Therapy for children with invasive pneumococcal infections

N. A. Halsey, P. J. Chesney, M. A. Gerber, D. S. Gromisch, S. Kohl, S. M. Marcy, M. I. Marks, D. L. Murray, Jr Overall, L. K. Pickering, R. J. Whitley, R. Yogev, G. Peter, C. B. Hall, R. Breiman, S. C. Hadler, M. C. Hardegree, R. F. Jacobs, N. E. MacDonald, W. A. OrensteinN. R. Rabinovich, B. Schwartz, Jr McCracken, S. L. Kaplan, J. H. Jorgensen

Research output: Contribution to journalReview articlepeer-review

160 Scopus citations

Abstract

This statement provides guidelines for therapy of children with serious infections possibly caused by Streptococcus pneumoniae. Resistance of invasive pneumococcal strains to penicillin, cefotaxime, and ceftriaxone has increased over the past few years. Reports of failures of cefotaxime or ceftriaxone in the treatment of children with meningitis caused by resistant S pneumoniae necessitates a revision of Academy recommendations. For nonmeningeal infections, modifications of the initial therapy need to be considered only for patients who are critically ill and those who have a severe underlying or potentially immunocompromising condition or patients from whom a highly resistant strain is isolated. Because vancomycin is the only antibiotic to which all S pneumoniae strains are susceptible, its use should be restricted to minimize the emergence of vancomycin-resistant organisms. Patients with probable aseptic (viral) meningitis should not be treated with vancomycin. These recommendations are subject to change as new information becomes available.

Original languageEnglish (US)
Pages (from-to)289-299
Number of pages11
JournalPediatrics
Volume99
Issue number2
DOIs
StatePublished - Feb 1997

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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