Serotype 19F Multiresistant Pneumococcal Clone Harboring Two Erythromycin Resistance Determinants [ erm (B) and mef (A)] in South Africa

Author:

McGee Lesley1,Klugman Keith P.1,Wasas Avril1,Capper Thora1,Brink Adrian2,

Affiliation:

1. MRC/SAIMR/WITS Pneumococcal Diseases Research Unit, South African Institute for Medical Research,1 and

2. Drs DuBuisson, Bruinette and Partners,2 Johannesburg, South Africa

Abstract

ABSTRACT One hundred eighteen erythromycin-resistant Streptococcus pneumoniae (ERSP) strains (MICs of ≥0.5 μg/ml) from five laboratories serving the private sector in South Africa were analyzed for the genes encoding resistance to macrolides. Sixty-seven ERSP strains (56.8%) contained the erm (B) gene, and 15 isolates (12.7%) contained the mef (A) gene. Thirty-six isolates (30.5%) harbored both the erm (B) and mef (A) genes and were highly resistant to erythromycin and clindamycin. DNA fingerprinting by BOX-PCR and pulsed-field gel electrophoresis identified 83% of these strains as belonging to a single multiresistant serotype 19F clone.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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