The results of microbiological monitoring for bacterial pathogens of the respiratory tract in children in 2017

G.O. Lezhenko, O.E. Pashkova


The article presents the results of bacteriological monitoring of 483 children aged 3 to 14 years with acute respiratory diseases in Zaporizhzhia and Zaporizhzhia region in 2017. It was found that leading pathogens were Streptococcus pneumoniae (49.4 %) and bacteria of the genus Haemophilus (36.2 %) in the presence of bacterial respiratory infection. The analysis of the antibiotic susceptibility patterns showed that the microorganisms demonstrated the highest sensitivity to the third-/fourth-generation cephalosporins, vancomycin, linezo­lid and levofloxacin. There was noted a high antibiotic resistance of Streptococcus pneumoniae to penicillins (56 % of strains), clindamycin (43 % of strains) and erythromycin (45 % of strains). The isolates of bacteria of the genus Haemophilus most often showed resistance to the ampicillin (58.1 % of strains) and protected penicillins (52 % of strains). On the basis of obtained data, there was substantiated the expediency of ­using cefpodo­xime proxetil, the third-generation cephalosporin, as the star­ting antibacterial drug in the therapy of acute bacterial respiratory infection in children.


acute bacterial respiratory diseases; children; Streptococcus pneumoniae; Haemophilus spp.; cefpodoxime proxetil


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