書誌事項
- タイトル別名
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- Drug Resistance of Streptococcus Pneumonie and Clinical Outcome in Children with Acute Otitis Media
- ショウニ キュウセイ チュウジエン ノ ヤクザイ タイセイ ハイエン キュウキン ト リンショウゾウ
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The incidence of acute otitis media caused by drug-resistant strains of Streptococcus pneumonie has increased among the children in Japan.<br>Sixty-four pneumococcal isolates from the middle ear, otorrhea, or the nasopharynx of 56 children with acute otitis media from February 2001 to January 2003 was evaluated by polymerase chain reaction (PCR) for mutation of penicillin-binding protein (PBP) and other genes. The results showed mutation of all three PBP genes, pbp 1a, pbp 2b, and pbp 2x, in 64.1% of the isolates, while 96.9% were found to possess various PBP gene mutations. The mutation of mef E and erm AM, which contribute the resistance to macrolide, were detected in 56.3% and 31.3%, respectively.<br>Seventy-nine percent of the 56 children were between 6 to 23 months old. Seventy-six percent were attending day-care centers. Myringotomy was performed in 66.1% of all children. Twenty-nine of the 56 children were hospitalized, and 26 were treated with PAPM/BP. There was no clinical improvement noted after treatment with PAPM/BP in 3 cases. However, they were cured by injecting CTX together with PAPM/BP.<br>The ratio of penicillin and macrolide-resistant strain in Streptococcus pneumonie were higher than those reported in previous studies. Clinicians who treat children with acute otitis media in hospitals should be alert to the possibility of resistance to multiple antibiotics.
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 97 (1), 15-19, 2004
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390282679241017984
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- NII論文ID
- 10011825025
- 10013568559
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL書誌ID
- 6811839
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可