Abstract
Mutations in the topoisomerase type II enzymes account for fluoroquinolone resistance in Streptococcus pneumoniae. These mutations can arise spontaneously or be transferred by intraspecies or interspecies recombination, primarily with viridans streptococci. We analyzed the nucleotide sequences of the quinolone resistance-determining regions of 49 invasive levofloxacin-resistant pneumococcal isolates and did not find any evidence for interspecies recombination.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Anti-Bacterial Agents / pharmacology*
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DNA Topoisomerases, Type II / genetics*
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Drug Resistance, Bacterial
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Fluoroquinolones / pharmacology*
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Gene Transfer, Horizontal
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Levofloxacin
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Ofloxacin / pharmacology
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Pneumococcal Infections / microbiology*
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Recombination, Genetic*
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Streptococcus pneumoniae / drug effects*
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Streptococcus pneumoniae / genetics*
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United States
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Viridans Streptococci / drug effects
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Viridans Streptococci / genetics
Substances
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Anti-Bacterial Agents
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Fluoroquinolones
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Levofloxacin
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Ofloxacin
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DNA Topoisomerases, Type II