Bacteria causing respiratory infections in children and their sensitivity to antibiotics.

The author lists the most frequent bacterial agents isolated from the nose and pharynx samples of children that visited the Child Health Centre from 1983 to 1986. The gram-positive bacteria found most often were: Staphylococcus aureus (44% in 1983, 40% in 1986). Streptococcus pneumoniae (6% in 1983, 12% in 1986), and Streptococcus haemolyticus of group "A" (14% in 1983, 19% in 1986). The isolated gram-negative bacteria were: E. coli (14%), Klebsiella enterobacter (8%), and Proteus species and Pseudomonas aeruginosa (2 to 4% [4, 6, 7, 16]). According to the author's analyses Staphylococcus aureus is highly sensitive to cloxacilline (96%, no changes in the 4-year period), then to sulphametoxasol-trimetropin (95%), to lincomycine (85% no change), while to penicillin it is entirely resistant. Streptococcus pneumoniae proved sensitive to ampicillin, lincocine and erythromycin (96%), to cephalosporins (83%) and to sulphamides (85%). Streptococcus haemolyticus from group "A" reacted to penicillin excellently. The greatest sensitivity to gram-negative bacteria E. coli related to aminoglycosides (97%), sulphonamides (96%), chloramphenicol (91%), and to cephalosporines (90%, in 1986 only 60%). Klebsiella enterobacter reacted to aminoglycosides (97%), sulphonamides (92%) and chloramphenicol (83%) and Pseudomonas to aminoglycosides (95%), gentamycin (92%), while to cephalosporines and ampicillin preparations it proved totally resistant.