Resistance phenotypes and genotypes of Streptococcus pyogenes clinical isolates in Chile over a 10-year period

Macrolide and lincosamide resistance in Streptococcus pyogenes is due to the acquisition of mef, ermB and ermA genes, which confer different resistance phenotypes, namely M, MLSBconstitutive and MLSBinducible respectively. The last report of resistance in Chile was done in the period 1990-1998, in w...

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Veröffentlicht in:Revista medíca de Chile 2011-09, Vol.139 (9), p.1143-1149
Hauptverfasser: Rodríguez, Carlos, Rojas, Pablo, Wozniak, Aniela, Kalergis, Alexis M, Cerón, Inés, Riedel, Ingrid, Román, Juan C, Villarroel, Luis A, Berríos, Ximena, Bavestrello, Luis, García, Patricia
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container_end_page 1149
container_issue 9
container_start_page 1143
container_title Revista medíca de Chile
container_volume 139
creator Rodríguez, Carlos
Rojas, Pablo
Wozniak, Aniela
Kalergis, Alexis M
Cerón, Inés
Riedel, Ingrid
Román, Juan C
Villarroel, Luis A
Berríos, Ximena
Bavestrello, Luis
García, Patricia
description Macrolide and lincosamide resistance in Streptococcus pyogenes is due to the acquisition of mef, ermB and ermA genes, which confer different resistance phenotypes, namely M, MLSBconstitutive and MLSBinducible respectively. The last report of resistance in Chile was done in the period 1990-1998, in which resistance to macrolides was 5.4%, with M phenotype as the predominant one. To characterize the evolution of erythromycin and clindamycin resistance and their associated genes in S. pyogenes strains isolated from patients with invasive and non-invasive infections in the period 1996 to 2005. Resistance to erythromycin and clindamycin was determined in 1,282 clinical isolates using the disk diffusion test. Resistant isolates were analyzed by polymerase chain reaction (PCR) for the presence of the above mentioned resistance genes. Global resistance to erythromycin and clindamycin was 3.5 and 0.7% respectively. Eighty percent of the resistant strains possessed the M. phenotype. Resistance levels of S. pyogenes have decreased in Chile in the last years. Most resistant strains have M phenotype in contrast to many countries in which the MLSB constitutive phenotype is the predominant one.
doi_str_mv 10.4067/S0034-98872011000900005
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subjects Anti-Bacterial Agents - pharmacology
Bacterial Proteins - genetics
Chile - epidemiology
Clindamycin - pharmacology
Drug Resistance, Bacterial - drug effects
Drug Resistance, Bacterial - genetics
Erythromycin - pharmacology
Genotype
Humans
Membrane Proteins - genetics
Methyltransferases - genetics
Pharyngitis - drug therapy
Pharyngitis - microbiology
Phenotype
Poisson Distribution
Streptococcal Infections - drug therapy
Streptococcal Infections - microbiology
Streptococcus pyogenes
Streptococcus pyogenes - drug effects
Streptococcus pyogenes - genetics
title Resistance phenotypes and genotypes of Streptococcus pyogenes clinical isolates in Chile over a 10-year period
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