Title: The role of beta-lactamase producing aerobic bacteria in
the throat in the penicillin therapy of streptococcal pharyngirtis.
Journal: Med Jad
Number: 1
ISSN: 0351-0093
Volume: 22
Year: 1992
Pages: from 17 to 23
Summary: The antibiotic therapy of group A beta hemolytic
streptococci(Streptococcus pyogenes-S.pyogenes) is still classic,
withpenicillin as the medicine of choice.
We noticed that in the throat smears of certain patients it waspossible to
isolate S.pyogenes several times regardless of thepenicillin therapy.
Pediatricians and specialist in schoolmedicine also drew attention to this
fact, pointing out thatthese patients were prescribed anb adequate
treatment, very oftenintramuscular, of the right concentration and
duration.
From the beginning of 1990 we looked for beta-lactamase producingaerobic
bacteria in the throat smear cultures in which S.pyogeneswas reeatedly
isolated.
We determined beta-lactamase by the chromogen method, usingsephalosporin
nitrocefin (the Cefinase Beckton Dickinson test).
From 67 smear cultures (67 patients) in which S.pyogenes wasrepeatedly
isolated, in 48 of them isolated one or more bacterialspecies producing
beta-lactamase. Staphylococcus aureus wasisolated 27 times (56.25%),
Neisseriae spp. 6 times (12.5%),Hemophilus influenzae 5 times (10.4%),
Staphylococcusepidemirmidis 3 times (6.25%) and from
enterobacteria,Escherichia coli was isolated 8 times (16.7%) and
Proteusmirabilis once (2.08%).
The findings showed a significant presence of beta-lactamaseproducing
bacteria in the cultures where S.pyogenes wasrepeatedly isolated during or
after the penicillin therapy.
Therefore it is important for a doctor to have the data of thepresence of
beta-lactamase producing bacteria, as it inables himto decide on an
adequate therapy.
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