PMID- 17109095 OWN - NLM STAT- MEDLINE DCOM- 20070213 LR - 20191210 IS - 1341-321X (Print) IS - 1341-321X (Linking) VI - 12 IP - 5 DP - 2006 Oct TI - Study of nasopharyngeal bacterial flora. Second report. Variations in nasopharyngeal bacterial flora in children aged 6 years or younger when administered antimicrobial agents. Part 2. PG - 305-30 AB - This report focuses on changes in the nasopharyngeal bacterial flora before and after administration of antimicrobial agents in 172 cases of acute upper respiratory infection in patients aged 6 years or younger. The antimicrobial agents administered were amoxicillin (AMPC) (34%), clavulanic acid/amoxicillin compound (11%), cefditren pivoxil (CDTR-PI) (43%), and others (12%). Changes in nasopharyngeal bacterial flora were investigated with reexaminations conducted after 2-5 days (day 2-5 subgroup), 6-10 days (day 6-10 subgroup), and 11 days and thereafter. There was a significant reduction in the Streptococcus pneumoniae detected in the group administered AMPC (AMPC group) in the day 2-5 subgroup and the day 6-10 subgroup. There was also a significant decrease in H. influenzae in the group administered CDTR-PI (CDTR-PI group) in the day 2-5 subgroup. From this it was inferred that for the most part significant changes in infectious nasopharyngeal bacteria occurred in the day 2-5 subgroups. However, a significant improvement in the degree of inflammation, as indicated by leukocyte infiltration images for the AMPC group, was observed in the day 2-5 subgroup, and for the CDTR-PI group in the day 6-10 subgroup. On the other hand, in both the antimicrobial agent groups, S. pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis were newly detected at reexamination. Furthermore, a difference in the incidence of these bacteria was observed between the 2 antimicrobial agent groups. It was suggested that such phenomena related to the survival of resistant strains or a recurrence otitis media. FAU - Konno, Masatoshi AU - Konno M AD - Teikyo University School of Medicine, Tokyo, Japan. mrsa@interlink.or.jp FAU - Baba, Shunkichi AU - Baba S FAU - Mikawa, Haruki AU - Mikawa H FAU - Hara, Kohei AU - Hara K FAU - Matsumoto, Fumio AU - Matsumoto F FAU - Kaga, Kimitaka AU - Kaga K FAU - Nishimura, Tadao AU - Nishimura T FAU - Kobayashi, Toshimitsu AU - Kobayashi T FAU - Furuya, Nobuhiko AU - Furuya N FAU - Moriyama, Hiroshi AU - Moriyama H FAU - Okamoto, Yoshitaka AU - Okamoto Y FAU - Furukawa, Mituru AU - Furukawa M FAU - Yamanaka, Noboru AU - Yamanaka N FAU - Matsushima, Toshiharu AU - Matsushima T FAU - Yoshizawa, Yasuyuki AU - Yoshizawa Y FAU - Kohno, Shigeru AU - Kohno S FAU - Kobayashi, Kunihiko AU - Kobayashi K FAU - Morikawa, Akihiro AU - Morikawa A FAU - Koizumi, Shoichi AU - Koizumi S FAU - Sunakawa, Keisuke AU - Sunakawa K FAU - Inoue, Matsuhisa AU - Inoue M FAU - Ubukata, Kimiko AU - Ubukata K LA - eng PT - Journal Article DEP - 20061106 PL - Netherlands TA - J Infect Chemother JT - Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy JID - 9608375 RN - 0 (Anti-Infective Agents) SB - IM MH - Anti-Infective Agents/*therapeutic use MH - Child MH - Child, Preschool MH - Drug Resistance MH - Female MH - Haemophilus Infections/microbiology MH - Haemophilus influenzae/*isolation & purification MH - Humans MH - Infant MH - Male MH - Moraxella catarrhalis/*isolation & purification MH - Moraxellaceae Infections/microbiology MH - Nasopharynx/drug effects/*microbiology MH - Otitis Media/drug therapy/microbiology MH - Pneumococcal Infections/microbiology MH - Polymerase Chain Reaction/methods MH - Respiratory Tract Infections/*drug therapy/microbiology MH - Streptococcus pneumoniae/*isolation & purification EDAT- 2006/11/17 09:00 MHDA- 2007/02/14 09:00 CRDT- 2006/11/17 09:00 PHST- 2006/05/15 00:00 [received] PHST- 2006/07/19 00:00 [accepted] PHST- 2006/11/17 09:00 [pubmed] PHST- 2007/02/14 09:00 [medline] PHST- 2006/11/17 09:00 [entrez] AID - S1341-321X(06)70915-1 [pii] AID - 10.1007/s10156-006-0469-4 [doi] PST - ppublish SO - J Infect Chemother. 2006 Oct;12(5):305-30. doi: 10.1007/s10156-006-0469-4. Epub 2006 Nov 6.