Treatment of Meningitis and Other Infections Due to Ampicillin-Resistant Haemophilus influenzae Type b in Children

Cefotaxime and other cephalosporins were retrospectively evaluated for the treatment of meningitis and non-central nervous system (CNS) infections due to ampicillin-resistant Haemophilus influenzae type b (Hib). Between January 1985 and February 1989, 45 cases of meningitis and 27 cases of non-CNS i...

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Veröffentlicht in:Reviews of infectious diseases 1991-03, Vol.13 (2), p.197-200
Hauptverfasser: Jesus G. Vallejo, Kaplan, Sheldon L., Edward O. Mason, Jr
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creator Jesus G. Vallejo
Kaplan, Sheldon L.
Edward O. Mason, Jr
description Cefotaxime and other cephalosporins were retrospectively evaluated for the treatment of meningitis and non-central nervous system (CNS) infections due to ampicillin-resistant Haemophilus influenzae type b (Hib). Between January 1985 and February 1989, 45 cases of meningitis and 27 cases of non-CNS infection due to ampicillin-resistant Hib were documented at Texas Children's Hospital in Houston. Of the 45 children with meningitis, 26 (57.8%) were treated with cefotaxime, 11 (24.4%) with chloramphenicol, and three (6.7%) with cefuroxime; five children (11.1%) were initially given chloramphenicol but later received cefotaxime instead. In addition, 14 chloramphenicol-treated patients from a previous study were included in this analysis. There were no significant differences in terms of neurologic sequelae or other complications (except diarrhea) between the cefotaxime and chloramphenicol groups. The efficacy of cefotaxime was equivalent to that of chloramphenicol for the treatment of ampicillin-resistant Hib meningitis. Cefuroxime was as safe and effective as chloramphenicol or cefotaxime for the treatment of non-CNS infections due to ampicillin-resistant Hib.
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There were no significant differences in terms of neurologic sequelae or other complications (except diarrhea) between the cefotaxime and chloramphenicol groups. The efficacy of cefotaxime was equivalent to that of chloramphenicol for the treatment of ampicillin-resistant Hib meningitis. Cefuroxime was as safe and effective as chloramphenicol or cefotaxime for the treatment of non-CNS infections due to ampicillin-resistant Hib.</description><identifier>ISSN: 0162-0886</identifier><identifier>PMID: 2041948</identifier><identifier>CODEN: RINDDG</identifier><language>eng</language><publisher>Chicago, IL: University of Chicago Press</publisher><subject>Ampicillin Resistance ; Antibacterial agents ; Antibiotics ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Arthritis, Infectious - drug therapy ; Bacterial meningitis ; Biological and medical sciences ; Cefotaxime - therapeutic use ; Cefuroxime - therapeutic use ; Cellulitis - drug therapy ; Child health services ; Children ; Chloramphenicol - therapeutic use ; Clinical Infectious Disease Articles ; Epiglottitis - drug therapy ; Fever ; Haemophilus Infections - drug therapy ; Haemophilus influenzae - drug effects ; Haemophilus influenzae type b ; Haemophilus meningitis ; Hearing Loss, Bilateral - etiology ; Hospital admissions ; Humans ; Infant ; Infections ; Medical sciences ; Meningitis ; Meningitis, Haemophilus - complications ; Meningitis, Haemophilus - drug therapy ; Pharmacology. 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Vallejo</creatorcontrib><creatorcontrib>Kaplan, Sheldon L.</creatorcontrib><creatorcontrib>Edward O. Mason, Jr</creatorcontrib><title>Treatment of Meningitis and Other Infections Due to Ampicillin-Resistant Haemophilus influenzae Type b in Children</title><title>Reviews of infectious diseases</title><addtitle>Rev Infect Dis</addtitle><description>Cefotaxime and other cephalosporins were retrospectively evaluated for the treatment of meningitis and non-central nervous system (CNS) infections due to ampicillin-resistant Haemophilus influenzae type b (Hib). Between January 1985 and February 1989, 45 cases of meningitis and 27 cases of non-CNS infection due to ampicillin-resistant Hib were documented at Texas Children's Hospital in Houston. Of the 45 children with meningitis, 26 (57.8%) were treated with cefotaxime, 11 (24.4%) with chloramphenicol, and three (6.7%) with cefuroxime; five children (11.1%) were initially given chloramphenicol but later received cefotaxime instead. 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Antiparasitic agents</subject><subject>Arthritis, Infectious - drug therapy</subject><subject>Bacterial meningitis</subject><subject>Biological and medical sciences</subject><subject>Cefotaxime - therapeutic use</subject><subject>Cefuroxime - therapeutic use</subject><subject>Cellulitis - drug therapy</subject><subject>Child health services</subject><subject>Children</subject><subject>Chloramphenicol - therapeutic use</subject><subject>Clinical Infectious Disease Articles</subject><subject>Epiglottitis - drug therapy</subject><subject>Fever</subject><subject>Haemophilus Infections - drug therapy</subject><subject>Haemophilus influenzae - drug effects</subject><subject>Haemophilus influenzae type b</subject><subject>Haemophilus meningitis</subject><subject>Hearing Loss, Bilateral - etiology</subject><subject>Hospital admissions</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Medical sciences</subject><subject>Meningitis</subject><subject>Meningitis, Haemophilus - complications</subject><subject>Meningitis, Haemophilus - drug therapy</subject><subject>Pharmacology. 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Antiparasitic agents</topic><topic>Arthritis, Infectious - drug therapy</topic><topic>Bacterial meningitis</topic><topic>Biological and medical sciences</topic><topic>Cefotaxime - therapeutic use</topic><topic>Cefuroxime - therapeutic use</topic><topic>Cellulitis - drug therapy</topic><topic>Child health services</topic><topic>Children</topic><topic>Chloramphenicol - therapeutic use</topic><topic>Clinical Infectious Disease Articles</topic><topic>Epiglottitis - drug therapy</topic><topic>Fever</topic><topic>Haemophilus Infections - drug therapy</topic><topic>Haemophilus influenzae - drug effects</topic><topic>Haemophilus influenzae type b</topic><topic>Haemophilus meningitis</topic><topic>Hearing Loss, Bilateral - etiology</topic><topic>Hospital admissions</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Medical sciences</topic><topic>Meningitis</topic><topic>Meningitis, Haemophilus - complications</topic><topic>Meningitis, Haemophilus - drug therapy</topic><topic>Pharmacology. 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source MEDLINE; Jstor Complete Legacy
subjects Ampicillin Resistance
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Arthritis, Infectious - drug therapy
Bacterial meningitis
Biological and medical sciences
Cefotaxime - therapeutic use
Cefuroxime - therapeutic use
Cellulitis - drug therapy
Child health services
Children
Chloramphenicol - therapeutic use
Clinical Infectious Disease Articles
Epiglottitis - drug therapy
Fever
Haemophilus Infections - drug therapy
Haemophilus influenzae - drug effects
Haemophilus influenzae type b
Haemophilus meningitis
Hearing Loss, Bilateral - etiology
Hospital admissions
Humans
Infant
Infections
Medical sciences
Meningitis
Meningitis, Haemophilus - complications
Meningitis, Haemophilus - drug therapy
Pharmacology. Drug treatments
Pneumonia - drug therapy
Retrospective Studies
Sepsis - drug therapy
Subdural Effusion - etiology
title Treatment of Meningitis and Other Infections Due to Ampicillin-Resistant Haemophilus influenzae Type b in Children
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