A comparative clinical study of macrolide-sensitive and macrolide-resistant Mycoplasma pneumoniae infections in pediatric patients

Keita Matsubara, Miyuki Morozumi, Takafumi Okada, Takahiro Matsushima, Osamu Komiyama, Michi Shoji, Takashi Ebihara, Kimiko Ubukata, Yoshitake Sato, Hironobu Akita, Keisuke Sunakawa, Satoshi Iwata

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Abstract

In recent years, the increased prevalence of macrolide-resistant Mycoplasma pneumoniae (MR-M. pneumoniae) has become a significant issue in Japan. We isolated 94 strains of M. pneumoniae, and determined the minimum inhibitory concentrations (MICs) of macrolides and other antimicrobial agents for these strains. We also performed a comparative clinical evaluation of macrolide efficacy for cases of MR-M. pneumoniae infections and cases of macrolide-sensitive Mycoplasma pneumoniae infections (MS-M. pneumoniae). Of the 94 isolates of M. pneumoniae, 64 (68.1%) were classified as MS-M. pneumoniae and 30 (31.9%) as MR-M. pneumoniae strains. The clinical study included an assessment of 47 pediatric cases of MS-M. pneumoniae and 22 pediatric cases of MR-M. pneumoniae. The patient demographics, such as sex, age, the period from the onset of the infection to the first examination, laboratory findings, diagnosis, and the severity of symptoms, showed no significant difference between the two study groups. However, the efficacy of macrolide treatment was 91.5% for MS-M. pneumoniae and 22.7% for MR-M. pneumoniae, a statistically significant difference (P < 0.01). Although M. pneumoniae infection is generally considered a treatable condition, the increasing prevalence of macrolide-resistant strains of M. pneumoniae has become a significant clinical issue in pediatric patients, and it is therefore necessary to give careful consideration to the appropriate antimicrobial therapy for MR-M. pneumoniae infection.

Original languageEnglish
Pages (from-to)380-383
Number of pages4
JournalJournal of Infection and Chemotherapy
Volume15
Issue number6
DOIs
Publication statusPublished - 2009 Dec

Keywords

  • Child
  • Drug resistance
  • Macrolide
  • Mycoplasma pneumoniae

ASJC Scopus subject areas

  • Microbiology (medical)
  • Pharmacology (medical)
  • Infectious Diseases

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  • Cite this

    Matsubara, K., Morozumi, M., Okada, T., Matsushima, T., Komiyama, O., Shoji, M., Ebihara, T., Ubukata, K., Sato, Y., Akita, H., Sunakawa, K., & Iwata, S. (2009). A comparative clinical study of macrolide-sensitive and macrolide-resistant Mycoplasma pneumoniae infections in pediatric patients. Journal of Infection and Chemotherapy, 15(6), 380-383. https://doi.org/10.1007/s10156-009-0715-7