2008
DOI: 10.1007/s10156-008-0632-1
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Prevalence of Haemophilus influenzae with resistant genes isolated from young children with acute lower respiratory tract infections in Nha Trang, Vietnam

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Cited by 13 publications
(10 citation statements)
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“…[161][162][163][164][165][166] In some regions, beta-lactamase -positive NTHi represent up to 55% of NTHi (Taiwan, Vietnam, Japan, South-Korea). [167][168][169][170][171] The beta-lactamase found in H. influenzae is usually a plasmid-encoded class A serine beta-lactamase; most often a TEM-1, rarely ROB-1, although regional differences exist. 172 It is surprising that although mutations have appeared in the promoter region of these genes, no TEM-type extendedspectrum beta-lactamases (ESBLs) have yet been detected in H. influenzae, in contrast to other Gram-negatives.…”
Section: Development Of Resistance In Nthimentioning
confidence: 99%
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“…[161][162][163][164][165][166] In some regions, beta-lactamase -positive NTHi represent up to 55% of NTHi (Taiwan, Vietnam, Japan, South-Korea). [167][168][169][170][171] The beta-lactamase found in H. influenzae is usually a plasmid-encoded class A serine beta-lactamase; most often a TEM-1, rarely ROB-1, although regional differences exist. 172 It is surprising that although mutations have appeared in the promoter region of these genes, no TEM-type extendedspectrum beta-lactamases (ESBLs) have yet been detected in H. influenzae, in contrast to other Gram-negatives.…”
Section: Development Of Resistance In Nthimentioning
confidence: 99%
“…A high prevalence of BLNAR strains has also been reported from neighbouring regions such as Taiwan, Vietnam, South-Korea. 167,169,170 Most countries in Europe and the USA have reported beta-lactamase in 5% to 25% of NTHi isolates and few or no BLNAR strains. In Europe, an exception is Spain, where higher levels of BLNAI/R and the presence of BLNAR (genotype III-like) exhibiting characteristics of clonality, with increased MIC values for cefuroxime (up to 16 µg/ml) and cefotaxime (up to 4 µg/ml), have been reported.…”
Section: Development Of Resistance In Nthimentioning
confidence: 99%
“…These strains are found with varying -usually low -frequencies in Europe and in North America, but some Asian countries, particularly Japan, are heavily burdened [152][153][154][155]. BLNAR strains with decreased ampicillin susceptibility, but none expressing full resistance, were isolated from lower respiratory infections in children in Vietnam [156]. In North India 14.4% of the H. influenzae strains isolated from the nasopharynx of children were BLNAR (based on the lack of beta-lactamase activity), 81.8% of which expressed the "b" type capsular antigen.…”
Section: Haemophilus Influenzaementioning
confidence: 99%
“…Значительная часть штаммов Str. pneumoniae, устойчивых к пенициллину, сохраняет чув-ствительность к цефалоспоринам III поколения и карба-пенемам [9].Что касается продукции β-лактамаз, то необ-ходимо учитывать, что в последнее время отмечается уве-личение количества β-лактамаза-позитивных и амокси-циллин-клавуланат-резистентных штаммов H. Influenzae (в США до 27-43%) [10][11][12]. Из осложнений при приме-нении комбинации амоксициллин + клавуланат пример-но в 24% случаев возникает диарейный синдром, связан-ный с побочными эффектами клавулановой кислоты из-за ее неполного всасывания и усиления моторики тонкого кишечника [13,14].…”
Section: © коллектив авторов 2016unclassified