Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens

To evaluate the clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries, we performed a prospective observational study of 233 cases of adult pneumococcal pneumonia in 9 Asian countries from January 2000 to June 2001. Among 233 isolates, 128 (55) were no...

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Main Authors: Song, J.H., Jung, S.I., Ki, H.K., Shin, M.H., Ko, K.S., Son, J.S., Chang, H.H., Kim, S.W., Lee, H., Kim, Y.S., Oh, W.S., Peck, K.R., Chongthaleong, A., Lalitha, M.K., Perera, J., Yee, T.T., Jamal, F., Kamarulzaman, A., Carlos, C.C., So, T.
Format: Article
Language:English
Published: 2004
Subjects:
Online Access:http://eprints.um.edu.my/4554/1/Song-2004-Clinical_outcomes_of.pdf
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author Song, J.H.
Jung, S.I.
Ki, H.K.
Shin, M.H.
Ko, K.S.
Son, J.S.
Chang, H.H.
Kim, S.W.
Lee, H.
Kim, Y.S.
Oh, W.S.
Peck, K.R.
Chongthaleong, A.
Lalitha, M.K.
Perera, J.
Yee, T.T.
Jamal, F.
Kamarulzaman, A.
Carlos, C.C.
So, T.
author_facet Song, J.H.
Jung, S.I.
Ki, H.K.
Shin, M.H.
Ko, K.S.
Son, J.S.
Chang, H.H.
Kim, S.W.
Lee, H.
Kim, Y.S.
Oh, W.S.
Peck, K.R.
Chongthaleong, A.
Lalitha, M.K.
Perera, J.
Yee, T.T.
Jamal, F.
Kamarulzaman, A.
Carlos, C.C.
So, T.
author_sort Song, J.H.
collection UM
description To evaluate the clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries, we performed a prospective observational study of 233 cases of adult pneumococcal pneumonia in 9 Asian countries from January 2000 to June 2001. Among 233 isolates, 128 (55) were not susceptible to penicillin (25.3 were intermediately susceptible, and 29.6 were resistant). Clinical severity of pneumococcal pneumonia was not significantly different between antibiotic-resistant and antibiotic-susceptible groups. Mortality rates among patients with pneumococcal pneumonia caused by penicillin-, cephalosporin-, or macrolide-resistant strains were not higher than those with antibiotic-susceptible pneumococcal pneumonia. Bacteremia and mechanical ventilation were significant risk factors for death, but any kind of antibiotic resistance was not associated with increased mortality due to pneumococcal pneumonia. Outcome of pneumococcal pneumonia was not significantly affected by drug resistance, and current antimicrobial regimens are mostly effective in the treatment of pneumococcal pneumonia, despite the widespread emergence of in vitro resistance.
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spelling um.eprints-45542013-01-23T08:17:13Z http://eprints.um.edu.my/4554/ Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens Song, J.H. Jung, S.I. Ki, H.K. Shin, M.H. Ko, K.S. Son, J.S. Chang, H.H. Kim, S.W. Lee, H. Kim, Y.S. Oh, W.S. Peck, K.R. Chongthaleong, A. Lalitha, M.K. Perera, J. Yee, T.T. Jamal, F. Kamarulzaman, A. Carlos, C.C. So, T. R Medicine To evaluate the clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries, we performed a prospective observational study of 233 cases of adult pneumococcal pneumonia in 9 Asian countries from January 2000 to June 2001. Among 233 isolates, 128 (55) were not susceptible to penicillin (25.3 were intermediately susceptible, and 29.6 were resistant). Clinical severity of pneumococcal pneumonia was not significantly different between antibiotic-resistant and antibiotic-susceptible groups. Mortality rates among patients with pneumococcal pneumonia caused by penicillin-, cephalosporin-, or macrolide-resistant strains were not higher than those with antibiotic-susceptible pneumococcal pneumonia. Bacteremia and mechanical ventilation were significant risk factors for death, but any kind of antibiotic resistance was not associated with increased mortality due to pneumococcal pneumonia. Outcome of pneumococcal pneumonia was not significantly affected by drug resistance, and current antimicrobial regimens are mostly effective in the treatment of pneumococcal pneumonia, despite the widespread emergence of in vitro resistance. 2004 Article PeerReviewed application/pdf en http://eprints.um.edu.my/4554/1/Song-2004-Clinical_outcomes_of.pdf Song, J.H. and Jung, S.I. and Ki, H.K. and Shin, M.H. and Ko, K.S. and Son, J.S. and Chang, H.H. and Kim, S.W. and Lee, H. and Kim, Y.S. and Oh, W.S. and Peck, K.R. and Chongthaleong, A. and Lalitha, M.K. and Perera, J. and Yee, T.T. and Jamal, F. and Kamarulzaman, A. and Carlos, C.C. and So, T. (2004) Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens. Clinical Infectious Diseases, 38 (11). pp. 1570-1578. ISSN 1058-4838,
spellingShingle R Medicine
Song, J.H.
Jung, S.I.
Ki, H.K.
Shin, M.H.
Ko, K.S.
Son, J.S.
Chang, H.H.
Kim, S.W.
Lee, H.
Kim, Y.S.
Oh, W.S.
Peck, K.R.
Chongthaleong, A.
Lalitha, M.K.
Perera, J.
Yee, T.T.
Jamal, F.
Kamarulzaman, A.
Carlos, C.C.
So, T.
Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title_full Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title_fullStr Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title_full_unstemmed Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title_short Clinical outcomes of pneumococcal pneumonia caused by antibiotic-resistant strains in Asian countries: a study by the Asian network for surveillance of resistant pathogens
title_sort clinical outcomes of pneumococcal pneumonia caused by antibiotic resistant strains in asian countries a study by the asian network for surveillance of resistant pathogens
topic R Medicine
url http://eprints.um.edu.my/4554/1/Song-2004-Clinical_outcomes_of.pdf
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