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Table 1 Characteristics of patients with macrolide-resistant (MR) and macrolide-sensitive (MS) Mycoplasma pneumoniae pneumonia in different age groups

From: Macrolide-resistant Mycoplasma pneumoniae in adolescents with community-acquired pneumonia

Characteristic

Pediatric patients

Adolescent patients

Adult patients

MR

MS

MR

MS

MR

MS

Number

30

15

12

14

7

21

Age range, years

1–15

1–15

16–19

16–19

20–42

28–45

Male:female

16:14

7:8

6:6

8:6

4:3

11:10

Mutation site in 23S rRNA a

  A2063G

26

 

10

 

6

 

  A2064G

4

 

2

 

1

 

No. of patients prescribed macrolides (%)

23 (76)

15 (100)

9 (75)

9 (64)

5 (71)

6 (28)

  Clarithromycin

12

10

5

4

2

2

  Azithromycin

11

5

4

5

3

4

No. of patients with a change of prescription after macrolide administration (%)

20 (66)

0

7 (58)

3 (21)

3 (42)

4 (19)

  Minocycline

16

 

5

3

1

1

  Quinolones

4 b

 

2

0

2

3

Clinical symptoms and laboratory findings at the first examination

  Cough

30

15

12

14

7

21

  Sputum

23

11

7

8

4

12

  Fever, temperature ≥ 38°C

26

14

11

13

7

21

  Respiratory rate, > 30/min

2

1

0

0

0

0

  White Blood Cell, mean (/uL)

6,410

6,520

6,810

7,010

6,620

6,710

  C-reactive protein, mean (mg/dL)

2.1

1.9

3.1

3.3

3.7

3.5

  1. a A2063G: A-to-G transition at position 2063 in domain V on the 23S rRNA gene.
  2. A2064G: A-to-G transition at position 2064.
  3. b Tosufloxacin used.