Prospective surveillance for atypical pathogens in children with community-acquired pneumonia in Japan

Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy
Masahiro BambaKeisuke Sunakawa

Abstract

A total of 141 children with community-acquired pneumonia (CAP) were studied prospectively to determine the causative microorganisms. Microbial investigations included examination of postnasal swabs, cultures, polymerase chain reaction (PCR), and serology. The atypical pathogens occurring most frequently were Mycoplasma pneumoniae (58 patients [41.1%]), Chlamydia pneumoniae (4 patients [2.8%]), and concurrent occurrence of both pathogens (1 patient [0.7%]). Patients aged under 4 years showed a relatively lower rate of atypical bacterial etiology compared with those aged 4 years or older. Major bacterial pathogens were detected in 89 patients (atypical pathogens were detected in 28 patients simultaneously), including Streptococcus pneumoniae in 34 patients, Haemophilus influenzae in 60, Moraxella catarrhalis in 48, and multiple pathogens in 42. In patients suspected of having atypical pneumonia, macrolides are recommended.

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Citations

Mar 21, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Zunera GilaniDaniel R Feikin
Feb 3, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Islam M GhaziJoseph L Kuti
Oct 20, 2011·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Ayako KamataToshiaki Shimizu
Jul 29, 2008·The Journal of Infection·Akihiro TamuraTakashi Fukaya
Aug 30, 2008·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Shinobu OtomoTadahiro Karasawa
Jan 25, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Samir S ShahMatthew Hall
Jun 25, 2010·Pediatric Pulmonology·Magdalena G Sy, Joan L Robinson
Sep 7, 2016·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Jun HiraiJiro Fujita
Nov 23, 2018·Journal of General and Family Medicine·Yusaku AkashiHironori Imai

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