Acute bacterial meningitis caused by Streptococcus pneumoniae resistant to the antimicrobian agents and their serotypes

The main objectives of this study are to evaluate the resistance rates of Streptococcus pneumonia to penicillin G, ceftriaxone and vancomycin in patients with meningitis; to analyze possible risk factors to the antimicrobian resistance; to describe the serotypes detected and to suggest an initial empirical treatment for meningitis. The sensitiveness and serotypes of all isolated S. pneumoniae of patients with acute bacterial meningitis received by the Paraná State Central Laboratory from April 2001 to august 2002 have been evaluated. One hundred S. pneumoniae have been isolated, of which 15% were resistant to penicillin, 1% to cephalosporin and 0% to vancomycin. The serotypes most found were 14 (19%), 3 and 23F (10% each). When only the resistant serotypes were analyzed, the most prevalent was the 14 with 44%. The risk factors found in relation to the S. pneumoniae resistance were: age under one year old (p=0.01) and previous use of antibiotic (p=0.046). The resistance rates found, which were moderate to penicillin, low to cephalosporin and neutral to vancomycin, suggest the isolated use of a 3rd generation cephalosporin as an initial empirical therapy for the treatment of acute bacterial meningitis with a communitarian background.

Bibliographic Details

Main Authors:	Rossoni,Andrea Maciel de Oliveira, Dalla Costa,Libera Maria, Berto,Denize Bonato, Farah,Sônia Santos, Gelain,Marilene, Brandileone,Maria Cristina de Cunto, Ramos,Vitor Hugo Mariano, Almeida,Sergio Monteiro de
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2008
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000400014
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