The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.

Mycoplasma pneumoniae infection is a major cause of community-acquired pneumonia in children. We performed a retrospective study to evaluate the clinical impact of the timing of azithromycin treatment in children with Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.A...

Full description

Bibliographic Details
Main Authors: Dehua Yang, Linghong Chen, Zhimin Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5788379?pdf=render
_version_ 1819020903631028224
author Dehua Yang
Linghong Chen
Zhimin Chen
author_facet Dehua Yang
Linghong Chen
Zhimin Chen
author_sort Dehua Yang
collection DOAJ
description Mycoplasma pneumoniae infection is a major cause of community-acquired pneumonia in children. We performed a retrospective study to evaluate the clinical impact of the timing of azithromycin treatment in children with Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.A total of 623 patients were enrolled in this study and were divided into 2 groups according to the timing of azithromycin therapy. Children who received azithromycin within 3 days (72 hours) after the onset of Mycoplasma pneumoniae pneumonia were classified into the early azithromycin treatment group (n = 174), whereas the late azithromycin treatment group (n = 449) comprised children treated with azithromycin more than 72 hours after symptom onset. We evaluated clinical prognosis according to demographic, clinical and laboratory characteristics. Although the early azithromycin treatment group exhibited a longer fever duration after azithromycin administration (7.17±4.12 versus 4.82±3.99 days, P<0.01), the total fever duration exhibited no significant difference (9.02±4.58 versus 9.57±4.91 days, P = 0.212). After azithromycin therapy, the two groups exhibited no significant differences with respect to improvements in the laboratory and radiological findings (all P>0.05).The timing of azithromycin treatment is not associated with the clinical prognosis of Mycoplasma pneumoniae pneumonia in children in high macrolide-resistant Mycoplasma pneumoniae prevalence settings.
first_indexed 2024-12-21T03:58:36Z
format Article
id doaj.art-e86b991643a5425dad7f33f645549cb1
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-21T03:58:36Z
publishDate 2018-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-e86b991643a5425dad7f33f645549cb12022-12-21T19:16:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01131e019195110.1371/journal.pone.0191951The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.Dehua YangLinghong ChenZhimin ChenMycoplasma pneumoniae infection is a major cause of community-acquired pneumonia in children. We performed a retrospective study to evaluate the clinical impact of the timing of azithromycin treatment in children with Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.A total of 623 patients were enrolled in this study and were divided into 2 groups according to the timing of azithromycin therapy. Children who received azithromycin within 3 days (72 hours) after the onset of Mycoplasma pneumoniae pneumonia were classified into the early azithromycin treatment group (n = 174), whereas the late azithromycin treatment group (n = 449) comprised children treated with azithromycin more than 72 hours after symptom onset. We evaluated clinical prognosis according to demographic, clinical and laboratory characteristics. Although the early azithromycin treatment group exhibited a longer fever duration after azithromycin administration (7.17±4.12 versus 4.82±3.99 days, P<0.01), the total fever duration exhibited no significant difference (9.02±4.58 versus 9.57±4.91 days, P = 0.212). After azithromycin therapy, the two groups exhibited no significant differences with respect to improvements in the laboratory and radiological findings (all P>0.05).The timing of azithromycin treatment is not associated with the clinical prognosis of Mycoplasma pneumoniae pneumonia in children in high macrolide-resistant Mycoplasma pneumoniae prevalence settings.http://europepmc.org/articles/PMC5788379?pdf=render
spellingShingle Dehua Yang
Linghong Chen
Zhimin Chen
The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
PLoS ONE
title The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
title_full The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
title_fullStr The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
title_full_unstemmed The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
title_short The timing of azithromycin treatment is not associated with the clinical prognosis of childhood Mycoplasma pneumoniae pneumonia in high macrolide-resistant prevalence settings.
title_sort timing of azithromycin treatment is not associated with the clinical prognosis of childhood mycoplasma pneumoniae pneumonia in high macrolide resistant prevalence settings
url http://europepmc.org/articles/PMC5788379?pdf=render
work_keys_str_mv AT dehuayang thetimingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings
AT linghongchen thetimingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings
AT zhiminchen thetimingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings
AT dehuayang timingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings
AT linghongchen timingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings
AT zhiminchen timingofazithromycintreatmentisnotassociatedwiththeclinicalprognosisofchildhoodmycoplasmapneumoniaepneumoniainhighmacrolideresistantprevalencesettings