Antimicrobial Resistance of 914 Beta-Hemolytic Streptococci Isolated from Pharyngeal Swabs in Spain: Results of a 1-Year (1996–1997) Multicenter Surveillance Study

Author:

Baquero Fernando1,García-Rodríguez José Angel2,de Lomas Juan García3,Aguilar Lorenzo4,

Affiliation:

1. Microbiology Department, Ramón y Cajal Hospital,1 and

2. Microbiology Department, University Hospital, Salamanca,2 and

3. Instituto Valenciano de Microbiologı́a, Valencia,3 Spain

4. Medical Department, SmithKline Beecham Pharmaceuticals,4 Madrid,

Abstract

ABSTRACT A nationwide susceptibility surveillance study of beta-hemolytic streptococcal isolates from pharyngeal swabs obtained in 11 Spanish hospitals between May 1996 and April 1997 against 12 antibiotics was carried out. Of the isolates 86% (786 of 914 isolates) were group A and 8.4% (77 of 914 isolates) were group C. No resistance was found to β-lactam antibiotics, but significant differences ( P < 0.001) with respect to lack of susceptibility to macrolides were found between groups (27% for group A and 12% for group C) and between seasons (13.2% in summer and 31.7% in winter). Most of these isolates displayed the M phenotype (low-level resistance to erythromycin and susceptibility to clindamycin).

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference19 articles.

1. Antibiotic resistance in Spain: what can be done?;Baquero F.;Clin. Infect. Dis.,1996

2. Antibiotic management of group A streptococcal pharyngotonsillitis.;Bass J. W.;Pediatr. Infect. Dis. J.,1991

3. Antibiotic susceptibility of group A streptococci: a 6-year follow-up study

4. Bisno A. L. Streptococcus pyogenes Principles and practice of infectious diseases. Mandell G. L. Bennet J. E. Dolin I. R. 1995 1786 1798 Churchill Livingstone Inc. New York N.Y

5. Dean A. Dean J. Coulombier D. Brendel K. Smith D. Burton A. Dicker R. Sullivan K. Fagan R. Arner T. Epi-Info version 6.04: a word processing database and statistics program for epidemiology on microcomputers. 1994 Centers for Disease Control and Prevention Atlanta Ga

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