In vitro antibiotic sensitivity pattern of common bacterial isolates from cases of acute bacterial meningitis with special reference to ceftriaxone

Ceftriaxone (RO 13-9904) has only recently been introduced in Benghazi and many parts of the word. We determined its in-vitro antibacterial activity against the primary aetiological agents of childhood meningitis in Benghazi, that included eighteen (23.3%) strains of H. influenzae, 17 (22.1%) of Str...

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Veröffentlicht in:Indian journal of pediatrics 1997-11, Vol.64 (6), p.849-854
Hauptverfasser: BANDARU NARASINGA RAO, IBRAHIM MAHDI KASHBUR, EL SHEMBESH, N. M, SULIMAN MOHAMED BARGATHY
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container_end_page 854
container_issue 6
container_start_page 849
container_title Indian journal of pediatrics
container_volume 64
creator BANDARU NARASINGA RAO
IBRAHIM MAHDI KASHBUR
EL SHEMBESH, N. M
SULIMAN MOHAMED BARGATHY
description Ceftriaxone (RO 13-9904) has only recently been introduced in Benghazi and many parts of the word. We determined its in-vitro antibacterial activity against the primary aetiological agents of childhood meningitis in Benghazi, that included eighteen (23.3%) strains of H. influenzae, 17 (22.1%) of Str. pneumoniae and 1 (1.3%) of N. meningitidis isolated from 77 cases of acute purulent meningitis above the age of neonatal period. All strains of H. influenzae. Str. pneumoniae and N. meningitidis were sensitive to ceftriaxone and showed wide zones of inhibition by the disc diffusion technique of Kirby-Bauer. Ampicillin and chloramphenicol resistance was observed for H. influenzae (23% and 11% respectively), and Str. pneumoniae (12% and 0% respectively), in addition, 18% of strains of Str. pneumoniae showed resistance to penicillin. The broad spectrum activity of ceftriaxone has been confirmed for our locality and this finding, together with its exceptionally long half-life, excellent penetration into the C.S.F. and ease of administration (single daily dose) warrants it as the drug of choice in empherical treatment of cases of acute bacterial meningitis in children in Benghazi and in cases where resistance to ampicillin and chloramphenicol are found on subsequent testing.
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subjects Acute Disease
Anti-Bacterial Agents - pharmacology
Bacterial diseases
Bacterial diseases of the nervous system. Bacterial myositis
Biological and medical sciences
Ceftriaxone - pharmacology
Cephalosporins - pharmacology
Child
Child, Preschool
Female
Gram-Negative Bacteria - drug effects
Gram-Negative Bacteria - isolation & purification
Gram-Positive Bacteria - drug effects
Gram-Positive Bacteria - isolation & purification
Human bacterial diseases
Humans
Infant
Infectious diseases
Libya
Male
Medical sciences
Meningitis, Bacterial - drug therapy
Meningitis, Bacterial - microbiology
Microbial Sensitivity Tests
Sensitivity and Specificity
Tropical medicine
title In vitro antibiotic sensitivity pattern of common bacterial isolates from cases of acute bacterial meningitis with special reference to ceftriaxone
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