The successful clone:: the vector of dissemination of resistance in Streptococcus pneumoniae

被引:70
作者
Klugman, KP
机构
[1] Emory Univ, Dept Int Hlth, Rollins Sch Publ Hlth, Sch Med, Atlanta, GA 30322 USA
[2] Emory Univ, Sch Med, Div Infect Dis, Atlanta, GA 30322 USA
[3] MRC, NHLS, Wits Resp & Meningeal Patholgens Res Unit, Johannesburg, South Africa
关键词
D O I
10.1093/jac/dkf500
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A small number of pneumococcal clones dominate the population of anti biotic-resistant pneumococci. The emergence of fluoroquinolone resistance in these clones predicts the dissemination of fluoroquinolone resistance in countries where the clones are present and community use of fluoroquinolones for respiratory infections is common. The molecular basis of resistance to a number of classes of antimicrobials can be used to predict the likelihood of dissemination of the resistance genes.
引用
收藏
页码:1 / 5
页数:5
相关论文
共 27 条
[1]   Mutations in the dihydrofolate reductase gene of trimethoprim-resistant isolates of Streptococcus pneumoniae [J].
Adrian, PV ;
Klugman, KP .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1997, 41 (11) :2406-2413
[2]   Evernimicin (SCH27899) inhibits a novel ribosome target site: Analysis of 23S ribosomal DNA mutants [J].
Adrian, PV ;
Mendrick, C ;
Loebenberg, D ;
McNicholas, P ;
Shaw, KJ ;
Klugman, KP ;
Hare, RS ;
Black, TA .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2000, 44 (11) :3101-3106
[3]   Streptococcus pneumoniae isolates with reduced susceptibility to ciprofloxacin in Spain:: Clonal diversity and appearance of ciprofloxacin-resistant epidemic clones [J].
Alou, L ;
Ramirez, M ;
García-Rey, C ;
Prieto, J ;
de Lencastre, H .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (10) :2955-2957
[4]   GENETIC-ANALYSIS OF CLINICAL ISOLATES OF STREPTOCOCCUS-PNEUMONIAE WITH HIGH-LEVEL RESISTANCE TO EXPANDED-SPECTRUM CEPHALOSPORINS [J].
COFFEY, TJ ;
DANIELS, M ;
MCDOUGAL, LK ;
DOWSON, CG ;
TENOVER, FC ;
SPRATT, BG .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1995, 39 (06) :1306-1313
[5]   Molecular characterization of penicillin-resistant Streptococcus pneumoniae isolates causing respiratory disease in the United States [J].
Corso, A ;
Severina, EP ;
Petruk, VF ;
Mauriz, YR ;
Tomasz, A .
MICROBIAL DRUG RESISTANCE-MECHANISMS EPIDEMIOLOGY AND DISEASE, 1998, 4 (04) :325-337
[6]   Reduction of nasopharyngeal carriage of pneumococci during the second year of life by a heptavalent conjugate pneumococcal vaccine [J].
Dagan, R ;
Melamed, R ;
Muallem, M ;
Piglansky, L ;
Greenberg, D ;
Abramson, O ;
Mendelman, PM ;
Bohidar, N ;
Yagupsky, P .
JOURNAL OF INFECTIOUS DISEASES, 1996, 174 (06) :1271-1278
[7]   Molecular evolution of rifampicin resistance in Streptococcus pneumoniae [J].
Enright, M ;
Zawadski, P ;
Pickerill, P ;
Dowson, CG .
MICROBIAL DRUG RESISTANCE, 1998, 4 (01) :65-70
[8]   Increased carriage of trimethoprim/sulfamethoxazole-resistant Streptococcus pneumoniae in Malawian children after treatment for malaria with sulfadoxine/pyrimethamine [J].
Feikin, DR ;
Dowell, SF ;
Nwanyanwu, OC ;
Klugman, KP ;
Kazembe, PN ;
Barat, LM ;
Graf, C ;
Bloland, PB ;
Ziba, C ;
Huebner, RE ;
Schwartz, B .
JOURNAL OF INFECTIOUS DISEASES, 2000, 181 (04) :1501-1505
[9]   Emergence of extremely high penicillin and cefotaxime resistance and high-level levofloxacin resistance in clinical isolates of Streptococcus pneumoniae in Hungary [J].
Glatz, K ;
Szabó, R ;
Szabó, G ;
Boriszova, D ;
Rozgonyi, F .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2001, 48 (05) :731-734
[10]   Fluoroquinolone resistance among Streptococcus pneumoniae in Hong Kong linked to the Spanish 23F clone [J].
Ho, PL ;
Yam, WC ;
Cheung, TKM ;
Ng, WWS ;
Que, TL ;
Tsang, DNC ;
Ng, TK ;
Seto, WH .
EMERGING INFECTIOUS DISEASES, 2001, 7 (05) :906-908