Antibiotic susceptibilities of group C and group G streptococci isolated from patients with invasive infections: Evidence of vancomycin tolerance among group G serotypes

A retrospective review of medical records for 32 patients with invasive group C streptococcus (CCS) or group G streptococcus (GGS) infections was performed, MICs and minimum bactericidal concentrations (MBCs) of penicillin, erythromycin, and vancomycin for all isolates were obtained. Tolerance of vancomycin, defined as an MBC 32 or more times higher than the MIG, was exhibited by 18 CGS isolates (54%). The identification of tolerance in clinical isolates of GGS and GCS may have clinical implications in treating these seriously ill patients.