Antimicrobial resistance in Streptococcus pyogenes isolates in Berlin

A total of 212 clinical Streptococcus pyogenes isolates were tested for susceptibility to various antibiotics by agar dilution. The overall frequency of erythromycin resistance was 12.7%, being higher in isolates from children (18.9%) than in those from adult patients (10.7%). Similar results were f...

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Veröffentlicht in:Journal of antimicrobial chemotherapy 2000-10, Vol.46 (4), p.621-624
Hauptverfasser: Arvand, Mardjan, Hoeck, Marlies, Hahn, Helmut, Wagner, Jutta
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container_title Journal of antimicrobial chemotherapy
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creator Arvand, Mardjan
Hoeck, Marlies
Hahn, Helmut
Wagner, Jutta
description A total of 212 clinical Streptococcus pyogenes isolates were tested for susceptibility to various antibiotics by agar dilution. The overall frequency of erythromycin resistance was 12.7%, being higher in isolates from children (18.9%) than in those from adult patients (10.7%). Similar results were found for clarithromycin, while 2.8% of the isolates were resistant to ciprofloxacin. All strains were susceptible to penicillin and cefotaxime. Of the erythromycin-resistant isolates subjected to the double-disc diffusion test for erythromycin and clindamycin, 35% expressed constitutive and 55% inducible resistance to clindamycin. Ten per cent were susceptible to clindamycin (M-phenotype). Thus, a high rate of macrolide resistance in S. pyogenes has emerged in Berlin.
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Antimicrob. Chemother</addtitle><description>A total of 212 clinical Streptococcus pyogenes isolates were tested for susceptibility to various antibiotics by agar dilution. The overall frequency of erythromycin resistance was 12.7%, being higher in isolates from children (18.9%) than in those from adult patients (10.7%). Similar results were found for clarithromycin, while 2.8% of the isolates were resistant to ciprofloxacin. All strains were susceptible to penicillin and cefotaxime. Of the erythromycin-resistant isolates subjected to the double-disc diffusion test for erythromycin and clindamycin, 35% expressed constitutive and 55% inducible resistance to clindamycin. Ten per cent were susceptible to clindamycin (M-phenotype). 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Free Full-Text Journals in Chemistry
subjects Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - pharmacology
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Berlin
Biological and medical sciences
Chi-Square Distribution
Child
Child, Preschool
Drug Resistance, Microbial - genetics
Erythromycin - pharmacology
Germany, Berlin
Humans
Infant
Medical sciences
Microbial Sensitivity Tests - methods
Middle Aged
Pharmacology. Drug treatments
Streptococcus pyogenes
Streptococcus pyogenes - drug effects
title Antimicrobial resistance in Streptococcus pyogenes isolates in Berlin
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