[Resistant Streptococcus pneumoniae]

M Martínez Hornos1, M Fernández López, E Becerril Carral

  • 1Sección de Infectología Pediátrica y Departamento de Microbiología del H.U. Virgen del Rocío, Avda. Manuel Siurot s/n, 41013 Sevilla.

Insights

Streptococcus pneumoniae resistance is rising in children, with increased cefotaxime resistance linked to penicillin resistance. Vancomycin remains effective, but other antibiotics show significant resistance.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Context:

  • Streptococcus pneumoniae is a leading cause of pediatric infections.
  • Recent years have seen a concerning increase in antibiotic resistance.
  • Third-generation cephalosporins are increasingly ineffective.

Purpose:

  • To review Streptococcus pneumoniae strains from pediatric patients.
  • To analyze the incidence of resistance to cefotaxime and penicillin.
  • To assess the resistance patterns of penicillin-resistant strains to other antibiotics.

Summary:

  • A rise in cefotaxime resistance was observed in pediatric Streptococcus pneumoniae isolates.
  • This cefotaxime resistance was significantly correlated with penicillin resistance.
  • Penicillin-resistant strains showed high resistance to erythromycin, chloramphenicol, and cotrimoxazole.
  • Vancomycin demonstrated 100% susceptibility in these resistant strains.

Impact:

  • Highlights the growing threat of multidrug-resistant Streptococcus pneumoniae in children.
  • Informs clinical decisions regarding antibiotic selection for pediatric infections.
  • Underscores the need for continued surveillance and development of new antimicrobial agents.

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