1984
DOI: 10.1001/jama.1984.03340300080035
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The Treatment of Meningococcic Meningitis With Sulfanilamide

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Cited by 18 publications
(15 citation statements)
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“…The use of serum therapy fell by the wayside in the 1930s with the advent of sulfonamide therapy for treatment of meningococcal infection (318,319). In a report from the Surgeon General in 1930, rates of meningococcal meningitis were reported for the United States, with rates that are much higher than those of today (386).…”
Section: Historymentioning
confidence: 99%
“…The use of serum therapy fell by the wayside in the 1930s with the advent of sulfonamide therapy for treatment of meningococcal infection (318,319). In a report from the Surgeon General in 1930, rates of meningococcal meningitis were reported for the United States, with rates that are much higher than those of today (386).…”
Section: Historymentioning
confidence: 99%
“…Os anos endêmicos apresentam taxas de incidência e mortalidade semelhantes ao longo do período. Assim, a tendência secular da incidência e da mortalidade, durante o sé-culo XX, poderia ser descrita como uma linha reta marcada por oscilações desprezíveis durante os períodos endêmicos, interrompida periodicamente pela ocorrência epidêmica em momentos críticos para a população (Tabela 1; Figura 1 4 . A redução da letalidade para 9,0% comparada à letalidade de 22,0% observada nos pacientes tratados com soro, levou à rápida adoção do novo tratamento no mundo todo, tão logo houve disponibilidade de sulfonamidas 5 .…”
Section: Tendência Secularunclassified
“…78 In the 1950s and 1960s, sulfonamide resistance necessitated a switch to penicillin or chloramphenicol. Since the 1980s, decreased penicillin susceptibility (MIC, >0.25 mg/L) has been reported in several countries (Spain, Greece, Switzerland, Romania, France, Belgium, United Kingdom, Malawi, South Africa, Canada and the United States).…”
Section: Antimicrobial Susceptibilitymentioning
confidence: 99%
“…33 Most of the relatively resistant meningococci have belonged to either serogroup B or C. Decreased sensitivity to penicillin is caused by a reduced affinity to penicillin binding protein type 2 (PBP2) and PBP3. 76,78 The altered PBP2 found in N. meningitidids strains may have arosen from recombination processes that resulted in replacement of sequences in the native meningococcal penA gene with corresponding genetic sequences from commensal Neisseria species. Although, the clinical significance of diminished penicillin susceptibility in N. meningitidis is unclear at present both treatment failures and higher rates of complications have been observed.…”
Section: Antimicrobial Susceptibilitymentioning
confidence: 99%