Therapeutic efficacy of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant and macrolide-sensitive Mycoplasma pneumoniae pneumonia in pediatric patients
To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. A prospective, multicenter observational study...
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Published in | PloS one Vol. 12; no. 3; p. e0173635 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Public Library of Science
13.03.2017
Public Library of Science (PLoS) |
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Abstract | To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients.
A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured.
Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively.
Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. |
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AbstractList | Objective To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. Methods A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. Results Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 [mu]g/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 [mu]g/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 [mu]g/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 [mu]g/ml, respectively. Conclusion Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 [mu]g/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 [mu]g/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 [mu]g/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 [mu]g/ml, respectively. Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients.OBJECTIVETo clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients.A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured.METHODSA prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured.Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively.RESULTSMean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively.Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides.CONCLUSIONBoth minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. OBJECTIVE:To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. METHODS:A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. RESULTS:Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively. CONCLUSION:Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. Objective To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. Methods A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. Results Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 Mg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 Mg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 Mg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 Mg/ml, respectively. Conclusion Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively. Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. Objective To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia and against macrolide-sensitive Mycoplasma pneumoniae (MSMP) pneumonia in pediatric patients. Methods A prospective, multicenter observational study was conducted from July 2013 to August 2015. The therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin were evaluated in 59 patients with pneumonia caused by MRMP and in 50 patients with pneumonia caused by MSMP. In vitro activities of antimicrobial agents against isolates of Mycoplasma pneumoniae were also measured. Results Mean durations of fever following commencement of treatment in patients infected with MRMP and MSMP were 5.2 and 1.9 days, respectively (log-rank test, P < 0.0001). Among patients infected with MRMP, mean durations of fever were 4.6, 5.5, 1.0 and 7.5 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P < 0.0001). Among patients infected with MSMP, mean durations of fever were 2.5, 1.7, 0.9 and 4.3 days for patients treated with azithromycin, clarithromycin, minocycline and tosufloxacin, respectively (log-rank test, P = 0.0162). The MIC90s of azithromycin and clarithromycin among the 27 isolates of MRMP were 64 and 256 μg/ml, respectively, and those among the 23 isolates of MSMP were <0.000125 and 0.001 μg/ml, respectively. The MIC90s of minocycline and tosufloxacin among the 27 isolates of MRMP were 1.0 and 0.25 μg/ml, respectively, and those among the 23 isolates of MSMP were 1.0 and 0.5 μg/ml, respectively. Conclusion Both minocycline and tosufloxacin showed good in vitro activities against MRMP. Minocycline, but not tosufloxacin, shortened the duration of fever in pediatric patients infected with MRMP compared to the duration of fever in patients treated with macrolides. |
