FAILURE OF CEFOTAXIME TREATMENT IN 2 CHILDREN WITH MENINGITIS CAUSED BY HIGHLY PENICILLIN-RESISTANT STREPTOCOCCUS-PNEUMONIAE

被引:15
作者
GUIBERT, M
CHAHIME, H
PETIT, J
ODIEVRE, M
LABRUNE, P
机构
[1] HOP ANTOINE BECLERE,SERV PEDIAT,F-92141 CLAMART,FRANCE
[2] HOP ANTOINE BECLERE,MICROBIOL LAB,F-92141 CLAMART,FRANCE
[3] HOP MARIE LANNELONGUE,F-92350 LE PLESSIS ROBINS,FRANCE
关键词
ANTIBIOTICS; MENINGITIS; STREPTOCOCCUS PNEUMONIAE;
D O I
10.1111/j.1651-2227.1995.tb13771.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Two infants, aged 8.5 and 11 months, were admitted for meningitis caused by Streptococcus pneumoniae. Failure of cefotaxime led to the identification of highly penicillin-G-resistant strains. Minimum inhibitory concentrations (MICs) for penicillin were > 2 mu g/ml, and cefotaxime MICs were 2 mu g/ml. Both patients rapidly responded to a combination of iv imipenem and rifampicin. It is now mandatory to test in-vitro susceptibilities of Streptococcus pneumoniae to penicillin G and other beta-lactam agents when meningitis is diagnosed in infants.
引用
收藏
页码:831 / 833
页数:3
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