Rapid increase of pneumococcal resistance to beta-lactam and other antibiotics in isolates from the respiratory tract (Nagasaki, Japan: 1975-1994)

被引:13
作者
Rikitomi, N [1 ]
Sow, PS [1 ]
Watanabe, K [1 ]
Nunez, DS [1 ]
Martinez, G [1 ]
Nagatake, T [1 ]
机构
[1] FANN HOSP,DEPT INFECT DIS,DAKAR,SENEGAL
关键词
Streptococcus pneumoniae; penicillin-resistant pneumococcus; multiply resistant pneumococcus; respiratory infection;
D O I
10.1111/j.1348-0421.1996.tb01158.x
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The susceptibility of 101 pneumococcal isolates from the respiratory tract during 1991-1994 was examined and compared with the susceptibility of isolates over the period of 1975-1990, A rapid increase of resistance was seen not only to penicillin but also other antimicrobial agents. During 1991-1994, 38% of all the isolates were resistant to penicillin. The rates of resistance during this period were 16-23% for three newer cephalosporins, 18% for imipenem, 69% for tetracycline, 31% for erythromycin, 20% for chloramphenicol and 9% for clindamycin. The use of antibiotics within one month prior to pneumococcal isolation was correlated with penicillin resistance (P < 0.05). Serotyping of the isolates by antiserum revealed differences in predominant types between penicillin-resistant (19F, 23F, 4) and -susceptible isolates (15, 4, 11A). Our data suggests that anti-pneumococcal antibiotics should be carefully chosen on the basis of susceptibility tests.
引用
收藏
页码:899 / 905
页数:7
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