Microbe | All children (n = 76)No (%) | Children without preceding antibiotic treatment (n = 37)No (%) | Children with preceding antibiotic treatment (n = 39)*No (%) |
Bacteria | |||
Streptococcus pneumoniae† | 35 (46) | 23 (62) | 12 (31)‡ |
Haemophilus influenzae | 22 (29) | 5 (14) | 17 (44)§ |
Moraxella catarrhalis | 21 (28) | 11 (30) | 10 (26) |
Staphylococcus aureus | 9 (12) | 5 (14) | 4 (10) |
Mycoplasma pneumoniae¶ | 2 (3) | 1 (3) | 1 (3) |
Other bacteria** | 3 (4) | 2 (5) | 1 (3) |
Normal/mixed flora | 11 (14) | 5 (14) | 6 (15) |
Negative | 2 (3) | 0 (0) | 2 (5) |
Total | 60 (79) | 30 (81) | 30 (77) |
Viruses | |||
Rhinovirus | 22 (29) | 13 (35) | 9 (23) |
Human bocavirus | 14 (18) | 4 (11) | 10 (26) |
Human metapneumovirus | 10 (13) | 3 (8) | 7 (18) |
Respiratory syncytial virus | 3 (4) | 0 (0) | 3 (8) |
Enteroviruses | 2 (3) | 1 (3) | 1 (3) |
Parainfluenzae type 3 virus | 1 (1) | 1 (3) | 0 (0) |
Influenza A virus | 1 (1) | 0 (0) | 1 (3) |
Influenza B virus | 1 (1) | 1 (3) | 0 (0) |
Adenovirus | 0 (0) | 0 (0) | 0 (0) |
Parainfluenzae type 1 virus | 0 (0) | 0 (0) | 0 (0) |
Parainfluenzae type 2 virus | 0 (0) | 0 (0) | 0 (0) |
Total | 42 (55) | 17 (46) | 25 (64) |
*Antibiotic treatment was as follows: penicillin G, 68%; penicillin G and macrolide or clindamycin, 13%; intravenous cephalosporin, 9%; intravenous cephalosporin and macrolide or clindamycin, 3%; oral amoxicillin or macrolide, 7%. Sputum induction was performed before administration of one intravenous antibiotic dosage in 9 children, after two intravenous antibiotic dosages in 21 children, after three intravenous antibiotic dosages in 3 children and after oral antibiotic treatment in 6 children.
†In one child Streptococcus pneumoniae was also isolated from blood culture.
‡p = 0.006 by χ2 test, comparison between children with preceding antibiotic treatment and those without.
§p = 0.004 by χ2 test, comparison between children with preceding antibiotic treatment and those without.
¶Mycoplasma pneumoniae was detected by PCR.
**Streptococcus agalactie, Streptococcus pyogenes, Pseudomonas-like Gram-negative rod.