Antimicrobial resistance of genital mycoplasmas recovered from nonpregnant women in Greece: trends over the last 15 years

Future Microbiol. 2024 Jul 2;19(10):867-875. doi: 10.2217/fmb-2023-0238. Epub 2024 Apr 17.

Abstract

Aim: To study antimicrobial susceptibilities of genital mycoplasmas recovered from endocervical samples of reproductive-age, nonpregnant women (n = 8,336). Materials & methods: For isolation and susceptibility testing, the Mycoplasma IST2 kit was used. Results: As many as 2093 samples were positive for mycoplasmas. The vast majority (>96%) of Ureaplasma urealyticum remained susceptible to tetracycline, doxycycline, josamycin and pristinamycin, whereas susceptibility rates to azithromycin and fluoroquinolones were significantly decreased. Mycoplasma hominis exhibited high susceptibility rates to doxycycline, pristinamycin and josamycin (98.1-100%), while susceptibilities to tetracycline and fluoroquinolones were considerably lower. Conclusion: Doxycycline remained highly potent for treating mycoplasmas; nevertheless, susceptibilities to other antimicrobials were significantly diminished.

Keywords: antimicrobial resistance; genital mycoplasmasgenital tract infections; mycoplasma hominis; ureaplasma urealyticum.

Plain language summary

[Box: see text].

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents* / pharmacology
  • Azithromycin / pharmacology
  • Cervix Uteri / microbiology
  • Doxycycline / pharmacology
  • Drug Resistance, Bacterial*
  • Female
  • Fluoroquinolones / pharmacology
  • Greece / epidemiology
  • Humans
  • Josamycin / pharmacology
  • Microbial Sensitivity Tests*
  • Middle Aged
  • Mycoplasma / drug effects
  • Mycoplasma / isolation & purification
  • Mycoplasma Infections* / drug therapy
  • Mycoplasma Infections* / epidemiology
  • Mycoplasma Infections* / microbiology
  • Mycoplasma hominis* / drug effects
  • Mycoplasma hominis* / isolation & purification
  • Pristinamycin / pharmacology
  • Tetracycline / pharmacology
  • Ureaplasma Infections / drug therapy
  • Ureaplasma Infections / epidemiology
  • Ureaplasma Infections / microbiology
  • Ureaplasma urealyticum* / drug effects
  • Ureaplasma urealyticum* / isolation & purification
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Doxycycline
  • Fluoroquinolones
  • Josamycin
  • Azithromycin
  • Tetracycline
  • Pristinamycin