Audience | Academic |
Author | Tabata, Yuichi Koseki, Naoko Hazama, Kyosuke Nakanishi, Masanori Oba, Koji Aoyagi, Hayato Shida, Satoru Morita, Keisuke Kikuta, Hideaki Yoshioka, Mikio Ariga, Tadashi Sasaki, Satoshi Ishiguro, Nobuhisa Naito, Hiroyuki Watanabe, Toru Furuyama, Hideto Yamanaka, Tatsuru Hara, Kazuya Shibata, Mutsuo Ishizaka, Akihito Kaiho, Miki Kenri, Tsuyoshi Togashi, Takehiro Nagano, Naoko Horino, Atsuko |
AuthorAffiliation | 18 Deparment of Pediatrics, Obihiro Kyokai Hospital, Obihiro, Hokkaido, Japan 4 Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan 14 Department of Pediatrics, Health Sciences University of Hokkaido, Sapporo, Hokkaido, Japan 16 Sumiyoshi Kodomo Clinic, Chitose, Hokkaido, Japan 6 Department of Pediatrics, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido, Japan 17 Iwamizawa Pediatric and Gynecology Clinic, Iwamizawa, Hokkaido, Japan 10 Watanabe Pediatric Allergy Clinic, Sapporo, Hokkaido, Japan 2 Pediatric Clinic, Touei Hospital, Sapporo, Hokkaido, Japan 13 Deparment of Pediatrics, Japan Community Healthcare Organization Hokkaido Hospital, Sapporo, Hokkaido, Japan 20 Deparment of Pediatrics, KKR Sapporo Medical Center, Sapporo, Hokkaido, Japan Chang Gung Memorial Hospital, TAIWAN 7 Nagano Pediatric Clinic, Asahikawa, Hokkaido, Japan 19 Deparment of Pediatrics, Chitose City Hospital, Chitose, Hokkaido, Japan 21 Department of Bacter |
AuthorAffiliation_xml | – name: 11 Yamanaka Tatsuru Pediatric Clinic, Sapporo, Hokkaido, Japan – name: Chang Gung Memorial Hospital, TAIWAN – name: 14 Department of Pediatrics, Health Sciences University of Hokkaido, Sapporo, Hokkaido, Japan – name: 13 Deparment of Pediatrics, Japan Community Healthcare Organization Hokkaido Hospital, Sapporo, Hokkaido, Japan – name: 18 Deparment of Pediatrics, Obihiro Kyokai Hospital, Obihiro, Hokkaido, Japan – name: 1 Department of Pediatrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan – name: 16 Sumiyoshi Kodomo Clinic, Chitose, Hokkaido, Japan – name: 2 Pediatric Clinic, Touei Hospital, Sapporo, Hokkaido, Japan – name: 15 Deparment of Pediatrics, Ebetsu Municipal Hospital, Ebetsu, Hokkaido, Japan – name: 4 Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan – name: 19 Deparment of Pediatrics, Chitose City Hospital, Chitose, Hokkaido, Japan – name: 21 Department of Bacteriology II, National Institute of Infectious Diseases, Tokyo, Japan – name: 7 Nagano Pediatric Clinic, Asahikawa, Hokkaido, Japan – name: 9 Hazama Pediatric Clinic, Muroran, Hokkaido, Japan – name: 12 Department of Pediatrics, Aiiku Hospital, Sapporo, Hokkaido, Japan – name: 17 Iwamizawa Pediatric and Gynecology Clinic, Iwamizawa, Hokkaido, Japan – name: 8 Deparment of Pediatrics, Kushiro Red Cross Hospital, Kushiro, Hokkaido, Japan – name: 5 Interfaculty Initiative in Information Studies, The University of Tokyo, Tokyo, Japan – name: 3 Hokkaido Anti–Tuberculosis Association Sapporo Fukujuji Clinic, Sapporo, Hokkaido, Japan – name: 6 Department of Pediatrics, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido, Japan – name: 20 Deparment of Pediatrics, KKR Sapporo Medical Center, Sapporo, Hokkaido, Japan – name: 10 Watanabe Pediatric Allergy Clinic, Sapporo, Hokkaido, Japan |
Author_xml | – sequence: 1 givenname: Nobuhisa orcidid: 0000-0001-8594-6345 surname: Ishiguro fullname: Ishiguro, Nobuhisa – sequence: 2 givenname: Naoko surname: Koseki fullname: Koseki, Naoko – sequence: 3 givenname: Miki surname: Kaiho fullname: Kaiho, Miki – sequence: 4 givenname: Tadashi surname: Ariga fullname: Ariga, Tadashi – sequence: 5 givenname: Hideaki surname: Kikuta fullname: Kikuta, Hideaki – sequence: 6 givenname: Takehiro surname: Togashi fullname: Togashi, Takehiro – sequence: 7 givenname: Koji surname: Oba fullname: Oba, Koji – sequence: 8 givenname: Keisuke surname: Morita fullname: Morita, Keisuke – sequence: 9 givenname: Naoko surname: Nagano fullname: Nagano, Naoko – sequence: 10 givenname: Masanori surname: Nakanishi fullname: Nakanishi, Masanori – sequence: 11 givenname: Kazuya surname: Hara fullname: Hara, Kazuya – sequence: 12 givenname: Kyosuke surname: Hazama fullname: Hazama, Kyosuke – sequence: 13 givenname: Toru surname: Watanabe fullname: Watanabe, Toru – sequence: 14 givenname: Tatsuru surname: Yamanaka fullname: