Quinupristin-Dalfopristin Nonsusceptibility in Pneumococci from Sickle Cell Disease Patients

Author:

Obert Caroline A.1,Miller Martha L.1,Montgomery Jeremy1,Adamkiewicz Thomas2,Tuomanen Elaine I.1

Affiliation:

1. Department of Infectious Diseases, St. Jude Children's Research Hospital, 332 North Lauderdale, Memphis, Tennessee 38105

2. Department of Family Medicine, Morehouse School of Medicine, 1513 E. Cleveland, No. 100, East Point, Georgia 30344

Abstract

ABSTRACT Sickle cell disease (SCD) is a risk factor for fatal pneumococcal infection. Nonsusceptibilty to quinupristin-dalfopristin (Q-D) was absent from 105 non-SCD-associated pneumococcal isolates but was present in 33/148 (22%) SCD-associated isolates. One-third of the isolates harbored a known resistance mechanism. Q-D is not optimal for use for the treatment of pneumococcal infection in SCD patients.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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