Association of Alterations in ParC and GyrA Proteins with Resistance of Clinical Isolates of Enterococcus faecium to Nine Different Fluoroquinolones

Author:

Brisse Sylvain1,Fluit Ad C.1,Wagner Ulrich2,Heisig Peter3,Milatovic Dana1,Verhoef Jan1,Scheuring Sybille2,Köhrer Karl2,Schmitz Franz-Josef12

Affiliation:

1. Eijkman-Winkler Institute, Utrecht University, 3584 CX, Utrecht, The Netherlands,1and

2. Institute for Medical Microbiology and Virology, University Hospital Düsseldorf, D-40225 Düsseldorf,2 and

3. Institute for Pharmaceutical Microbiology, University of Bonn, Bonn,3 Germany

Abstract

ABSTRACT The parC and gyrA genes of 73 ciprofloxacin-resistant and 6 ciprofloxacin-susceptible Enterococcus faecium clinical isolates were partly sequenced. Alterations in ParC and GyrA, possibly in combination with other resistance mechanisms, severely restricted the in vitro activities of the nine quinolones tested. For all isolates, clinafloxacin and sitafloxacin showed the best activities.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference31 articles.

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2. Alterations in Topoisomerase IV and DNA Gyrase in Quinolone-Resistant Mutants of Mycoplasma hominis Obtained In Vitro

3. Increasing problems in the therapy of enterococcal infections.;Eliopoulos G. M.;Eur. J. Clin. Microbiol. Infect. Dis.,1993

4. Analysis of gyrA and grlA mutations in stepwise-selected ciprofloxacin-resistant mutants of Staphylococcus aureus

5. Primary Targets of Fluoroquinolones in Streptococcus pneumoniae

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