Quinupristin-Dalfopristin Resistance in Streptococcus pneumoniae : Novel L22 Ribosomal Protein Mutation in Two Clinical Isolates from the SENTRY Antimicrobial Surveillance Program

Author:

Jones Ronald N.1,Farrell David J.2,Morrissey Ian2

Affiliation:

1. The JONES Group/JMI Laboratories, North Liberty, Iowa

2. GR Micro, Ltd., London, United Kingdom

Abstract

ABSTRACT Resistance to quinupristin-dalfopristin (Q/D) among gram-positive cocci has been very uncommon. Two clinical isolates among 8,837 (0.02%) Streptococcus pneumoniae isolates were discovered in 2001 to 2002 with Q/D MICs of 4 μg/ml. Each had a 5-amino-acid tandem duplication (RTAHI) in the L22 ribosomal protein gene ( rplV ) preventing synergistic ribosomal binding of the streptogramin combination. Similar gene duplication has been reported in Q/D-resistant Staphylococcus aureus .

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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