Cited by 10Pneumocystis jirovecii pneumonia detection and treatmentPneumonia and Respiratory InfectionsParasitic Infections and Diagnostics

Pneumocystis carinii.Dihydropteroate Synthase Mutations and Treatment with Sulfa or Sulfone Regimens: a Proposal for Standardized Definitions for Clinical Evaluation

HUANG, LAURENCE, MORRIS, ALISON M., BEARD, CHARLES B.·2001·Journal of Eukaryotic Microbiology

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Crossref · 10.1111/j.1550-7408.2001.tb00510.x

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  • The existence of TMP-SMX-resistant Pneumocystis in these regions, combined with the general absence of invasive diagnostic procedures and intensive care facilities, stresses the importance of further study.

    “The existence of TMP-SMX–resistant Pneumocystis in these regions, combined with the general absence of invasive diagnostic procedures (e.g., bronchoscopy that might establish an earlier diagnosis of PCP when the outcome is better) and intensive care facilities (e.g., mechanical ventilation that might support patients until PCP treatment can be effective), stresses the importance of further study (”
  • PCP is increasingly being recognized as an important cause of illness in sub-Saharan Africa, Southeast Asia, and Latin America.

    “Second, PCP is increasingly being recognized as an important cause of illness in these regions.”
  • The treatment options for PCP in these regions are often limited to TMP-SMX, since regimens such as pentamidine, clindamycin plus primaquine, trimetrexate, and atovaquone are unavailable.

    “Next, the treatment options for PCP in these regions are often limited to TMP-SMX, since regimens such as pentamidine, clindamycin plus primaquine, trimetrexate, and atovaquone are unavailable.”
  • TMP-SMX-resistant Pneumocystis exists in these regions.

    “The existence of TMP-SMX–resistant Pneumocystis in these regions, combined with the general absence of invasive diagnostic procedures (e.g., bronchoscopy that might establish an earlier diagnosis of PCP when the outcome is better) and intensive care facilities (e.g., mechanical ventilation that might support patients until PCP treatment can be effective), stresses the importance of further study (”
  • In many of these regions, programs to use TMP-SMX as multiopportunistic infection prophylaxis are being implemented.

    “In many of these regions, programs to use TMP-SMX as multiopportunistic infection prophylaxis are being implemented, and Pneumocystis that contains DHPS mutations can be expected.”

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Authors
HUANG, L., MORRIS, A. M., & BEARD, C. B.
Affiliations
  • San Francisco General Hospital (US)
  • University of Pittsburgh Medical Center (US)
  • Centers for Disease Control and Prevention (US)
Corresponding author
HUANG, LAURENCE
Venue
Journal of Eukaryotic Microbiology
Publisher
Wiley
Published
2001-06
Volume
48
Issue
s1
Pages
180S-181S
ISSN
  • 1066-5234 (ISSN-L)
  • 1550-7408
OpenAlex
W2004627956
Cited by
10
References
19
Citations by year
2015: 1 · 2012: 1
FWCI
1.75
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Eukaryotic Microbiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Pneumocystis jirovecii pneumonia detection and treatment
  • Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
  • Life Sciences › Immunology and Microbiology › Parasitology › Parasitic Infections and Diagnostics
Keywords
Pneumocystis carinii, dihydropteroate synthase, sulfonamide resistance, sulfonamides, drug resistance mutations, standardized definitions, clinical evaluation
MeSH terms
Anti-Infective Agents, Dapsone, Dihydropteroate Synthase, Humans, Mutation, Pneumocystis, Pneumonia, Pneumocystis, Trimethoprim, Sulfamethoxazole Drug Combination, Treatment Outcome, Treatment Failure, Antibiotic Prophylaxis

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