Characterization of Macrolide Efflux Pump mef Subclasses Detected in Clinical Isolates of Streptococcus pyogenes Isolated between 1999 and 2005

Author:

Blackman Northwood J.1,Del Grosso M.2,Cossins L. R.1,Coley M. D.1,Creti R.2,Pantosti A.2,Farrell D. J.1

Affiliation:

1. Quotient Bioresearch Ltd., Fordham, United Kingdom

2. Department of Infectious, Parasitic and Immune-Mediated Diseases, Istituto Superiore di Sanità, Rome, Italy

Abstract

ABSTRACT The macrolide efflux mechanism of resistance, mef , was characterized in community-acquired respiratory tract infections with Streptococcus pyogenes. Fifty-four (4.6%) M phenotype isolates were screen tested as negative for mef (A). Of these 54 isolates, 5 (0.4%), 27 (2.3%), and 1 (0.1%) were considered to be mef (I) positive, a novel mosaic variant of mef , or a novel subclass of mef , respectively. This study shows (i) the definitive presence of mef (E) in S. pyogenes and its global distribution, (ii) the presence of a mosaic variant of mef composed of mef (A) and mef (E), (iii) the previously undescribed presence of mef (I) in S. pyogenes , and (iv) the presence of a novel subclass of mef in S. pyogenes .

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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