Macrolide resistance in Streptococcus pneumoniae in Hong Kong

被引:29
作者
Ip, M [1 ]
Lyon, DJ
Yung, RWH
Chan, C
Cheng, AFB
机构
[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Microbiol, Shatin, Hong Kong, Peoples R China
[2] Pamela Youde Nethersole Eastern Hosp, Hong Kong, Hong Kong, Peoples R China
关键词
D O I
10.1128/AAC.45.5.1578-1580.2001
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Erythromycin resistance rates among penicillin-susceptible Streptococcus pneumoniae were 38 and 92% among penicillin-intermediate and -resistant S. pneumoniae isolates from Hong Kong, respectively, and 27% (43 of 158) of the isolates showed the MLSB phenotype, and the majority carried the ermB gene; 73% (115 of 158) displayed the M phenotype, and all possessed the mef gene. The MLSB phenotype was predominant in penicillin-susceptible, macrolide-resistant isolates and in penicillin-nonsusceptible isolates of serotype 6B, whilst the M phenotype was predominant in penicillin-intermediate or -resistant isolates belonging to serotype 23F or 19F. Extensive spread of clones of drug-resistant pneumococci has led to the widespread presence of macrolide resistance in S. pneumoniae in Hong Kong.
引用
收藏
页码:1578 / 1580
页数:3
相关论文
共 17 条
  • [1] Macrolide resistance and erythromycin resistance determinants among Belgian Streptococcus pyogenes and Streptococcus pneumoniae isolates
    Descheemaeker, P
    Chapelle, S
    Lammens, C
    Hauchecorne, M
    Wijdooghe, M
    Vandamme, P
    Ieven, M
    Goossens, H
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2000, 45 (02) : 167 - 173
  • [2] Antimicrobial resistance with Streptococcus pneumoniae in the United States, 1997-98
    Doern, GV
    Brueggemann, AB
    Huynh, H
    Wingert, E
    Rhomberg, P
    [J]. EMERGING INFECTIOUS DISEASES, 1999, 5 (06) : 757 - 765
  • [3] Prevalence of antimicrobial resistance among respiratory tract isolates of Streptococcus pneumoniae in North America:: 1997 results from the SENTRY antimicrobial surveillance program
    Doern, GV
    Pfaller, MA
    Kugler, K
    Freeman, J
    Jones, RN
    [J]. CLINICAL INFECTIOUS DISEASES, 1998, 27 (04) : 764 - 770
  • [4] Genetic relatedness within and between serotypes of Streptococcus pneumoniae from the United Kingdom: Analysis of multilocus enzyme electrophoresis, pulsed-field gel electrophoresis, and antimicrobial resistance patterns
    Hall, LMC
    Whiley, RA
    Duke, B
    George, RC
    Efstratiou, A
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1996, 34 (04) : 853 - 859
  • [5] Evidence of clonal dissemination of multidrug-resistant Streptococcus pneumoniae in Hong Kong
    Ip, M
    Lyon, DJ
    Yung, RWH
    Chan, CL
    Cheng, AFB
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1999, 37 (09) : 2834 - 2839
  • [6] Patterns of antibiotic resistance, serotype distribution, and patient demographics of Streptococcus pneumoniae in Hong Kong
    Ip, M
    Lyon, DJ
    Cheng, AFB
    [J]. CHEMOTHERAPY, 2001, 47 (02) : 110 - 116
  • [7] Prevalence and characterization of the mechanisms of macrolide, lincosamide, and streptogramin resistance in isolates of Streptococcus pneumoniae
    Johnston, NJ
    De Azavedo, JC
    Kellner, JD
    Low, DE
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (09) : 2425 - 2426
  • [8] National Committee for Clinical Laboratory Standards, 1998, M100S8 NAT COMM CLIN
  • [9] Nomenclature for macrolide and macrolide-lincosamide-streptogramin B resistance determinants
    Roberts, MC
    Sutcliffe, J
    Courvalin, P
    Jensen, LB
    Rood, J
    Seppala, H
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1999, 43 (12) : 2823 - 2830
  • [10] 3 DIFFERENT PHENOTYPES OF ERYTHROMYCIN-RESISTANT STREPTOCOCCUS-PYOGENES IN FINLAND
    SEPPALA, H
    NISSINEN, A
    YU, Q
    HUOVINEN, P
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1993, 32 (06) : 885 - 891