Résumé
Recent Chlamydia pneumoniae infections were investigated in children with respiratory tract infections and in normal children. Four groups of sera were tested for C. pneumoniae antibody IgG and IgM serum fraction by the method of MIF test. A total of 7 cases of recent infection were detected, 3 of 116 with pneumonia, 3 of 123 with other respiratory tract infections, 1 of 263 normal school children and none in sera from cord blood. The cases with recent C. pneumoniae infection were as young as 24 days and 2 months old.
Sujets)
Adolescent , Études cas-témoins , Enfant , Enfant d'âge préscolaire , Infections à Chlamydia/diagnostic , Chlamydophila pneumoniae , Femelle , Humains , Nourrisson , Nouveau-né , Mâle , Pneumopathie bactérienne/diagnostic , Infections de l'appareil respiratoire/diagnostic , Études séroépidémiologiques , Thaïlande/épidémiologieRésumé
Resistance patterns of S. pneumoniae and H. influenzae to standard antibiotics in Thailand is not on the rise when compared to previous reports. There is no need at present to change standard antibiotic therapy recommendations for pneumonia by the National ARI. The use of antibiotics for the treatment or prophylactic purposes should be judicious to limit the spread of antimicrobial resistance. This study is the main part of a National surveillance for antimicrobial resistance of S. pneumoniae and H. influenzae. The surveillance programme should be continued to evaluate trends in order to up-date guidelines for the selection of antibiotics of the ARI programme in the future.