{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T21:18:20Z","timestamp":1792444700503,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    Several studies regarding infections caused by macrolide-resistant\n                    <jats:italic>Mycoplasma pneumoniae<\/jats:italic>\n                    have been reported in the last years in the United States, where the prevalence is approximately 10% but may range from 3% to even 80%. Macrolide-resistant\n                    <jats:italic>M. pneumoniae<\/jats:italic>\n                    may be associated with prolonged fever, hospital stay, and complications. Suspicion should be raised by non-response to macrolides, and detection can be achieved through routine reflexive testing of\n                    <jats:italic>M. pneumoniae<\/jats:italic>\n                    -positive specimens with a polymerase-chain reaction assay that rapidly predicts macrolide resistance. After timely initiation of an alternative antibiotic, prompt resolution of the disease is likely in most cases. This review summarizes current US data, offers some suggestions, and identifies knowledge gaps on this infection.\n                  <\/jats:p>","DOI":"10.1177\/00099228251325546","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T05:47:36Z","timestamp":1742190456000},"page":"1169-1174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Macrolide-Resistant\n                    <i>Mycoplasma pneumoniae<\/i>\n                    in Children: Emphasis on the United States"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4916-7306","authenticated-orcid":false,"given":"Miltiadis","family":"Douvoyiannis","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Divisions of Pediatric Hospital Medicine and Pediatric Infectious Diseases, Altru Health System, Grand Forks, ND, USA"},{"name":"University of North Dakota, Grand Forks, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"issue":"41","key":"e_1_3_2_2_2","first-page":"834","article-title":"Mycoplasma pneumoniae respiratory illness\u2014two rural counties, West Virginia, 2011","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","unstructured":"Centers for Disease Control and Prevention. Mycoplasma pneumoniae respiratory illness\u2014two rural counties, West Virginia, 2011. MMWR Morb Mortal Wkly Rep. 2012;61(41):834-838.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00114-16"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2018.09.009"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1128\/aac.02432-21"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2021.09.010"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00049-19"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12519-024-00831-0"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7307a3"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e318247f3e0"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy419"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02597-14"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2108.150273"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2706.203206"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00968-19"},{"key":"e_1_3_2_16_2","article-title":"Macrolide-resistant Mycoplasma pneumoniae, North Dakota 2024","author":"Douvoyiannis M","year":"2024","unstructured":"Douvoyiannis M, Rothstein TE, Patel R. 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