Literature DB >> 7695322

In vivo correlates for Streptococcus pneumoniae penicillin resistance in acute otitis media.

P Gehanno1, G Lenoir, P Berche.   

Abstract

Eighty-four children suffering from acute otitis media caused by Streptococcus pneumoniae were treated prospectively with cefuroxime axetil suspension (30 mg/kg of body weight twice daily for 8 days). The high incidence of isolates with decreased susceptibilities to penicillin (42 of 84 isolates) allowed us to establish a relationship between clinical success and the penicillin MICs for pneumococcal isolates. It was found that cefuroxime axetil is clinically effective in the treatment of acute otitis media caused by penicillin-susceptible and penicillin-intermediate strains of S. pneumoniae. The results indicate that the risk of treatment failure with cefuroxime axetil was increased in children with otitis media caused by S. pneumoniae when the penicillin MIC were greater than or equal to 2 mg/liter.

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Year:  1995        PMID: 7695322      PMCID: PMC162525          DOI: 10.1128/AAC.39.1.271

Source DB:  PubMed          Journal:  Antimicrob Agents Chemother        ISSN: 0066-4804            Impact factor:   5.191


  7 in total

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3.  Therapy of acute otitis media: myringotomy, antibiotics, or neither? A double-blind study in children.

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4.  Comparison of cefuroxime axetil and amoxicillin-clavulanate suspensions in treatment of acute otitis media with effusion in children.

Authors:  S E McLinn; M Moskal; J Goldfarb; F Bodor; G Aronovitz; R Schwartz; P Self; M J Ossi
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5.  Screening for cephalosporin-resistant Streptococcus pneumoniae with the Kirby-Bauer disk susceptibility test.

Authors:  I R Friedland; S Shelton; G H McCracken
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6.  Risk factors and response to antibiotic therapy in adults with bacteremic pneumonia caused by penicillin-resistant pneumococci.

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Journal:  N Engl J Med       Date:  1987-07-02       Impact factor: 91.245

7.  Streptococcus pneumoniae resistant to penicillin and chloramphenicol.

Authors:  P C Appelbaum; A Bhamjee; J N Scragg; A F Hallett; A J Bowen; R C Cooper
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  7 in total
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Journal:  Antimicrob Agents Chemother       Date:  1999-01       Impact factor: 5.191

3.  In vivo efficacies of amoxicillin and cefuroxime against penicillin-resistant Streptococcus pneumoniae in a gerbil model of acute otitis media.

Authors:  C Cenjor; C Ponte; A Parra; E Nieto; G García-Calvo; M J Giménez; L Aguilar; F Soriano
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4.  Can the choice of antibiotics for therapy of acute otitis media be logical?

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6.  In vivo activities of amoxicillin and amoxicillin-clavulanate against Streptococcus pneumoniae: application to breakpoint determinations.

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7.  Mortality from invasive pneumococcal pneumonia in the era of antibiotic resistance, 1995-1997.

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Review 9.  New concepts in the pathophysiology and management of middle ear disease in childhood.

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10.  Discordant minimum inhibitory concentration analysis: a new path to licensure for anti-infective drugs.

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