char = C;code = 67
Change in pneumococcal susceptibility to azithromycin during treatment for acute otitis media.char = A;code = 65 ANSP : is likely to disseminate even with significant reduction of azithromycin use unless other antibiotic use is decreased as well.
Publication: Pediatr. Infect. Dis. J. 2007 Jul ;26(7)::647-9.
Publication Date: 2007 Jul
Study Author(s): Toltzis, Philip;Dul, Michael;Blumer, Jeffrey;
Institution: Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
[email protected]
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Authorities have suggested restriction of azithromycin use as a principal strategy to contain the spread of azithromycin-nonsusceptible Streptococcus pneumoniae (ANSP). In 83 children persistently colonized by pneumococcus during and after treatment of acute otitis media, 17 acquired a new strain, 9 of which were less susceptible to azithromycin than the original isolate. New appearance of ANSP was documented after both beta-lactam and azithromycin exposure ANSP : is likely to disseminate even with significant reduction of azithromycin use unless other antibiotic use is decreased as well.
How is this determined?
