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Therapeutic Efficacy of Third Generation Cephalosporin, Against Ampicillin and Chloramphenicol Resistant Haemophilus Influenzae


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1 Microbiology Department, Govt. Medical College, Jagdalpur (CG), India
     

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Haemophilus Influenzae type b is an important cause of meningitis in child below two years of age. In many causes treatment is empiric and there is a lack of understanding of resistant issues with this bacterium. This study was aimed to determine the therapeutic efficacy of ceftriaxone and ceftazidime in comparison to chloramphenicol and ampicillin. The mean bacterial colony counts in cerebrospinal fluid were unchanged or slightly increased with ampicillin or chloramphenicol while the mean bacterial colony counts in CSF were reduced by 92% (-3.37 log10 CFU/ml) on 92% (-4.30log 10 CFU/ml) after a single dose of ceftazidime and ceftriaxone.

Keywords

Meningitis, Ceftriaxone, Chloramphenicol H. Influenzae, CSF.
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  • Timothy F. Morphy Harrisons Principle of internal medicine 17th 923
  • Thomas W.J, J.W. Mc Reynolds, C.R Mock and D.W Balley.1974. Ampicillin resistant Haemophilus Influenzae meningitis Lancet 313
  • Dacey. R.G and M.R Sande 1974. Effect of probenccid on cerebrospinal fluid concentration of penicillin and cephalosporin derivatives Antimicrob agents chemotherapy 6: 437-441
  • Ananthanarayan R Yayaram paniker C K text book of Microbiology 8th 36-332
  • Smith A L 1983Antibiotic resistant in Haemophilus Influenzae pediatric infection Dis 2.352-355.
  • Thrupp L D Greene G R uchiyama, N., D B Vitts .1982 meningitis due to haemkohilius Influenzae type b resistant to ampicillin and chloramphenicol J pediatric g7 :421-424.
  • Isburg C.D, J.E Kenny and R H Micheels 1980 meningitis due to haemophilus Influenzae type b resistant to both ampicillin and chloramphenicol pediatrics 66: 14-16.
  • Sherertz R J, M.A., O.Zake, R.G Dacey, J A Bodine, and I J Stransbangh factors influencing the penetration of antimicrobial agents into the cerebrospinal fluid of experimental specimen, Scand J Infect. Dis (14) 160-163.
  • Jean F Venny Carroll D Isburg, Richard meningitis due to H Influenzae type b resistant to both Ampicillin and chloramphenicol pediatrics Vol 66-14-16
  • Markowitz .S.M. Isolation of Ampicillin - resistant ,non Beta lactamase producing strain of H. Influenzae, Antimicrob agents chemother. 17:80-83
  • Improved medium for antimicrobial susceptibility testing of haemophilus Influenzae. J.H Jorgensen, J S Redding L a Maher and a W Howell. J. Clinical microbiology -1987. 2105-2113.
  • Sigue Ringertz, Barbro Olsson. Lilyequist and Goran Kronvall. Antimicrobial susceptibility testing of Haemophilus Influenzae Improvement of Accuracy of the Disc diffusion test. Journal of antimicrobial chemotherapy Volume 26,479-489.
  • Slack M P E, Medical microbiology greenwood, Slack Pendtherer, barer, seventeenth edition 31, 318-324.
  • A. J. Howard, Catherine A. Isan ( Mackie and Mc Cartney - practical Medical Microbiology)- 14th edition 25:449.
  • Perfect J R., S.R land and D T Durack. 1980 Comparison of Cotrimoxazole, ampicillin and chloramphenicol in treatment of experiment Haemophilus Influenzae type b meningitis. Antimicrob Agents Chemother 17: 43-48.
  • Ubukata, J 2003 Problems associated with high prevalence of Multidrug resistant bacteria in patients with community - Acquired infection. J infect. Chemotherapy 9:285-91.
  • Simasathein, S.C Duangmani and P. Escheverria.1980 Haemophilus Influenzae type b resistant to ampicillin and chloramphenicol in an orphanage in Thailand. Lancet 1214-1217.
  • Strausbaugh, L J., C.D Mandaleris and M.A. Sande. 1977. Cefamandole and Ampicillin therapy in experimental Haemophilus Influenzae meningitis J Infect. Dis 135: 210-216.
  • Robert P Rennie and Khalid H. Ibrahim., antimicrobial Resistance in Haemophilus Influenzae: how Can We prevent th Inevitable? Commentary on Amtimicrobial Resistance in H. Influenzae based on Data from the Targeted surveillance program. CID . Oxford journal. 2005:41.
  • Hasegawa K, Chiba N, Kobayashi R, et al. Rapidly increasing prevalence of b-lactamase-nonproducing ampicillin-resistant Haemophilus Influenzae type b in patients with meningitis. Antimicrob Agents Chemother 2004; 48:1509-14.
  • Ubukata, K., 2001 three Years of surveillance of invasive Haemophilus influenzae by the study group for community Acquired infections Jpm J. antibiotic (54:72-79)

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  • Therapeutic Efficacy of Third Generation Cephalosporin, Against Ampicillin and Chloramphenicol Resistant Haemophilus Influenzae

Abstract Views: 294  |  PDF Views: 2

Authors

V. C. Yadav
Microbiology Department, Govt. Medical College, Jagdalpur (CG), India
V. Ravi Kiran
Microbiology Department, Govt. Medical College, Jagdalpur (CG), India

Abstract


Haemophilus Influenzae type b is an important cause of meningitis in child below two years of age. In many causes treatment is empiric and there is a lack of understanding of resistant issues with this bacterium. This study was aimed to determine the therapeutic efficacy of ceftriaxone and ceftazidime in comparison to chloramphenicol and ampicillin. The mean bacterial colony counts in cerebrospinal fluid were unchanged or slightly increased with ampicillin or chloramphenicol while the mean bacterial colony counts in CSF were reduced by 92% (-3.37 log10 CFU/ml) on 92% (-4.30log 10 CFU/ml) after a single dose of ceftazidime and ceftriaxone.

Keywords


Meningitis, Ceftriaxone, Chloramphenicol H. Influenzae, CSF.

References