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Rev. argent. microbiol ; 45(1): 44-9, mar. 2013.
Article Dans Espagnol | LILACS, BINACIS | ID: biblio-1171769

Résumé

The bacterial isolates from respiratory samples of 50 pediatric patients with cystic fibrosis, their distribution by ages and antimicrobial resistance pattern as well as the intermittence of isolations and coinfections, were investigated. Staphylococcus aureus was isolated in 72


of patients, followed by Pseudomonas aeruginosa (58


), and the Burkholderia cepacia complex (12


). The frequency of resistance of P. aeruginosa isolates to ß-lactam antibiotics was low (13.8


). Fifty percent of S. aureus isolates was methicillin-resistant, and 57.1


of H. influenza was ampicillin resistant due to ß-lactamase production. In children under 4 years-old, S. aureus was predominant, followed by P. aeruginosa and H. influenzae. This order of predominance was observed in all the groups studied, except in that of children between 10 and 14 years-old. Stenotrophomonas maltophilia and Achromobacter xylosoxidans isolates were intermittent and accompanied by other microorganisms. Finally, we observed a great variety of bacterial species, which imposes stringent performance requirements for microbiological studies in all respiratory samples of these patients.


Sujets)
Bactéries à Gram négatif/isolement et purification , Mucoviscidose/complications , Infections de l'appareil respiratoire/microbiologie , Appareil respiratoire/microbiologie , Staphylococcus aureus/isolement et purification , Adolescent , Bactéries à Gram négatif/effets des médicaments et des substances chimiques , Co-infection/épidémiologie , Co-infection/microbiologie , Enfant , Expectoration/microbiologie , Spécificité d'espèce , Études rétrospectives , Pharynx/microbiologie , Multirésistance bactérienne aux médicaments , Facteurs âges , Femelle , Mucoviscidose/microbiologie , Humains , Infections à staphylocoques/épidémiologie , Infections à staphylocoques/étiologie , Infections à staphylocoques/microbiologie , Infections de l'appareil respiratoire/épidémiologie , Infections de l'appareil respiratoire/étiologie , Infections bactériennes à Gram négatif/épidémiologie , Infections bactériennes à Gram négatif/étiologie , Infections bactériennes à Gram négatif/microbiologie , Nourrisson , Mâle , Partie nasale du pharynx/microbiologie , Enfant d'âge préscolaire
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