Clonal spread of mef-positive macrolide-resistant Streptococcus pneumoniae isolates causing invasive disease in adults in Germany

被引:14
|
作者
van der Linden, Mark [1 ]
Al-Lahham, Adnan [1 ]
Haupts, Stefan [1 ]
Reinert, Ralf Rene [1 ]
机构
[1] Univ Hosp RWTH, Inst Med Microbiol, Natl Reference Ctr Streptococci, Aachen, Germany
关键词
D O I
10.1128/AAC.01453-06
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Isolates (3,845) obtained from German adults with invasive pneumococcal disease between 1992 and 2004 were investigated. Of these, 430 isolates (11.2%) were erythromycin A nonsusceptible. Macrolide resistance genotypes and multilocus sequence types were determined. Among the isolates, 35.6% were erm(B) positive and 63.5% were mef positive. Over the study period, the frequency of resistance rose significantly from 2.2 to 17.0% (P < 0.001). A serotype 14, sequence type 9 clone was the most widespread.
引用
收藏
页码:1830 / 1834
页数:5
相关论文
共 50 条
  • [1] MACROLIDE-RESISTANT PHENOTYPES OF INVASIVE STREPTOCOCCUS PNEUMONIAE ISOLATES IN SERBIA
    Gajic, Ina
    Opavski, Natasa
    Mijac, Vera
    Ranin, L.
    ARCHIVES OF BIOLOGICAL SCIENCES, 2012, 64 (04) : 1377 - 1382
  • [2] DISTRIBUTION OF MACROLIDE-RESISTANT GENES AMONG ISOLATES OF MACROLIDE-RESISTANT STREPTOCOCCUS PYOGENES AND STREPTOCOCCUS PNEUMONIAE IN SERBIA
    Gajic, Ina
    Mijac, Vera
    Opavski, Natasa
    Stanojevic, Maja
    Lazarevic, Ivana
    Smitran, Aleksandra
    Hadnadev, Mirjana
    Ranin, L.
    ARCHIVES OF BIOLOGICAL SCIENCES, 2014, 66 (01) : 93 - 98
  • [3] Dissemination of macrolide-resistant Streptococcus pneumoniae isolates containing both erm(B) and mef(A) in South Korea
    Waites, KB
    Jones, KE
    Kim, KH
    Moser, SA
    Johnson, CN
    Hollingshead, SK
    Kang, ES
    Hong, KS
    Benjamin, WH
    JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (12) : 5787 - 5791
  • [4] Molecular epidemiology of macrolide-resistant Streptococcus pneumoniae isolates in Europe
    Reinert, RR
    Ringelstein, A
    van der Linden, M
    Cil, MY
    Al-Lahham, A
    Schmitz, FJ
    JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (03) : 1294 - 1300
  • [5] Molecular characterisation of Hungarian macrolide-resistant Streptococcus pneumoniae isolates, including three highly resistant strains with the mef gene
    Dobay, O
    Rozgonyi, F
    Amyes, SGB
    INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2005, 25 (06) : 488 - 495
  • [6] mef(A), mef(E) and a new mef allele in macrolide-resistant Streptococcus spp. isolates from Norway
    Sangvik, M
    Littauer, P
    Simonsen, GS
    Sundsfjord, A
    Dahl, KH
    JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2005, 56 (05) : 841 - 846
  • [7] Molecular Resistance Mechanisms of Macrolide-Resistant Invasive Streptococcus pneumoniae Isolates from Alaska, 1986 to 2010
    Rudolph, Karen
    Bulkow, Lisa
    Bruce, Michael
    Zulz, Tammy
    Reasonover, Alisa
    Harker-Jones, Marcella
    Hurlburt, Debby
    Hennessy, Thomas
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2013, 57 (11) : 5415 - 5422
  • [8] Distribution of capsular serotypes and macrolide resistance mechanisms among macrolide-resistant Streptococcus pneumoniae isolates in Korea
    Bae, Songmee
    Lee, Kwangjun
    DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2009, 63 (02) : 213 - 216
  • [9] Distribution of Serotypes, Genotypes, and Resistance Determinants among Macrolide-Resistant Streptococcus pneumoniae Isolates
    Xu, Xiaoping
    Cai, Lin
    Xiao, Meng
    Kong, Fanrong
    Oftadeh, Shahin
    Zhou, Fei
    Gilbert, Gwendolyn L.
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2010, 54 (03) : 1152 - 1159
  • [10] Macrolide-resistant Streptococcus pneumoniae and Streptococcus pyogenes in the pediatric population in Germany during 2000-2001
    Reinert, RR
    Lütticken, R
    Bryskier, A
    Al-Lahham, A
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2003, 47 (02) : 489 - 493