| ID: lil-310249
Biblioteca responsable:
CL1.1
RESUMO
Background:
Penicillin and third generation cephalosporin resistant pneumococcal isolates have emerged in Chile, mainly in the pediatric population. These isolates complicate therapeutic alternatives, specially among patients with central nervous system infections.Aim:
To assess the frequency of penicillin and third generation cephalosporin resistance among isolates obtained from pediatric patients with invasive pneumococcal infections, and to study serotypes and clinical risk factors associated with resistance. Material andmethods:
Microbiological isolates obtained from children between April 1994 and May 1999 with pneumococcal invasive infections, were serotyped and analyzed according to their susceptibility to penicillin and cefotaxime by E-test and broth microdilution testing. Potential risk factors studied included patient's age, previous antibiotic use or admissions, comorbidity, and serotypes.Results:
Seventy eight patients were studied. Penicillin-resistant pneumococcal isolates were detected in 35.9 percent of cases (21.8 percent with intermediate and 14.1 percent with high level resistance) without significant variation among different clinical conditions. Most of the high level penicillin-resistant pneumoccocal isolates had MIC ü4 µg/mL (8 out of 11 strains). One third of penicillin-resistant isolates also expressed cefotaxime resistance. Multivariate analysis indicated an age ²36 months (OR=6.8; IC 95 percent 1.4 to 33.5) and serotype 14 (OR=6.3; IC 95 percent 1.7 to 23.3) as factors associated with penicillin resistance.Conclusions:
One third of the invasive pneumococcal isolates obtained from pediatric patients were resistant to penicillin. Risk factors involved a younger age and pneumococcal isolates belonging to serotype 14
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Streptococcus pneumoniae
/
Resistencia a las Penicilinas
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2002
Tipo del documento:
Article
País de afiliación:
Chile
Pais de publicación:
Chile