Source:http://linkedlifedata.com/resource/pubmed/id/15288306
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2004-8-3
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pubmed:abstractText |
The emerging reports of clinical failures using macrolides and their associations with macrolide-resistant Streptococcus pneumoniae prompted us to review the literature describing these cases. Thirty-three cases reporting macrolide treatment failure during treatment of pneumococcal infections were available for review. The most prevalent diagnosis (24/27 or 88.8% of available diagnoses) was community-acquired pneumonia (CAP). Previous medical history included cardiopulmonary disease in eight (24.2%) and immunocompromised states in five (15.1%) patients. The majority, 31/33 (93.9%) of patients received oral macrolide treatment in an outpatient setting. S. pneumoniae was isolated from the blood in 26 (78.8%) of 33 patients, three (9.1%) patients had bacteria present in both blood and cerebrospinal fluid, two (6%) patients grew S. pneumoniae from blood and bronchial washings and two (6%) patients had positive sputum cultures. The MLS(B) phenotype was the most predominant phenotype present in 12 (63.2%) of 19 patients. After failing initial macrolide treatment, 26 (78.8%) of 33 patients received parenteral antibiotic treatment. Of 33 patients admitted to hospital, 29 (87.8%) had their outcome described as 'survived'.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0924-8579
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
24
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
95-104
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:15288306-Adolescent,
pubmed-meshheading:15288306-Adult,
pubmed-meshheading:15288306-Anti-Bacterial Agents,
pubmed-meshheading:15288306-Child,
pubmed-meshheading:15288306-Child, Preschool,
pubmed-meshheading:15288306-Drug Resistance, Bacterial,
pubmed-meshheading:15288306-Female,
pubmed-meshheading:15288306-Humans,
pubmed-meshheading:15288306-Infant,
pubmed-meshheading:15288306-Macrolides,
pubmed-meshheading:15288306-Male,
pubmed-meshheading:15288306-Microbial Sensitivity Tests,
pubmed-meshheading:15288306-Pneumococcal Infections,
pubmed-meshheading:15288306-Pneumonia, Pneumococcal,
pubmed-meshheading:15288306-Streptococcus pneumoniae,
pubmed-meshheading:15288306-Treatment Failure
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pubmed:year |
2004
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pubmed:articleTitle |
A review of clinical failures associated with macrolide-resistant Streptococcus pneumoniae.
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pubmed:affiliation |
Department of Medical Microbiology, Faculty of Medicine, Health Sciences Centre, University of Manitoba, Winnipeg, Man. R3A 1R9, Canada.
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pubmed:publicationType |
Journal Article,
Review
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