In Vitro Development of Resistance to Telithromycin (HMR 3647), Four Macrolides, Clindamycin, and Pristinamycin in Streptococcus pneumoniae

Author:

Davies Todd A.1,Dewasse Bonifacio E.1,Jacobs Michael R.2,Appelbaum Peter C.1

Affiliation:

1. Department of Pathology (Clinical Microbiology), Hershey Medical Center, Hershey, Pennsylvania 17033,1 and

2. Department of Pathology (Clinical Microbiology), Case Western Reserve University, Cleveland, Ohio 441062

Abstract

ABSTRACT The ability of 50 sequential subcultures in subinhibitory concentrations of telithromycin (HMR 3647), azithromycin, clarithromycin, erythromycin A, roxithromycin, clindamycin, and pristinamycin to select for resistance was studied in five macrolide-susceptible and six macrolide-resistant pneumococci containing mefE or ermB . Telithromycin selected for resistance less often than the other drugs.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference9 articles.

1. Antipneumococcal Activities of a Ketolide (HMR 3647), a Streptogramin (Quinupristin-Dalfopristin), a Macrolide (Erythromycin), and a Lincosamide (Clindamycin)

2. Prevalence and Characterization of the Mechanisms of Macrolide, Lincosamide, and Streptogramin Resistance in Isolates of Streptococcus pneumoniae

3. Antimicrobial activity of RU-66647, a new ketolide.;Jones R. N.;Diagn. Microbiol. Infect. Dis.,1997

4. National Committee for Clinical Laboratory Standards Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. M7-A4. 1998 National Committee for Clinical Laboratory Standards Wayne Pa

5. National Committee for Clinical Laboratory Standards Performance standards for antimicrobial susceptibility testing. M100-S8. 1998 National Committee for Clinical Laboratory Standards Wayne Pa

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