Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.

Streptococcus pneumoniae is a frequent cause of respiratory tract infections. In the United States and worldwide, antimicrobial resistance of S pneumoniae has complicated the management of infections caused by this organism. In the United States, antimicrobial resistance with S pneumoniae has evolve...

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Main Authors: Brueggemann, A, Doern, G
Format: Journal article
Language:English
Published: 2000
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author Brueggemann, A
Doern, G
author_facet Brueggemann, A
Doern, G
author_sort Brueggemann, A
collection OXFORD
description Streptococcus pneumoniae is a frequent cause of respiratory tract infections. In the United States and worldwide, antimicrobial resistance of S pneumoniae has complicated the management of infections caused by this organism. In the United States, antimicrobial resistance with S pneumoniae has evolved almost entirely during the 1990s. Resistance currently exists at high rates with beta-lactams, macrolides, tetracyclines, chloramphenicol, and trimethoprim/sulfamethoxazole. Multiresistant strains--strains that are resistant to penicillin plus at least 2 other antimicrobial classes--are also increasing in prevalence. Fluoro-quinolone resistance remains at low levels in the United States. Control of the problem of antimicrobial resistance will require more judicious and appropriate use of antimicrobials, the development of new agents with novel targets of action, and strategies for preventing disease from occurring in the first place. In addition, the pursuit of an understanding of resistance mechanisms and pharmacodynamics as they relate to clinical outcome must be an ongoing effort, and that knowledge must be applied to the development of more effective approaches for the treatment of infections caused by S pneumoniae.
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spelling oxford-uuid:167297f9-f316-43a9-80ce-5bab4032a07a2022-03-26T10:31:22ZResistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:167297f9-f316-43a9-80ce-5bab4032a07aEnglishSymplectic Elements at Oxford2000Brueggemann, ADoern, GStreptococcus pneumoniae is a frequent cause of respiratory tract infections. In the United States and worldwide, antimicrobial resistance of S pneumoniae has complicated the management of infections caused by this organism. In the United States, antimicrobial resistance with S pneumoniae has evolved almost entirely during the 1990s. Resistance currently exists at high rates with beta-lactams, macrolides, tetracyclines, chloramphenicol, and trimethoprim/sulfamethoxazole. Multiresistant strains--strains that are resistant to penicillin plus at least 2 other antimicrobial classes--are also increasing in prevalence. Fluoro-quinolone resistance remains at low levels in the United States. Control of the problem of antimicrobial resistance will require more judicious and appropriate use of antimicrobials, the development of new agents with novel targets of action, and strategies for preventing disease from occurring in the first place. In addition, the pursuit of an understanding of resistance mechanisms and pharmacodynamics as they relate to clinical outcome must be an ongoing effort, and that knowledge must be applied to the development of more effective approaches for the treatment of infections caused by S pneumoniae.
spellingShingle Brueggemann, A
Doern, G
Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title_full Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title_fullStr Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title_full_unstemmed Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title_short Resistance among Streptococcus pneumoniae: patterns, mechanisms, interpreting the breakpoints.
title_sort resistance among streptococcus pneumoniae patterns mechanisms interpreting the breakpoints
work_keys_str_mv AT brueggemanna resistanceamongstreptococcuspneumoniaepatternsmechanismsinterpretingthebreakpoints
AT doerng resistanceamongstreptococcuspneumoniaepatternsmechanismsinterpretingthebreakpoints