Appalaraju Boppe, Mathews Anila A, Bhaskaran Appolo C, Arunachalam Pavai
Department of Microbiology, PSG Institute of Medical science and research, Coimbatore, India.
J Family Community Med. 2011 May;18(2):85-6. doi: 10.4103/2230-8229.83375.
Breast abscess is mostly caused by Staphylococcus aureus. A 26-year-old immunocompetent lady was admitted with breast abscess. Incision and drainage (I/D) was done and Pneumococci were isolated from the drained pus. The patient was earlier treated with Augmentin which was later changed to linezolid after testing for antibiotic susceptibility. This strain showed a high level of resistance to penicillin. It had been noticed that there was a slow increase in the number of penicillin resistant Pneumococci isolated in our hospitals. The increase in penicillin-resistant Pneumococci correlates with the intensive use of beta-lactam antibiotics. Hence, antibiotics should be used judiciously, avoiding their use particularly in mild self-limiting upper respiratory infections. Attention therefore, should focus on monitoring resistance in Pneumococci to prevent mortality and morbidity associated with this organism, which continues to take a heavy toll on children and the elderly.
乳腺脓肿大多由金黄色葡萄球菌引起。一名26岁免疫功能正常的女性因乳腺脓肿入院。进行了切开引流术（I/D），从引流的脓液中分离出肺炎球菌。该患者早期使用奥格门汀治疗，后来在进行抗生素敏感性测试后改为利奈唑胺。该菌株对青霉素表现出高度耐药性。人们注意到，在我们医院分离出的耐青霉素肺炎球菌数量呈缓慢上升趋势。耐青霉素肺炎球菌数量的增加与β-内酰胺类抗生素的大量使用有关。因此，应谨慎使用抗生素，尤其要避免在轻度自限性上呼吸道感染中使用。所以，应重点关注监测肺炎球菌的耐药性，以预防与该病原体相关的死亡率和发病率，因为它继续给儿童和老年人带来沉重负担。