Yamanaka, Tatsuru – sequence: 15 givenname: Satoshi surname: Sasaki fullname: Sasaki, Satoshi – sequence: 16 givenname: Hideto surname: Furuyama fullname: Furuyama, Hideto – sequence: 17 givenname: Mutsuo surname: Shibata fullname: Shibata, Mutsuo – sequence: 18 givenname: Satoru surname: Shida fullname: Shida, Satoru – sequence: 19 givenname: Akihito surname: Ishizaka fullname: Ishizaka, Akihito – sequence: 20 givenname: Yuichi surname: Tabata fullname: Tabata, Yuichi – sequence: 21 givenname: Hayato surname: Aoyagi fullname: Aoyagi, Hayato – sequence: 22 givenname: Hiroyuki surname: Naito fullname: Naito, Hiroyuki – sequence: 23 givenname: Mikio surname: Yoshioka fullname: Yoshioka, Mikio – sequence: 24 givenname: Atsuko surname: Horino fullname: Horino, Atsuko – sequence: 25 givenname: Tsuyoshi surname: Kenri fullname: Kenri, Tsuyoshi |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28288170$$D View this record in MEDLINE/PubMed |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3 Conceptualization: NI.Formal analysis: KO.Funding acquisition: NI.Investigation: NK MK AH TK.Methodology: NI.Resources: KM NN MN KHara KHazama TW TY SSasaki HF MS SShida AI YT HA HN.Supervision: TA HK TT.Validation: MY.Writing – original draft: NI. Competing Interests: This research was funded in part by a Grant-in-Aid for Scientific Research (C), 2013 (25461577), from the Ministry of Education, Science, Sports and Culture of Japan and by a Health Science Research Grant (H24-Shinkou-Ippan-014) for Research on Emerging and Re-emerging Infectious Diseases, Labour and Welfare Programs from the Ministry of Health, Labour and Welfare of Japan. Pfizer Inc. provided grants for this study (A Prospective Observational Study of Antibiotic Treatment against Macrolide-Resistant Mycoplasma Pneumoniae Infections in Pediatric Patients, WS2419287) but was not involved in the design of the study or in enrollment of patients, data collection, analysis and interpretation, or preparation of the manuscript. We have declared that no competing interests exist along with any other relevant declarations relating to employment, consultancy, patents, products in development, marketed products, etc. This does not alter our adherence to PLOS ONE policies on sharing data and materials. Membership of Hokkaido Pediatric Respiratory Infection Study Group is provided in the Acknowledgments. |
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Snippet | To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP) pneumonia... Objective To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP)... OBJECTIVE:To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP)... Objective To clarify therapeutic effects of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant Mycoplasma pneumoniae (MRMP)... |
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SubjectTerms | Adolescent Analysis Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Antibiotics Antimicrobial agents Azithromycin Azithromycin - therapeutic use Bacteriology Biology and Life Sciences Chemotherapy Child Children Clarithromycin Clarithromycin - therapeutic use Dosage and administration Drug Resistance, Bacterial - drug effects Drug therapy Female Fever Fluoroquinolones - therapeutic use Health aspects Hospitals Humans Infections Infectious diseases Informed consent Male Medicine Medicine and Health Sciences Microbial Sensitivity Tests Minocycline Minocycline - therapeutic use Mycoplasma pneumonia Mycoplasma pneumoniae Mycoplasma pneumoniae - drug effects Mycoplasma pneumoniae - genetics Naphthyridines - therapeutic use Observational studies Patients Pediatrics Physical Sciences Pneumonia Pneumonia, Mycoplasma - drug therapy Pneumonia, Mycoplasma - etiology Tosufloxacin Treatment Outcome University graduates |
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Title | Therapeutic efficacy of azithromycin, clarithromycin, minocycline and tosufloxacin against macrolide-resistant and macrolide-sensitive Mycoplasma pneumoniae pneumonia in pediatric patients |
URI | https://www.ncbi.nlm.nih.gov/pubmed/28288170 https://www.proquest.com/docview/1876804310 https://www.proquest.com/docview/1877525657 https://www.proquest.com/docview/1881762712 https://pubmed.ncbi.nlm.nih.gov/PMC5348022 https://doaj.org/article/347458c2fad14a0c91c5ced03926b7ca http://dx.doi.org/10.1371/journal.pone.0173635 |
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