Phenotypic and genotypic characterization of macrolide-resistant group A Streptococcus strains in the province of Quebec, Canada

被引:31
作者
Weiss, K
De Azavedo, J
Restieri, C
Galarneau, LA
Gourdeau, M
Harvey, P
Paradis, JF
Salim, K
Low, DE
机构
[1] Univ Montreal, Hop Maison Neuve Rosemont, Grp Rech Anti Microbiens, GRAM, Montreal, PQ H1T 2M4, Canada
[2] Univ Toronto, Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada
关键词
D O I
10.1093/jac/47.3.345
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Resistance to macrolides among group A streptococci is an increasing problem worldwide. We examined 496 strains phenotypically and genotypically for resistance to erythromycin and clindamycin. Strains were isolated in five different geographical areas representing about 45% of the total Quebec population. The overall resistance rate was 4.6% but varied from 0% in rural areas to 9.4% in Montreal. Of the 23 strains showing resistance to erythromycin, 15 (65%) had an identical pulsed-field gel electrophoresis pattern, were of serotype M28T28 and harboured the erm(TR) gene, suggesting the spread of a single clone. Of the remaining eight strains, two strains had the erm(B) gene, five had the mef gene and one with a different serotype also had the erm(TR) gene.
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页码:345 / 348
页数:4
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