Guiscafré H, García-Melgar M, Jaime M, Trejo y Pérez J A, García M, Hernández-Velarde R, Muñoz O
Arch Invest Med (Mex). 1981;12(1):141-51.
800 samples of pharyngeal exudate were taken from healthy children and 28 healthy intrafamilial contacts of children with meningitis caused by H. influenzae type b. H. influenzae type be was isolated in 8.7 per cent of nursery children, H. influenzae type e in 0.12 per cent and non typifiable H. influenzae in 5.8 per cent. On intrafamilial contacts, 32 per cent had H. influenzae type b and non typifiable in 3.5 per cent. Percent age of ampicillin resistant H. influenzae type b was 14 per cent. No strains were found resistant to chloramphenicol. S. pneumoniae was isolated in 37 per cent of pharyngeal exudate samples. 25.5 per cent of strains tested were penicillin sensitive; 74.5 per cent has a decrease sensitivity. Based on these results we consider chloramphenicol to the the first drug of choice for treatment of severe H. influenzae infections and penicillin for S. pneumoniae infections recommending in the latter higher doses when dealing with central nervous system infections.
从健康儿童中采集了800份咽部分泌物样本,并从感染b型流感嗜血杆菌引起脑膜炎的儿童的28名健康家庭内接触者中采集了样本。在托儿所儿童中,8.7%分离出b型流感嗜血杆菌,0.12%分离出e型流感嗜血杆菌,5.8%分离出不可分型流感嗜血杆菌。在家庭内接触者中,32%感染b型流感嗜血杆菌,3.5%感染不可分型流感嗜血杆菌。b型流感嗜血杆菌对氨苄西林耐药的比例为14%。未发现对氯霉素耐药的菌株。37%的咽部分泌物样本中分离出肺炎链球菌。25.5%的测试菌株对青霉素敏感;74.5%的菌株敏感性降低。基于这些结果,我们认为氯霉素是治疗严重流感嗜血杆菌感染的首选药物,而青霉素是治疗肺炎链球菌感染的药物,在治疗中枢神经系统感染时,建议后者使用更高剂量。