Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus

Detalhes bibliográficos
Autor(a) principal: Carvalho, Cristiana Maria Costa Nascimento de
Data de Publicação: 2001
Outros Autores: Lopes, Antonio Alberto da Silva, Gomes, Maria Daniela B. S., Magalhães, Morgana P., Oliveira, Juliana R., Vilasbôas, Ana Luiza Queiroz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/6981
Resumo: p. 13-20
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spelling Carvalho, Cristiana Maria Costa Nascimento deLopes, Antonio Alberto da SilvaGomes, Maria Daniela B. S.Magalhães, Morgana P.Oliveira, Juliana R.Vilasbôas, Ana Luiza QueirozCarvalho, Cristiana Maria Costa Nascimento deLopes, Antonio Alberto da SilvaGomes, Maria Daniela B. S.Magalhães, Morgana P.Oliveira, Juliana R.Vilasbôas, Ana Luiza Queiroz2012-10-17T14:32:34Z2012-10-17T14:32:34Z20011413-8670http://www.repositorio.ufba.br/ri/handle/ri/6981v. 5, n. 1p. 13-20Pneumonia is one of the leading causes of hospitalization and death among children in developing countries, and mortality due to pneumonia has been associated with S. pneumoniae infection. This investigation was designed to describe the antimicrobial susceptibility and serotype patterns of pneumococcal strains recovered from the blood of children with community-acquired pneumonia (CAP) and to assess the clinical findings of pneumococcal bacteremic patients with pneumonia. In a 26 month prospective study, blood cultures were obtained as often as possible from children (<16 years of age) diagnosed with CAP in two emergency rooms. Antimicrobial drug susceptibility tests and serotyping were performed when pneumococcus was identified. We studied 3,431 cases and cultured blood samples from 65.5% of those. Pneumococcus was recovered from 0.8% of the blood samples. The differences in age, somnolence, wheezing and hospitalization among children with and without pneumococcal bacteremia were statistically significant. Pneumococcal bacteremia was age-related (mean 1.63 ± 1.55; median 0.92) and associated with somnolence and hospitalization among children with CAP. One strain was recovered from pleural fluid. Penicillin resistance was detected in 21.0% (4/19) of the strains at an intermediate level, whereas 63.0% of the strains were resistant to trimethoprim-sulfamethoxazole. The most common serotypes were 14 and 6B, and these serotypes included the resistant strains. Eight of our 18 isolates from blood were of types included in the heptavalent conjugate pneumococcal vaccine, recently licensed in the USA.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-10-17T14:32:34Z No. of bitstreams: 1 Nascimento-Carvalho, Cristiana M.C.(2).pdf: 140620 bytes, checksum: 412354ad37f8c9480213924b006ade4e (MD5)Made available in DSpace on 2012-10-17T14:32:34Z (GMT). No. of bitstreams: 1 Nascimento-Carvalho, Cristiana M.C.(2).pdf: 140620 bytes, checksum: 412354ad37f8c9480213924b006ade4e (MD5) Previous issue date: 2001Salvadorhttp://dx.doi.org/10.1590/S1413-86702001000100003reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAStreptococcus pneumoniaeantimicrobial resistanceserotypesblood culturecommunity-acquired pneumoniachildrenCommunity Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of PneumococcusBrazilian Journal of Infectious Diseasesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINALNascimento-Carvalho, Cristiana M.C.(2).pdfNascimento-Carvalho, Cristiana M.C.(2).pdfapplication/pdf140620https://repositorio.ufba.br/bitstream/ri/6981/1/Nascimento-Carvalho%2c%20Cristiana%20M.C.%282%29.pdf412354ad37f8c9480213924b006ade4eMD51LICENSElicense.txtlicense.txttext/plain1809https://repositorio.ufba.br/bitstream/ri/6981/2/license.txt8bb3e3eb871f5854a9ec419f68651b60MD52TEXTNascimento-Carvalho, Cristiana M.C.(2).pdf.txtNascimento-Carvalho, Cristiana M.C.(2).pdf.txtExtracted texttext/plain28264https://repositorio.ufba.br/bitstream/ri/6981/3/Nascimento-Carvalho%2c%20Cristiana%20M.C.%282%29.pdf.txtee1fd07ac23ac530cdb8bfd90d3e0fa6MD53ri/69812022-07-05 14:03:29.253oai:repositorio.ufba.br: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ório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:29Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
dc.title.alternative.pt_BR.fl_str_mv Brazilian Journal of Infectious Diseases
title Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
spellingShingle Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
Carvalho, Cristiana Maria Costa Nascimento de
Streptococcus pneumoniae
antimicrobial resistance
serotypes
blood culture
community-acquired pneumonia
children
title_short Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
title_full Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
title_fullStr Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
title_full_unstemmed Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
title_sort Community Acquired Pneumonia Among Pediatric Outpatients in Salvador, Northeast Brazil, with Emphasis on the Role of Pneumococcus
author Carvalho, Cristiana Maria Costa Nascimento de
author_facet Carvalho, Cristiana Maria Costa Nascimento de
Lopes, Antonio Alberto da Silva
Gomes, Maria Daniela B. S.
Magalhães, Morgana P.
Oliveira, Juliana R.
Vilasbôas, Ana Luiza Queiroz
author_role author
author2 Lopes, Antonio Alberto da Silva
Gomes, Maria Daniela B. S.
Magalhães, Morgana P.
Oliveira, Juliana R.
Vilasbôas, Ana Luiza Queiroz
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Cristiana Maria Costa Nascimento de
Lopes, Antonio Alberto da Silva
Gomes, Maria Daniela B. S.
Magalhães, Morgana P.
Oliveira, Juliana R.
Vilasbôas, Ana Luiza Queiroz
Carvalho, Cristiana Maria Costa Nascimento de
Lopes, Antonio Alberto da Silva
Gomes, Maria Daniela B. S.
Magalhães, Morgana P.
Oliveira, Juliana R.
Vilasbôas, Ana Luiza Queiroz
dc.subject.por.fl_str_mv Streptococcus pneumoniae
antimicrobial resistance
serotypes
blood culture
community-acquired pneumonia
children
topic Streptococcus pneumoniae
antimicrobial resistance
serotypes
blood culture
community-acquired pneumonia
children
description p. 13-20
publishDate 2001
dc.date.issued.fl_str_mv 2001
dc.date.accessioned.fl_str_mv 2012-10-17T14:32:34Z
dc.date.available.fl_str_mv 2012-10-17T14:32:34Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/6981
dc.identifier.issn.none.fl_str_mv 1413-8670
dc.identifier.number.pt_BR.fl_str_mv v. 5, n. 1
identifier_str_mv 1413-8670
v. 5, n. 1
url http://www.repositorio.ufba.br/ri/handle/ri/6981
dc.language.iso.fl_str_mv eng
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