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Prevalence of potentially pathogenic bacteria in respiratory specimens of cystic fibrosis patients from Recife

Of 147 respiratory specimens (114 sputum and 33 pharyngeal swabs) collected from 36 cystic fibrosis patients during routine visits or exacerbation of their respiratory symptoms, from December 2000 to December 2002, the following bacterial species were recovered: Pseudomonas aeruginosa (65.3%), Staphylococcus aureus (29.9%), Burkholderia cepacia (29.2%), and Haemophilus influenzae (20.4%). Among the S. aureus and H. influenzae isolates, 6.8% were oxacillin resistant and 6.7% were beta-lactamase producers, respectively. Of 96 isolates of P. aeruginosa, 59.4% belonged to the mucoid phenotype. Both mucoid and non-mucoid morphotypes were simultaneously found in 12 specimens. Emerging gram-negative bacteria, such as Stenotrophomonas maltophilia and Achromobacter xylosoxidans, were present at a low number. H. influenzae was more prevalent in the cystic fibrosis children between six and 12 years old. Concerning the other bacterial species there was not preference for age groups.

Cystic fibrosis; Respiratory infections; Pulmonary bacteriology


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