Antimicrobial susceptibility and macrolide resistance inducibility of Streptococcus pneumoniae carrying erm(A), erm(B), or mef(A)

Antimicrob Agents Chemother. 2003 Aug;47(8):2699-702. doi: 10.1128/AAC.47.8.2699-2702.2003.

Abstract

Erythromycin-resistant Streptococcus pneumoniae isolates from young carriers were tested for their antimicrobial susceptibility; additionally, inducibility of macrolide and clindamycin resistance was investigated in pneumococci carrying erm(A), erm(B), or mef(A). Of 125 strains tested, 101 (81%) were multidrug resistant. Different levels of induction were observed with erythromycin, miocamycin, and clindamycin in erm(B) strains; however, in erm(A) strains only erythromycin was an inducer. Induction did not affect macrolide MICs in mef(A) strains.

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins / genetics*
  • Erythromycin / pharmacology
  • Genes, Bacterial / genetics*
  • Humans
  • Membrane Proteins / genetics*
  • Methyltransferases / genetics*
  • Microbial Sensitivity Tests
  • Pneumococcal Infections / microbiology
  • Streptococcus pneumoniae / drug effects*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • MefA protein, Streptococcus
  • Membrane Proteins
  • Erythromycin
  • Methyltransferases
  • ErmA protein, Bacteria
  • rRNA (adenosine-O-2'-)methyltransferase