A Ferwerda1, H A Moll, R de Groot. 1. Department of Paediatrics, Sophia Children's Hospital, Rotterdam, The Netherlands.
Abstract
UNLABELLED: This review discusses the current knowledge on laboratory tests and treatment of respiratory tract infections caused by Mycoplasma pneumoniae (MP) in children. MP infection is endemic in most areas of the world. The highest incidence is seen in children aged between 3 and 14 years. Most infections are mild and non-pneumonic. Parapneumonic complications of MP pneumonia are rare. Complications are described affecting the skin, central nervous system, kidneys, heart, muscles and the eyes. To diagnose an acute MP infection in children, a combination of PCR and IgM serology is sensitive and convenient. In both tests it is possible to obtain a result in 1 to 2 days. As a consequence, adequate antibiotic treatment can be prescribed to the child. Macrolides are the first choice in treatment of MP infection in children. CONCLUSION: The most sensitive and rapid test to diagnose a Mycoplasma pneumoniae infection in children is a combination of nasopharyngeal polymerase chain reaction and IgM enzyme immunoassay. The treatment of choice in children is a macrolide.
UNLABELLED: This review discusses the current knowledge on laboratory tests and treatment of respiratory tract infections caused by Mycoplasma pneumoniae (MP) in children. MP infection is endemic in most areas of the world. The highest incidence is seen in children aged between 3 and 14 years. Most infections are mild and non-pneumonic. Parapneumonic complications of MP pneumonia are rare. Complications are described affecting the skin, central nervous system, kidneys, heart, muscles and the eyes. To diagnose an acute MP infection in children, a combination of PCR and IgM serology is sensitive and convenient. In both tests it is possible to obtain a result in 1 to 2 days. As a consequence, adequate antibiotic treatment can be prescribed to the child. Macrolides are the first choice in treatment of MP infection in children. CONCLUSION: The most sensitive and rapid test to diagnose a Mycoplasma pneumoniae infection in children is a combination of nasopharyngeal polymerase chain reaction and IgM enzyme immunoassay. The treatment of choice in children is a macrolide.
Authors: Ian C Michelow; Kurt Olsen; Juanita Lozano; Lynn B Duffy; George H McCracken; R Doug Hardy Journal: J Clin Microbiol Date: 2004-07 Impact factor: 5.948
Authors: M Khanna; J Fan; K Pehler-Harrington; C Waters; P Douglass; J Stallock; S Kehl; K J Henrickson Journal: J Clin Microbiol Date: 2005-02 Impact factor: 5.948
Authors: V J Chalker; T Stocki; M Mentasti; D Fleming; C Sadler; J Ellis; A Bermingham; T G Harrison Journal: Eur J Clin Microbiol Infect Dis Date: 2011-02-12 Impact factor: 3.267
Authors: Tim Lynch; Liza Bialy; James D Kellner; Martin H Osmond; Terry P Klassen; Tamara Durec; Robin Leicht; David W Johnson Journal: PLoS One Date: 2010-08-06 Impact factor: 3.240