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Community-Acquired Pneumonia in Children Caused by Pneumococci of MLSB- and M-Phenotype: Clinical Cases

https://doi.org/10.15690/vsp.v16i2.1720

Abstract

The key to effective treatment of a bacterial infection is a rapid and proper selection of antimicrobial therapy. WHO and UNICEF developed the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) aimed to elimination of the preventable causes of child death by 2025 by optimizing diagnosis and treatment. The main pneumonia agents are fastidious microorganisms that require special nutrient media and cultivation conditions that are absent in many laboratories. Due to low effectiveness of the etiological diagnosis, the choice of antibiotic therapy for pneumonia in the practice of a pediatrician is usually empirical. The article describes clinical cases of community-acquired pneumonia in children caused by strains of Streptococcus pneumoniae with a multiple antibiotic resistance. The above experience can be used by pediatricians in everyday practice.

About the Authors

Natalya A. Ilenkova
Krasnoyarsk State Medical University n.a. Prof. V.F. Voino-Yasenetsky
Russian Federation
Krasnoyarsk


Irina N. Protasova
Krasnoyarsk State Medical University n.a. Prof. V.F. Voino-Yasenetsky
Russian Federation
Krasnoyarsk


Elena S. Sokolovskaya
Krasnoyarsk State Medical University n.a. Prof. V.F. Voino-Yasenetsky
Russian Federation
Krasnoyarsk


References

1. Бондарь Г.Н. Акустическая и клинико-рентгенологическая характеристика нарушений в легких у детей при внебольничной пневмонии: Автореф. дис. … докт. мед. наук. — Воронеж; 2010. — 39 с. [Bondar’ GN. Akusticheskaya i kliniko-rentgenologicheskaya kharakteristika narushenii v legkikh u detei pri vnebol’nichnoi pnevmonii. [dissertation abstract] Voronezh; 2010. 39 p. (In Russ).]

2. ВОЗ. Информационный бюллетень. [WHО. Fact Sheet. (In Russ).] Доступно по: http:// www.who.int/mediacentre/factsheets/fs331/ru//. Ссылка активна на 30.04.2016.

3. Внебольничная пневмония у детей. Клинические рекомендации. — М.: Оригинал-макет; 2015. — 64 с. [Vnebol’nichnaya pnevmoniya u detei. Klinicheskie rekomendatsii. Moscow: Originalmaket; 2015. 64 p. (In Russ).]

4. Esposito S, Patria MF, Tagliabue C, et al. CAP in children. European Respiratory Monograph. 2014;63:130–139. doi: 10.1183/1025448x.10003913.

5. Острые респираторные заболевания у детей. Пособие для врачей. — М.; 2002. — 70 с. [Ostrye respiratornye zabolevaniya u detei. Posobie dlya vrachei. Moscow; 2002. 70 p. (In Russ).]

6. Самсыгина Г.А. Инфекции респираторного тракта у детей раннего возраста. — М.: Миклош; 2006. — 279 с. [Samsygina GA. Infektsii respiratornogo trakta u detei rannego vozrasta. Moscow: Miklosh; 2006. 279 p. (In Russ).]

7. Горбунов С.Г., Горелов А.В., Демина А.А., и др. Клиническая характеристика пневмоний у детей, обусловленных Hemophilus influenzae типа b // Педиатрия. Журнал им. Г.Н. Сперанского. — 2002. — Т.81. — №4 — С. 30–34. [Gorbunov SG, Gorelov AV, Demina AA, et al. Clinical characteristic of pediatric pneumonia due to Haemophilus influenzas type b. Pediatriia. 2002;81(4):30–34. (In Russ).]

8. Внебольничная пневмония у детей: распространенность, диагностика, лечение, профилактика. Научно-практическая программа. — М.: Оригинал-макет; 2010. — 64 с. [Vnebol’nichnaya pnevmoniya u detei: rasprostranennost’, diagnostika, lechenie, profilaktika. Nauchno-prakticheskaya programma. Moscow: Original-maket; 2010. 64 p. (In Russ).]

9. Внебольничная пневмония у детей. Клинические рекомендации. — М.: Оригинал-макет; 2015. — 33 с. [Vnebol’nichnaya pnevmoniya u detei. Klinicheskie rekomendatsii. Moscow: Originalmaket; 2015. 33 p. (In Russ).]

