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Childhood pneumococcal bacteraemia in Riyadh, Saudi Arabia

A M Kambal1, A M Abdullah

  • 1Department of Microbiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Annals of Tropical Paediatrics
|January 13, 1998
PubMed
Summary
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This study on pediatric pneumococcal bacteremia found most cases occurred in children under two, with pneumonia being a common infection focus. A significant portion of isolates showed penicillin resistance, highlighting evolving antimicrobial resistance patterns.

Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology
  • Antimicrobial Resistance

Background:

  • Pneumococcal bacteremia is a significant cause of childhood illness.
  • Understanding epidemiological patterns and antimicrobial resistance is crucial for effective treatment.

Purpose of the Study:

  • To investigate the clinical characteristics and antimicrobial susceptibility of pneumococcal bacteremia in children.
  • To analyze trends in penicillin resistance and identify predisposing factors.

Main Methods:

  • Retrospective study of 49 children with pneumococcal bacteremia from 1991-1995.
  • Analysis of infection focus, predisposing conditions, acquisition source, and seasonal variations.
  • Antimicrobial susceptibility testing of pneumococcal isolates.

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Main Results:

  • Majority of cases (61.2%) were in children under 2 years old.
  • Pneumonia was the most common infection focus (28.6%).
  • 20.4% of isolates exhibited relative penicillin resistance, with 22% showing multiple drug resistance.

Conclusions:

  • Pediatric pneumococcal bacteremia in this cohort was associated with high rates of penicillin resistance.
  • Early detection of pneumococcal antigens in blood is vital for diagnosis.
  • The emergence of resistant strains necessitates ongoing surveillance and treatment strategy evaluation.