Clinical Study on Penicillin Insusceptible/Resistant Streptococcus pneumoniae in the Elderly Patients
| Autor: | Takahira K, Kataoka H, Ishihama Y, Fukayama M, Hatakeya T, Yoshishige Masuda, Inamatsu T |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Penicillin Resistance Antibiotics Bacteremia medicine.disease_cause Internal medicine Streptococcus pneumoniae medicine Humans Respiratory Tract Infections Aged Aged 80 and over Cephem business.industry Streptococcus Respiratory infection General Medicine Middle Aged Pneumonia Pneumococcal medicine.disease Penicillin Pneumonia Female business medicine.drug |
| Zdroj: | Journal of the Japanese Association for Infectious Diseases. 71:313-317 |
| ISSN: | 1884-569X 0387-5911 |
| DOI: | 10.11150/kansenshogakuzasshi1970.71.313 |
| Popis: | Clinical features of respiratory infection in the elderly with penicillin insusceptible (31 cases) and resistant (7 cases) Streptococcus pneumonia (PSSP/PRSP) are compared to those with penicillin sensitive S. pneumoniae (PSSP) (29 cases). Incidence of bacteremia and pneumonia was higher in the PSSP group. PISP/PRSP tend to be isolated from patients with bronchitis underlaid with chronic pulmonary disease without statistic significance. Efficacy of the penicillins and 1st and 2nd generation cephem was satisfactory except in only one case of pneumonia with PISP which needed an alternative choice to the 3rd generation cephem. Now a day the degree of resistance is not so high and the available antibiotics are sufficient for the treatment of pneumococcal infection in the elderly patients. However, the wide use of oral cephems and certain new quinolones which do not have enough activity against Streptococcus pneumoniae may increase resistance. In which case, continuous surveillance and clinical caution against this resistant strain is necessary. |
| Databáze: | OpenAIRE |
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