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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1995-8-31
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pubmed:abstractText |
We prospectively studied 260 episodes of bacteremia that occurred over a 6-year period in neutropenic patients with cancer. Twenty-three episodes were caused by viridans streptococci. Thirteen (57%) of these strains were penicillin-resistant (MICs of penicillin ranged from 0.25 micrograms/mL to 8 micrograms/mL). Ten of the 13 penicillin-resistant strains (77%) were highly resistant to penicillin (MIC, > or = 4 micrograms/mL). Rates of bacteremia due to highly penicillin-resistant viridans streptococci increased significantly from zero episodes per 1,000 admissions in 1987 to 17 episodes per 1,000 admissions in 1992 (P = .003). In a comparison between penicillin-resistant and penicillin-susceptible viridans streptococci bacteremia, the administration of beta-lactam antibiotics during the previous 2 weeks was the only factor significantly associated with penicillin-resistant cases: 9 (69%) of 13 patients with penicillin-resistant bacteremia had received beta-lactams vs. 2 (20%) of 10 patients with penicillin-susceptible bacteremia (P = .036). These findings may have significant clinical implications in the choice of both antimicrobial prophylaxis and empirical antibiotic regimens.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1058-4838
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1169-73
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7619995-Adult,
pubmed-meshheading:7619995-Aged,
pubmed-meshheading:7619995-Bacteremia,
pubmed-meshheading:7619995-Female,
pubmed-meshheading:7619995-Humans,
pubmed-meshheading:7619995-Male,
pubmed-meshheading:7619995-Middle Aged,
pubmed-meshheading:7619995-Neoplasms,
pubmed-meshheading:7619995-Neutropenia,
pubmed-meshheading:7619995-Penicillin Resistance,
pubmed-meshheading:7619995-Prospective Studies,
pubmed-meshheading:7619995-Streptococcal Infections
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pubmed:year |
1995
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pubmed:articleTitle |
Bacteremia due to viridans streptococci that are highly resistant to penicillin: increase among neutropenic patients with cancer.
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pubmed:affiliation |
Services of Infectious Disease, Ciutat Sanitària i Universitària de Bellvitge, University of Barcelona, Spain.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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