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相關文獻
- Penicillin-Nonsusceptible Streptococcus Pneumoniae Infections in Children
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題 名 | Penicillin-Nonsusceptible Streptococcus Pneumoniae Infections in Children=兒童之盤尼西林抗藥性肺炎雙球菌感染 |
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作 者 | 呂俊毅; 李秉穎; 薛博仁; 張上淳; 邱婷芳; 林曉娟; 李慶雲; 黃立民; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:3 1999.09[民88.09] |
頁 次 | 頁179-186 |
分類號 | 417.5351 |
關鍵詞 | 盤尼西林; 抗藥性; 肺炎雙球菌; Penicillin; Streptococcus pneumoniae; Antibiotic resistance; |
語 文 | 英文(English) |
中文摘要 | 近年來,盤尼西林抗藥性肺炎雙球菌的逐年增加,為治療兒童常見感染帶來新的 挑戰。本研究的目地在於分析本地一醫學中心,於 1993 年 1 月到 1998 年 7 月之間,由 小於 17 歲之病患身上所培養出之肺炎雙球菌,其中具盤尼西林抗藥性之菌株所佔有的比率 ;同時,探討這些病人的臨床特徵。研究結果發現:盤尼西林抗藥性肺炎雙球菌的比率非常 高( 65.3 %),而且逐年增加中, 1993 年為 27.3 %( 3 ╱ 11 ), 1994 年為 37.5 %( 9 ╱ 24 ), 1995 年為 55.5 %( 10 ╱ 18 ), 1996 年為 77.5 %( 31 ╱ 40 ), 1997 年為 66.0 %( 31 ╱ 47 ),1998 年至 7 月止為 87.1 %( 27 ╱ 31 )。 這些菌株的來源包括了 56 個鼻竇炎(含 4 個鼻竇炎合併菌血症), 44 個肺炎(其中 23 個肺炎合併菌血症或膿胸),23 個中耳炎(含 5 個中耳炎合併菌血症),9 個單純菌血症 ,9 個結膜炎,8 個腦膜炎,4 個腹膜炎,以及 3 個皮膚的感染。 最後還有 14 個菌株是 移生( colonization )。此外,抗生素的使用為得到盤尼西林抗藥性肺炎雙球菌感染的危 險因子。本研究中,大部份病人對藥物治療的反應相當不錯。不過,由於本地盤尼西林抗藥 性肺炎雙球菌的盛行率極高,肺炎雙球菌腦膜炎的經驗療法將不能再單獨依賴盤尼西林或第 三代頭胞菌素( cephalosporins )。而必須使用萬古黴素( vancomycin )。肺炎及菌血 症方面,若肺炎雙球菌屬於盤尼西林中度抗藥性,則高劑量盤尼西林或頭胞菌素之療效仍可 靠。但對於盤尼西林高度抗藥性肺炎雙球菌感染、病患具有免疫缺陷、或症狀極度嚴重病患 仍應考慮使用萬古黴素。 |
英文摘要 | The emergence of penicillin-nonsusceptible Streptococcus pneumoniae (PNSSP) has brought a new clinical challenge. In Taiwan, reports of the prevalence and clinical features of PNSSP infections in children are limited. This study reviewed the resistance patterns of all clinical isolates of S. pneumoniae obtained from patients under 17 years of age from January 1993 through July 1998 in a medical center. Their clinical features and treatment responses were analyzed, with special attention paid to those patients with invasive PNSSP infections. Totally, 170 clinical isolates of S. pneumoniae were obtained from 168 patients aged under 17 years. Among those infections, there were 56 sinusitis (including 4 sinusitis with bacteremia), 44 pneumonia (including 23 pneumonia with bacteremia or empyema), 23 otitis media (including 5 otitis media with bacteremia), 9 simple bacteremia, 9 conjunctivitis, 8 meningitis, 4 peritonitis, 3 skin infections and the other 14 isolates were colonization. One hundred eleven isolates (65.3%) showed reduced penicillin susceptibility by the disk diffusion method. A trend of increasing percentiles of PRSP was noted: 27.3% (3/11) in 1993, 37.5% (9/24) in 1994, 55.5% (10/18) in 1995, 77.5% (31/40) in 1996, 66.0% (31/47) in 1997, and 87.1% (27/31) in 1998. Minimum inhibitory concentration (MIC) determinations by the E-test showed some of the isolates were intermediately resistant. Prior antibiotic usage was associated with a higher incidence of PNSSP infections. However, most children responded well to antimicrobial treatment. |
本系統中英文摘要資訊取自各篇刊載內容。