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A multicenter hospital surveillance of invasive Streptococcus pneumoniae, Puerto Rico, 2001
Rivera-Matos, I. R; Rios-Olivares, E.
  • Rivera-Matos, I. R; Universidad Central del Caribe. School of Medicine. Ponce School of Medicine. Department of Pediatrics. Bayamón. PR
  • Rios-Olivares, E; s.af
P. R. health sci. j ; 24(3): 185-189, Sep. 2005.
Artículo en Inglés | LILACS | ID: lil-472948
ABSTRACT
Although antimicrobial resistance to Streptococcus pneumoniae has been increased dramatically worldwide, there is limited information of pattern of susceptibility for this pathogen in Puerto Rico. Hospital-based surveillance for invasive pneumococcal infections was begun among 38 hospitals island-wide in Puerto Rico from January to December, 2001. One hundred ninety-two cases of invasive pneumococcal disease were identified. Of the 177 isolates available for susceptibility testing, 50.3were susceptible to penicillin and 49.7were nonsusceptible (intermediate (I) and resistance (R)) (19.2I, 30.5R). Resistance was documented for expanded spectrum cephalosporins and macrolides. All isolates were susceptible to vancomycin. Diabetes, cardiovascular disease, smoking and bronchial asthma were the most common risk factors associated with invasive pneumococcal disease of the adult population. Bronchial asthma was the most common disease in the pediatric population with a fatality rate of 21. There was no increased mortality detected among patients infected with penicillin resistant strains. Most of the isolates serotypes are represented in the 23-valent polysaccharide vaccine (78) and 7-valent conjugate vaccine (62). Penicillin-resistant isolates (47) were 14, 19F, 6B, 6A, 9V, 23F, 19A and 35B serotype. Our data indicated a high prevalence for drug-resistant strains of S. pneumoniae in Puerto Rico. Continue surveillance for this common but serious pathogen is needed. Asthma is an important risk factor for pneumococcal disease. The pneumococcal vaccine should be recommended for all age groups with this risk factor.
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Índice: LILACS (Américas) Asunto principal: Infecciones Neumocócicas Tipo de estudio: Ensayo Clínico Controlado / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Adolescente / Adulto / Anciano / Aged80 / Niño / Child, preschool / Humanos / Lactante / Recién Nacido País/Región como asunto: Caribe / Puerto Rico Idioma: Inglés Revista: P. R. health sci. j Asunto de la revista: Medicina Año: 2005 Tipo del documento: Artículo País de afiliación: Puerto Rico Institución/País de afiliación: Universidad Central del Caribe/PR

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Índice: LILACS (Américas) Asunto principal: Infecciones Neumocócicas Tipo de estudio: Ensayo Clínico Controlado / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Adolescente / Adulto / Anciano / Aged80 / Niño / Child, preschool / Humanos / Lactante / Recién Nacido País/Región como asunto: Caribe / Puerto Rico Idioma: Inglés Revista: P. R. health sci. j Asunto de la revista: Medicina Año: 2005 Tipo del documento: Artículo País de afiliación: Puerto Rico Institución/País de afiliación: Universidad Central del Caribe/PR