Emerging resistance to antibiotics against respiratory bacteria: impact on therapy of community-acquired pneumonia in children

被引:17
作者
Esposito, S [1 ]
Principi, N [1 ]
机构
[1] Univ Milan, Dept Pediat 1, I-20122 Milan, Italy
关键词
resistance; antimicrobial therapy; respiratory bacteria; community-acquired pneumonia; children;
D O I
10.1016/S1368-7646(02)00018-3
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Perhaps because of its etiologic complexity, community-acquired pneumonia (CAP) in infants and children remains a significant problem worldwide. Over the last few years, difficulties related to CAP treatment in children have greatly increased because of the emergence of resistance to the most widely used antibiotics against some of the bacterial pathogens involved in the development of the disease. There are few data describing the impact of antibiotic resistance on clinical outcomes in CAP, but many experts believe that the clinical impact is limited. We here discuss the prevalence of different etiologic agents in CAP of children, the diagnostic criteria, problems related to antibiotic resistance, therapeutic strategies, and future implications. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:73 / 87
页数:15
相关论文
共 98 条
[1]   Pneumococcal macrolide resistance - myth or reality? [J].
Amsden, GW .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1999, 44 (01) :1-6
[2]  
ANDREOTTI D, 2000, CURR OPIN ANTIINFECT, V2, P133
[3]  
[Anonymous], 1981, B WORLD HEALTH ORGAN, V59, P707
[4]   HIGH SERUM PROCALCITONIN CONCENTRATIONS IN PATIENTS WITH SEPSIS AND INFECTION [J].
ASSICOT, M ;
GENDREL, D ;
CARSIN, H ;
RAYMOND, J ;
GUILBAUD, J ;
BOHUON, C .
LANCET, 1993, 341 (8844) :515-518
[5]   Occult pneumonias: Empiric chest radiographs in febrile children with leukocytosis [J].
Bachur, R ;
Perry, H ;
Harper, MB .
ANNALS OF EMERGENCY MEDICINE, 1999, 33 (02) :166-173
[6]  
Balfour JAB, 2001, DRUGS, V61, P815
[7]  
Baqui AH, 1998, B WORLD HEALTH ORGAN, V76, P161
[8]   Streptococcus pneumoniae in community-acquired pneumonia -: How important is drug resistance? [J].
Bauer, T ;
Ewig, S ;
Marcos, MA ;
Schultze-Werninghaus, G ;
Torres, A .
MEDICAL CLINICS OF NORTH AMERICA, 2001, 85 (06) :1367-+
[9]   Efficacy, safety and immunogenicity of heptavalent pneumococcal conjugate vaccine in children [J].
Black, S ;
Shinefield, H ;
Fireman, B ;
Lewis, E ;
Ray, P ;
Hansen, JR ;
Elvin, L ;
Ensor, KM ;
Hackell, J ;
Siber, G ;
Malinoski, F ;
Madore, D ;
Chang, I ;
Kohberger, R ;
Watson, W ;
Austrian, R ;
Edwards, K .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2000, 19 (03) :187-195
[10]   MYCOPLASMA-PNEUMONIAE AND CHLAMYDIA-PNEUMONIAE IN PEDIATRIC COMMUNITY-ACQUIRED PNEUMONIA - COMPARATIVE EFFICACY AND SAFETY OF CLARITHROMYCIN VS ERYTHROMYCIN ETHYLSUCCINATE [J].
BLOCK, S ;
HEDRICK, J ;
HAMMERSCHLAG, MR ;
CASSELL, GH ;
CRAFT, JC .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1995, 14 (06) :471-477