Sensitivity and resistance to antibiotics of Streptococcus pneumoniae involved in severe infections (1990-2000)

T Turcu1, V Luca, C Luca

  • 1School of Medicine, Clinic of Infectious Diseases, University of Medicine and Pharmacy Gr. T. Popa Iaşi.

Insights

Streptococcus pneumoniae causes severe infections with increasing penicillin resistance globally. Our study found 22.8% penicillin resistance in invasive pneumococcus strains, highlighting the need for updated treatment strategies.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Streptococcus pneumoniae is a leading cause of severe bacterial infections worldwide.
  • Increasing antimicrobial resistance in S. pneumoniae poses a significant global health threat.
  • Penicillin G resistance and multidrug resistance are particularly concerning in pneumococcal infections.

Purpose of the Study:

  • To investigate the prevalence and trends of antibiotic resistance in invasive pneumococcal strains.
  • To determine the resistance rates to key antibiotics including Penicillin G, Rifampin, Chloramphenicol, and Erythromycin.
  • To provide data for adapting current treatment guidelines for pneumococcal infections.

Main Methods:

  • Analysis of 136 strains of invasive pneumococcus isolated over a 10-year period.
  • Antimicrobial susceptibility testing was performed for various antibiotics.
  • Evaluation of yearly variations in resistance patterns.

Main Results:

  • A medium resistance rate of 22.8% to penicillin was observed in the studied strains.
  • Yearly variations in penicillin resistance were noted.
  • Resistance rates to Rifampin, Chloramphenicol, and Erythromycin were 4.4%, 7.8%, and 8.0%, respectively.

Conclusions:

  • The study confirms a significant level of penicillin resistance and multidrug resistance in invasive pneumococcal isolates.
  • Observed resistance patterns necessitate adjustments in the therapeutic approach to pneumococcal infections.
  • These findings have direct implications for clinical practice and antimicrobial stewardship.

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