Macrolide resistance in pneumococci-is it relevant?
- PMID: 28702289
- PMCID: PMC5471688
- DOI: 10.1186/s41479-016-0010-1
Macrolide resistance in pneumococci-is it relevant?
Abstract
Macrolide antibiotics are widely used for a range of indications, including pneumonia. Both high-level and low-level resistance to macrolides is increasing in pneumococci globally. Macrolide resistance in pneumococci is of limited clinical relevance where ß-lactams remain the mainstay of treatment, such as for moderate/severe pneumonia; however, data suggest that macrolides may not be able to be relied on as monotherapy for serious pneumococcal infections.
Keywords: Antibiotic resistance; Community-acquired pneumonia; Macrolides; Streptococcus pneumoniae.
References
-
- Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, Infectious Diseases Society of America. American Thoracic Society et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007;44(Suppl 2):S27–72. doi: 10.1086/511159. - DOI - PMC - PubMed
-
- Darwin Otitis Guidelines Group. Recommendations for clinical care guidelines on the management of otitis media in Aboriginal and Torres Strait Islander populations. Canberra: OATSIH; 2010.
-
- Hare KM, Singleton RJ, Grimwood K, Valery PC, Cheng AC, Morris PS, et al. Longitudinal nasopharyngeal carriage and antibiotic resistance of respiratory bacteria in indigenous Australian and Alaska native children with bronchiectasis. PLoS ONE. 2013;8:e70478. doi: 10.1371/journal.pone.0070478. - DOI - PMC - PubMed
-
- Keenan JD, Klugman KP, McGee L, Vidal JE, Chochua S, Hawkins P, et al. Evidence for clonal expansion after antibiotic selection pressure: pneumococcal multilocus sequence types before and after mass azithromycin treatments. J Infect Dis. 2015;211:988–94. doi: 10.1093/infdis/jiu552. - DOI - PMC - PubMed
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