Invasive pneumococcal infection and drug-resistant Streptococcus pneumoniae in thai children
Sixty-eight children with systemic Streptococcus pneumoniae infection were identified by hospital chart review between 1986-1997. The age distribution varied from 2 days to 15 years, with a mean age of 3.3 years. There were 35 boys and 33 girls. Four clinical entities included 30 cases of meningitis...
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| Veröffentlicht in: | Journal of the Medical Association of Thailand 2001-09, Vol.84 (9), p.1246-1250 |
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| container_title | Journal of the Medical Association of Thailand |
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| creator | PANCHAROEN, Chitsanu REINPRAYOON, Somjai CHONGTHALEONG, Anan THISYAKORN, Usa |
| description | Sixty-eight children with systemic Streptococcus pneumoniae infection were identified by hospital chart review between 1986-1997. The age distribution varied from 2 days to 15 years, with a mean age of 3.3 years. There were 35 boys and 33 girls. Four clinical entities included 30 cases of meningitis, 20 cases of pneumonia, 10 cases of peritonitis and 8 cases of septicemia/bacteremia. Forty patients (58.8%) had underlying diseases. Seventeen patients (25.0%) developed early complications and the mortality rate was 8.8 per cent. The percentage of susceptible isolates to penicillin, chloramphenicol, cefotaxime/ceftriaxone, ciprofloxacin, imipenem and vancomycin were 69.6, 91.3, 100.0, 87.2, 100.0 and 97.1 per cent, respectively. There were six cases of drug-resistant S. pneumoniae (DRSP) infection; 3 cases of meningitis, one case of pneumonia, one case of infective endocarditis and one case of purpura fulminans. Our data indicate that S. pneumoniae infection is relatively serious and life-threatening. There is a trend of increasing prevalence of invasive pneumococcal and DRSP infections. |
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The age distribution varied from 2 days to 15 years, with a mean age of 3.3 years. There were 35 boys and 33 girls. Four clinical entities included 30 cases of meningitis, 20 cases of pneumonia, 10 cases of peritonitis and 8 cases of septicemia/bacteremia. Forty patients (58.8%) had underlying diseases. Seventeen patients (25.0%) developed early complications and the mortality rate was 8.8 per cent. The percentage of susceptible isolates to penicillin, chloramphenicol, cefotaxime/ceftriaxone, ciprofloxacin, imipenem and vancomycin were 69.6, 91.3, 100.0, 87.2, 100.0 and 97.1 per cent, respectively. There were six cases of drug-resistant S. pneumoniae (DRSP) infection; 3 cases of meningitis, one case of pneumonia, one case of infective endocarditis and one case of purpura fulminans. Our data indicate that S. pneumoniae infection is relatively serious and life-threatening. 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The age distribution varied from 2 days to 15 years, with a mean age of 3.3 years. There were 35 boys and 33 girls. Four clinical entities included 30 cases of meningitis, 20 cases of pneumonia, 10 cases of peritonitis and 8 cases of septicemia/bacteremia. Forty patients (58.8%) had underlying diseases. Seventeen patients (25.0%) developed early complications and the mortality rate was 8.8 per cent. The percentage of susceptible isolates to penicillin, chloramphenicol, cefotaxime/ceftriaxone, ciprofloxacin, imipenem and vancomycin were 69.6, 91.3, 100.0, 87.2, 100.0 and 97.1 per cent, respectively. There were six cases of drug-resistant S. pneumoniae (DRSP) infection; 3 cases of meningitis, one case of pneumonia, one case of infective endocarditis and one case of purpura fulminans. Our data indicate that S. pneumoniae infection is relatively serious and life-threatening. There is a trend of increasing prevalence of invasive pneumococcal and DRSP infections.</description><subject>Adolescent</subject><subject>Anti-Bacterial Agents - adverse effects</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Bacteremia - diagnosis</subject><subject>Bacteremia - drug therapy</subject><subject>Bacteremia - epidemiology</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Resistance, Bacterial</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbial Sensitivity Tests</subject><subject>Pneumococcal Infections - diagnosis</subject><subject>Pneumococcal Infections - drug therapy</subject><subject>Pneumococcal Infections - epidemiology</subject><subject>Pneumonia, Pneumococcal - diagnosis</subject><subject>Pneumonia, Pneumococcal - drug therapy</subject><subject>Pneumonia, Pneumococcal - epidemiology</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Streptococcus pneumoniae - drug effects</subject><subject>Streptococcus pneumoniae - isolation & purification</subject><subject>Thailand - epidemiology</subject><issn>0125-2208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFj81KxDAURrNQnHH0FSQbl4UkTdtkKYM_AwMu1J0w3CS3TqRNS5IO-PYWrbj6Nud8cM7ImnFRFUIwtSKXKX0yJitdlxdkxbliTOh6Td534QTJn5COAad-sIO10FEfWrTZD4FCcNTF6aOImHzKEDJ9yRHH_INOafGCB5wtmo_gqT36zkUMV-S8hS7h9bIb8vZw_7p9KvbPj7vt3b4YeSVyIbjWCkTpGsMFGuMcSGZc26CGRtUCUaFV0mnuWmmNreYMw0tltNVKMig35Ob3d5xMj-4wRt9D_Dr8Zc7A7QJAmvPaCMH69M_JSlSaN-U3hItdLQ</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>PANCHAROEN, Chitsanu</creator><creator>REINPRAYOON, Somjai</creator><creator>CHONGTHALEONG, Anan</creator><creator>THISYAKORN, Usa</creator><general>Medical Association of Thailand</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>200109</creationdate><title>Invasive pneumococcal infection and drug-resistant Streptococcus pneumoniae in thai children</title><author>PANCHAROEN, Chitsanu ; REINPRAYOON, Somjai ; CHONGTHALEONG, Anan ; THISYAKORN, Usa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p152t-21998a23d7b12ebbdda40bdf7e9a7862ee8ec84d91df4cbc5459b138b9c9840a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Anti-Bacterial Agents - adverse effects</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteremia - drug therapy</topic><topic>Bacteremia - epidemiology</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Drug Resistance, Bacterial</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbial Sensitivity Tests</topic><topic>Pneumococcal Infections - diagnosis</topic><topic>Pneumococcal Infections - drug therapy</topic><topic>Pneumococcal Infections - epidemiology</topic><topic>Pneumonia, Pneumococcal - diagnosis</topic><topic>Pneumonia, Pneumococcal - drug therapy</topic><topic>Pneumonia, Pneumococcal - epidemiology</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Streptococcus pneumoniae - drug effects</topic><topic>Streptococcus pneumoniae - isolation & purification</topic><topic>Thailand - epidemiology</topic><toplevel>online_resources</toplevel><creatorcontrib>PANCHAROEN, Chitsanu</creatorcontrib><creatorcontrib>REINPRAYOON, Somjai</creatorcontrib><creatorcontrib>CHONGTHALEONG, Anan</creatorcontrib><creatorcontrib>THISYAKORN, Usa</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Journal of the Medical Association of Thailand</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PANCHAROEN, Chitsanu</au><au>REINPRAYOON, Somjai</au><au>CHONGTHALEONG, Anan</au><au>THISYAKORN, Usa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Invasive pneumococcal infection and drug-resistant Streptococcus pneumoniae in thai children</atitle><jtitle>Journal of the Medical Association of Thailand</jtitle><addtitle>J Med Assoc Thai</addtitle><date>2001-09</date><risdate>2001</risdate><volume>84</volume><issue>9</issue><spage>1246</spage><epage>1250</epage><pages>1246-1250</pages><issn>0125-2208</issn><coden>JMTHBU</coden><abstract>Sixty-eight children with systemic Streptococcus pneumoniae infection were identified by hospital chart review between 1986-1997. The age distribution varied from 2 days to 15 years, with a mean age of 3.3 years. There were 35 boys and 33 girls. Four clinical entities included 30 cases of meningitis, 20 cases of pneumonia, 10 cases of peritonitis and 8 cases of septicemia/bacteremia. Forty patients (58.8%) had underlying diseases. Seventeen patients (25.0%) developed early complications and the mortality rate was 8.8 per cent. The percentage of susceptible isolates to penicillin, chloramphenicol, cefotaxime/ceftriaxone, ciprofloxacin, imipenem and vancomycin were 69.6, 91.3, 100.0, 87.2, 100.0 and 97.1 per cent, respectively. There were six cases of drug-resistant S. pneumoniae (DRSP) infection; 3 cases of meningitis, one case of pneumonia, one case of infective endocarditis and one case of purpura fulminans. Our data indicate that S. pneumoniae infection is relatively serious and life-threatening. There is a trend of increasing prevalence of invasive pneumococcal and DRSP infections.</abstract><cop>Bangkok</cop><pub>Medical Association of Thailand</pub><pmid>11800296</pmid><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Anti-Bacterial Agents - adverse effects Anti-Bacterial Agents - pharmacology Bacteremia - diagnosis Bacteremia - drug therapy Bacteremia - epidemiology Bacterial diseases Biological and medical sciences Child Child, Preschool Drug Resistance, Bacterial Female Human bacterial diseases Humans Incidence Infant Infant, Newborn Infectious diseases Male Medical sciences Microbial Sensitivity Tests Pneumococcal Infections - diagnosis Pneumococcal Infections - drug therapy Pneumococcal Infections - epidemiology Pneumonia, Pneumococcal - diagnosis Pneumonia, Pneumococcal - drug therapy Pneumonia, Pneumococcal - epidemiology Registries Retrospective Studies Risk Factors Severity of Illness Index Staphylococcal infections, streptococcal infections, pneumococcal infections Streptococcus pneumoniae - drug effects Streptococcus pneumoniae - isolation & purification Thailand - epidemiology |
| title | Invasive pneumococcal infection and drug-resistant Streptococcus pneumoniae in thai children |
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