10. cdc.gov [Internet]. CDC. Streptococcus Laboratory. PCR Deduction of Pneumococcal Serotypes [cited 2016 Apr 30]. Available from: http://www.cdc.gov/streplab/pcr.html.11. mlst.net [Internet]. Multi Locus Sequence Typing home page [cited 2016 Apr 30]. Available from: http://www.mlst.net/.

11. mlst.net [Internet]. BURST algorithm [cited 2016 Apr 30]. Available from: http://eburst.mlst.net/.

12. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically; Approved Standard—Ninth Edition. Vol. 32, No. 2. Wayne, PA: Clinical and Laboratory Standards Institute; 2012.

13. Определение чувствительности микроорганизмов к антимикробным препаратам. Клинические рекомендации. М.; 2015. [Opredelenie chuvstvitel’nosti mikroorganizmov k antimikrobnym preparatam. Klinicheskie rekomendatsii. Moscow; 2015. (In Russ).] Доступно по: http://www.antibiotic.ru/minzdrav/clinicalrecommendations/Ссылка активна на 30.04.2016.

14. eucast.org [Internet]. European Committee on Antimicrobial Susceptibility Testing. AST of bacteria. Older versions of tables and documents [cited 2016 Apr 30]. Available from: http://www.eucast.org/ast_of_bacteria/previous_versions_of_documents/.

15. Reinert RR, Filimonova OY, Al-Lahham A, et al. Mechanisms of macrolide resistance among Streptococcus pneumoniae isolates from Russia. Antimicrob Agents Chemother. 2008;52(6): 2260–2262. doi: 10.1128/AAC.01270-07.

16. Cattoir V, Merabet L, Legrand P, et al. Emergence of a Streptococcus pneumoniae isolate resistant to streptogramins by mutation in ribosomal protein L22 during pristinamycin therapy of pneumococcal pneumonia. J Antimicrob Chemother. 2007;59(5): 1010–1012. doi: 10.1093/jac/dkm041.

17. Korona-Glowniak I, Siwiec R, Malm A. Resistance determinants and their association with different transposons in the antibioticresistant Streptococcus pneumoniae. Biomed Res Int. 2015;2015: 836496. doi: 10.1155/2015/836496.

18. Croucher NJ, Chewapreecha C, Hanage WP, et al. Evidence for soft selective sweeps in the evolution of pneumococcal multidrug resistance and vaccine escape. Genome Biol Evol. 2014;6(7): 1589–1602. doi: 10.1093/gbe/evu120.

19. Shin J, Baek JY, Kim SH, et al. Predominance of ST320 among Streptococcus pneumoniae serotype 19A isolates from 10 Asian countries. J Antimicrob Chemother. 2011;66(5):1001–1004. doi: 10.1093/jac/dkr048.

20. Яковлев С.В., Сидоренко С.В., Рафальский В.В., Спичак Т.В. Стратегия и тактика рационального применения антимикробных средств в амбулаторной практике: Евразийские клинические рекомендации. — М.: Пре100 Принт; 2016. — 146 с. [Yakovlev SV, Sidorenko SV, Rafal’skii VV, Spichak TV. Strategiya i taktika ratsional’nogo primeneniya antimikrobnykh sredstv v ambulatornoi praktike: Evraziiskie klinicheskie rekomendatsii. Moscow: Pre100 Print; 2016. 146 p. (In Russ).]

21. Клинические рекомендации. Педиатрия (Пневмония у детей) / Под ред. Баранова А.А. — М.: ГЭОТАР-Медиа; 2005. — 28 с. [Klinicheskie rekomendatsii. Pediatriya (Pnevmoniya u detei). Ed by Baranov A.A. Moscow: GEOTAR-Media; 2005. 28 p. (In Russ).]

22. Болезни органов дыхания у детей. Практическое руководство / Под ред. Таточенко В.К. — М.: ПедиатрЪ; 2012. — 480 с. [Bolezni organov dykhaniya u detei. Prakticheskoe rukovodstvo. Ed by Tatochenko V.K. Moscow: Pediatr””; 2012. 480 p. (In Russ).]


Review

For citations:


Ilenkova N.A., Protasova I.N., Sokolovskaya E.S. Community-Acquired Pneumonia in Children Caused by Pneumococci of MLSB- and M-Phenotype: Clinical Cases. Current Pediatrics. 2017;16(2):175-179. (In Russ.) https://doi.org/10.15690/vsp.v16i2.1720

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