Erythromycin-resistant pharyngeal isolates of Streptococcus pyogenes recovered in Italy

被引:33
作者
Dicuonzo, G
Fiscarelli, E
Gherardi, G
Lorino, G
Battistoni, F
Landi, S
De Cesaris, M
Petitti, T
Beall, B [1 ]
机构
[1] Ctr Dis Control & Prevent, WHO Collaborating Ctr Stroptococcal Res, Resp Dis Branch, Atlanta, GA 30333 USA
[2] Univ Roma La Sapienza, Ist Microbiol, Rome, Italy
[3] Bambino Gesu Pediat Hosp, Dept Lab Med, Rome, Italy
[4] Bambino Gesu Pediat Hosp, Hosp Infect Control Program, Rome, Italy
[5] Bambino Gesu Pediat Hosp, Univ Campus Biomed, Rome, Italy
[6] Bambino Gesu Pediat Hosp, Serv Med Lab, Rome, Italy
关键词
D O I
10.1128/AAC.46.12.3987-3990.2002
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Three classes of macrolide resistance phenotypes and three different erythromycin resistance determinants were found among 127 erythromycin-resistant group A streptococcal (GAS) isolates recovered from 355 (35.8%) pediatric pharyugitis patients in Rome, Italy. According to emm and sof sequence typing results, erythromycin-resistant isolates comprised 11 different clonal types. Remarkably, 126 of the 127 macrolide-resistant isolates were serum opacity factor (sof) gene positive. These data suggest a strong association between macrolide resistance and the presence of sof among GAS isolates recovered from Italian pediatric pharyngitis patients.
引用
收藏
页码:3987 / 3990
页数:4
相关论文
共 42 条
[1]  
[Anonymous], 2000, M2A7 NCCLS
[2]   Streptococcus pyogenes collected in Torino (northwest Italy) between 1983 and 1998:: Survey of macrolide resistance and trend of genotype by RAPD [J].
Avanzini, C ;
Bosio, K ;
Volpe, G ;
Dotti, G ;
Savoia, D .
MICROBIAL DRUG RESISTANCE, 2000, 6 (04) :289-295
[3]   Erythromycin resistance in Streptococcus pyogenes in Italy [J].
Bassetti, M ;
Manno, G ;
Collidà, A ;
Ferrando, A ;
Gatti, G ;
Ugolotti, U ;
Cruciani, M ;
Bassetti, D .
EMERGING INFECTIOUS DISEASES, 2000, 6 (02) :180-183
[4]   Sequencing emm-specific PCR products for routine and accurate typing of group a streptococci [J].
Beall, B ;
Facklam, R ;
Thompson, T .
JOURNAL OF CLINICAL MICROBIOLOGY, 1996, 34 (04) :953-958
[5]   emm and sof gene sequence variation in relation to serological typing of opacity-factor-positive group A streptococci [J].
Beall, B ;
Gherardi, G ;
Lovgren, M ;
Facklam, RR ;
Forwick, BA ;
Tyrrell, GJ .
MICROBIOLOGY-SGM, 2000, 146 :1195-1209
[6]   ALLELIC POLYMORPHISM OF EMM LOCI PROVIDES EVIDENCE FOR HORIZONTAL GENE SPREAD IN GROUP-A STREPTOCOCCI [J].
BESSEN, DE ;
HOLLINGSHEAD, SK .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1994, 91 (08) :3280-3284
[7]   Macrolide resistance in Streptococcus pyogenes isolates from throat infections in the region of Aachen, Germany [J].
Brandt, CM ;
Honscha, M ;
Truong, ND ;
Holland, R ;
Hövener, B ;
Bryskier, A ;
Lütticken, R ;
Reinert, RR .
MICROBIAL DRUG RESISTANCE-MECHANISMS EPIDEMIOLOGY AND DISEASE, 2001, 7 (02) :165-170
[8]   GENE ORGANIZATION OF THE STREPTOCOCCUS-PYOGENES PLASMID PDB101 - SEQUENCE-ANALYSIS OF THE ORF-ETA-COPS REGION [J].
CEGLOWSKI, P ;
ALONSO, JC .
GENE, 1994, 145 (01) :33-39
[9]   Molecular cloning and functional analysis of a novel macrolide-resistance determinant, mefA, from Streptococcus pyogenes [J].
Clancy, J ;
Petitpas, J ;
DibHajj, F ;
Yuan, W ;
Cronan, M ;
Kamath, AV ;
Bergeron, J ;
Retsema, JA .
MOLECULAR MICROBIOLOGY, 1996, 22 (05) :867-879
[10]   Resistance of Streptococcus pyogenes to erythromycin and related antibiotics in Italy [J].
Cornaglia, G ;
Ligozzi, M ;
Mazzariol, A ;
Masala, L ;
Lo Cascio, G ;
Orefici, G ;
Fontana, R .
CLINICAL INFECTIOUS DISEASES, 1998, 27 :S87-S92