Document Detail


Branhamella catarrhalis respiratory infections.
MedLine Citation:
PMID:  1628725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Branhamella catarrhalis is an aerobic Gram-negative diplococcus. It has been traditionally regarded as an oropharyngeal commensal and until recently was only identified as a pathogen in cases of bronchopulmonary infections. The aim of this study was to analyse the characteristics of the respiratory infections caused by B. catarrhalis and to know the antibiotic susceptibility of this microorganism. We retrospectively studied 32 lower respiratory tract infections, caused by B. catarrhalis (20 cases of bronchial infection and 12 cases of pneumonia), diagnosed between 1988-1989 in our hospital. All patients had an underlying disease; chronic obstructive pulmonary disease (COPD) and chronic heart disease being the most frequent. The aetiological diagnostic procedures were: sputum culture in 28 cases (15 in pure culture and 13 mixed), protected specimen brush (PSB) in three cases and transthoracic needle aspiration (TNA) in one case. Twenty B. catarrhalis isolates were penicillin and ampicillin-resistant, 11 in the pneumonia group and 9 in the bronchial infection group. All isolates were sensitive to amoxycillin-clavulanic acid and second generation cephalosporin. In our group four patients died. We conclude that B. catarrhalis is a not infrequent cause of respiratory infection, particularly in COPD patients, and that the high incidence of antibiotic resistance to penicillin and ampicillin should be taken into account before considering an empirical antibiotic treatment.
Authors:
B Barreiro; L Esteban; E Prats; E Verdaguer; J Dorca; F Manresa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  5     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-08-20     Completed Date:  1992-08-20     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  675-9     Citation Subset:  IM    
Affiliation:
Dept of Pneumology, Hospital de Bellvitge, University of Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Aged
Ampicillin Resistance
Bronchitis / epidemiology,  microbiology*
Female
Humans
Male
Microbial Sensitivity Tests
Moraxella (Branhamella) catarrhalis / drug effects,  isolation & purification*
Neisseriaceae Infections / epidemiology*
Penicillin Resistance
Pneumonia / epidemiology,  microbiology*
Retrospective Studies
Spain / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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