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Published on: April 14, 2011
[Haemophilus influenza infections in infants and mothers. Three cases (author's transl)]
Abstract:
The three cases reported were diagnosed at the time of contamination by direct examination and culture, at birth, of placental tissue, gastric fluid and peripheral specimens. The culture media included a chocolate agar medium favourable to the growth of H. influenzae. One of the isolates was beta-lactamase producer and therefore resistant to the group A penicillins usually prescribed. Determination of the M.I.C.s of eight antibiotics showed that cefotaxime constitutes, for the time being, a suitable alternative to penicillins against such strains. Early detection of H. influenzae perinatal infections make it possible to treat neonates before complications develop. Among the 19 cases published, there were 4 cases of meningitis, 8 cases of septicaemia and 1 case of arthritis.
Insights
Early detection and treatment of Haemophilus influenzae (H. influenzae) perinatal infections are crucial. Cefotaxime shows promise as an alternative antibiotic for resistant strains, preventing serious neonatal complications.
Area of Science:
- Neonatal infections
- Microbiology
- Infectious diseases
Background:
- Haemophilus influenzae (H. influenzae) can cause serious perinatal infections in newborns.
- Some H. influenzae strains are resistant to common penicillin treatments due to beta-lactamase production.
- Prompt diagnosis and effective treatment are vital to prevent severe neonatal complications.
Purpose of the Study:
- To report on three cases of H. influenzae perinatal infections.
- To evaluate antibiotic susceptibility, including resistance to penicillins.
- To identify alternative treatment options for H. influenzae neonatal infections.
Main Methods:
- Diagnosis via direct examination and culture of placental tissue, gastric fluid, and peripheral specimens at birth.
- Use of chocolate agar medium for optimal H. influenzae growth.
- Antibiotic susceptibility testing, including Minimum Inhibitory Concentrations (MICs) for eight antibiotics.
Main Results:
- One isolate demonstrated beta-lactamase production, conferring resistance to group A penicillins.
- MICs indicated cefotaxime as a suitable alternative to penicillins against resistant H. influenzae strains.
- Published cases include meningitis, septicaemia, and arthritis associated with H. influenzae.
Conclusions:
- Early detection of H. influenzae perinatal infections enables timely treatment.
- Cefotaxime presents a viable therapeutic option for penicillin-resistant H. influenzae neonatal infections.
- Effective management can prevent the development of severe complications in neonates.
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