Obert Caroline A, Miller Martha L, Montgomery Jeremy, Adamkiewicz Thomas, Tuomanen Elaine I
Department of Infectious Diseases, St. Jude Children's Research Hospital, 332 North Lauderdale St., Memphis, TN 38105-2794, USA.
Antimicrob Agents Chemother. 2007 Jan;51(1):386-9. doi: 10.1128/AAC.01016-06. Epub 2006 Oct 23.
Sickle cell disease (SCD) is a risk factor for fatal pneumococcal infection. Nonsusceptibilty to quinupristin-dalfopristin (Q-D) was absent from 105 non-SCD-associated pneumococcal isolates but was present in 33/148 (22%) SCD-associated isolates. One-third of the isolates harbored a known resistance mechanism. Q-D is not optimal for use for the treatment of pneumococcal infection in SCD patients.
镰状细胞病(SCD)是致命性肺炎球菌感染的一个危险因素。105株非SCD相关肺炎球菌分离株对奎奴普丁-达福普汀(Q-D)不耐药,但148株SCD相关分离株中有33株(22%)耐药。三分之一的分离株具有已知的耐药机制。Q-D并非治疗SCD患者肺炎球菌感染的最佳药物。