Streptococcus pyogenes Pharyngeal Isolates with Reduced Susceptibility to Ciprofloxacin in Spain: Mechanisms of Resistance and Clonal Diversity

Author:

Albertí Sebastián1,Cortés Guadalupe1,García-Rey Cesar2,Rubio Carmen3,Baquero Fernando4,García-Rodríguez José Ángel5,Bouza Emilio6,Aguilar Lorenzo2

Affiliation:

1. Institut Universitari d′Investigacions en Ciències de la Salut (IUNICS), Universitat de les Illes Balears (UIB), Palma de Mallorca

2. Departamento Médico, GlaxoSmithKline, Tres Cantos

3. Servicio de Microbiología, Hospital Lozano Blesa, Zaragoza

4. Servicio de Microbiología, Hospital Ramón y Cajal

5. Servicio de Microbiología, Hospital Clínico, Salamanca, Spain

6. Servicio de Microbiología, Hospital General Universitario Gregorio Marañón, Madrid

Abstract

ABSTRACT A survey of emm gene sequences and an analysis of the pulsed-field electrophoretic profiles of 30 Streptococcus pyogenes isolates with reduced susceptibilities to ciprofloxacin detected the prevalence of isolates with emm type 6 and considerable genetic diversity among isolates. The mechanism of ciprofloxacin resistance in these isolates was based on point mutations in topoisomerase IV subunit C encoded by parC , mainly replacement of serine-79 by alanine.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference15 articles.

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