ANTIMICROBIAL RESISTANCE OF STREPTOCOCCUS PNEUMONIAE ISOLATED FROM CSF AND
SPUTUM IN PATIENTS WITH MENINGITIS AND PNEUMONIA

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ZARGARIZADEH A.; SHIRAZIAN J.; ZAHRABI A.

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Paper Information

Journal: Researcher Bulletin of Medical Sciences Year:2004 | Volume:9 | Issue:1 (37) Page(s): 29-34

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Title

ANTIMICROBIAL RESISTANCE OF STREPTOCOCCUS PNEUMONIAE ISOLATED FROM CSF AND SPUTUM IN PATIENTS WITH MENINGITIS AND PNEUMONIA

Author(s)

ZARGARIZADEH A. | SHIRAZIAN J. | ZAHRABI A. | Issue Writer Certificate

Keywords

STREPTOCOCCOUS PNEUMONIAQ3

ANTIBIOTIC RESISTANCEQ2

Abstract

Background: The rate of morbidity and mortality of pneumoncoccal infections especially bacteremia and meningitis is quite noticeable in case of remained untreated. The betalactam antibiotics are the drugs of choice to treat pneumococcal infections, however, recently emergence of beta lac tam resistant pneumococci, has necessitated more studies and development of proper strategies for treatment of such infections. In the present study, the susceptibility pattern of isolated pneumococci from hospitalized patients with meningitis and pneumonia was studied.Materials and methods: It was a descriptive study. Having completed direct microscopic exam and culture, 50 strains of pneumococci from patients hospitalized in Pediatric Center, Loghman, Jam and Al-Qadir hospitals were isolated, then, susceptibility of isolates against penicillin, chloramphenicol, erythromycin, tetracycline, rifampin, vancomycin, ofloxacin, clindamycin, trimethoprim-sulfametoxazole, cefotaxime and ceftriaxone was determined by disk diffusion method and macro tube broth dilution method, based on the NCCLS recommendations.Results: Totally, resistance of 50 isolates was as follows: trimethoprim-sulfamethoxazole 65%, penicillin 44%, erythromycin 26%, tetracycline 20%, chloramphenicol 16%, clindamycin 12%, cefotaxime 8%, ofloxacin 8%, ceftriaxone 6%, rifampin 2% and vancomycin 0%. In this study, pneumococcal strains showed no resistance against vancomycin. Strains have shown to be sensitive to vancomycin, rifampin, cefteriaxone, ofloxacin, and cefotaxime.Conclusion: It is highly recommended to prescribe a combination of vancomycin and ceftriaxone or cefotaxime to treat penicillin-resistant strains (pneumococcal meningitis).

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APA: Copy

ZARGARIZADEH, A., SHIRAZIAN, J., & ZAHRABI, A.. (2004). ANTIMICROBIAL RESISTANCE OF STREPTOCOCCUS PNEUMONIAE ISOLATED FROM CSF AND SPUTUM IN PATIENTS WITH MENINGITIS AND PNEUMONIA. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), 9(1 (37)), 29-34. SID. https://sid.ir/paper/18632/en

Vancouver: Copy

ZARGARIZADEH A., SHIRAZIAN J., ZAHRABI A.. ANTIMICROBIAL RESISTANCE OF STREPTOCOCCUS PNEUMONIAE ISOLATED FROM CSF AND SPUTUM IN PATIENTS WITH MENINGITIS AND PNEUMONIA. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)[Internet]. 2004;9(1 (37)):29-34. Available from: https://sid.ir/paper/18632/en

IEEE: Copy

A. ZARGARIZADEH, J. SHIRAZIAN, and A. ZAHRABI, “ANTIMICROBIAL RESISTANCE OF STREPTOCOCCUS PNEUMONIAE ISOLATED FROM CSF AND SPUTUM IN PATIENTS WITH MENINGITIS AND PNEUMONIA,” RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), vol. 9, no. 1 (37), pp. 29–34, 2004, [Online]. Available: https://sid.ir/paper/18632/en

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