Increasing ampicillin-resistance rates in Hemophilus influenzae meningitis.
We studied the epidemiology of reported Hemophilus influenzae meningitis in Colorado for the years 1977 through 1981. Of 340 culture-confirmed cases, 94% occurred in children less than 5 years old. A marked seasonal variation was present, with peaks in late fall-early winter and late spring. The percentage of H influenzae isolates resistant to ampicillin increased from 4.2% in 1977 to 31.3% in 1981. The incidence of reported disease in children younger than 5 years of age increased from 26 per 100,000 population in 1977 to 39 per 100,000 population in 1981, The overall case fatality rate was 5.2%; mortality was somewhat higher for persons with ampicillin-resistant infections (9.4%) than for those with ampicillin-sensitive infections (4.3%). Our results agree with previous reports of an increasing rate of ampicillin resistance in H influenzae meningitis and indicate a possible increasing incidence of this disease in Colorado.
D000293:Adolescent; D000367:Age Factors; D000667:Ampicillin / Q000494:pharmacology* / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D003120:Colorado; D006193:Haemophilus influenzae / Q000187:drug effects*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008583:Meningitis, Haemophilus / Q000188:drug therapy* / Q000453:epidemiology / Q000401:mortality; D010403:Penicillin Resistance; D012621:Seasons
D000667:Ampicillin