Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2008-12-16
pubmed:abstractText
Macrolide resistance among Streptococcus pyogenes (group A streptococci) in Portugal was stable during 1998-2003, but a rapid inversion in the dominant phenotypes was noted in the same period, with a sharp decrease in the proportion of isolates presenting the MLS(B) phenotype and a concomitant increase in isolates presenting the M phenotype. The characterization of group A streptococci recovered during 2004-2006, which is reported here, revealed that resistance was not stable during this period and that the decline in erythromycin resistance observed during 2004-2006 was due to a decrease in the prevalence of isolates presenting the M phenotype, while the proportion of isolates expressing the MLS(B) phenotype remained stable. Characterization by emm typing, T serotyping, pulsed-field gel electrophoresis (PFGE) profiling and multilocus sequence typing revealed a very diverse population. Several of the major PFGE clusters identified had already been found in the 1998-2003 study period, but others were found for the first time, e.g. T11/emm11/ST403, carrying the erm(B) gene, and T3/13/emm3/ST315, carrying the mef(A) gene. The clone defined as T12/emm12/ST36, previously found to be associated with mef(A), was now found to be predominantly associated with erm(B). The clonal dynamics of macrolide-resistant group A streptococci emphasizes the importance of considering factors other than antibiotic consumption in explaining the prevalence of resistant isolates.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1469-0691
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1152-9
pubmed:meshHeading
pubmed-meshheading:19046174-Adult, pubmed-meshheading:19046174-Anti-Bacterial Agents, pubmed-meshheading:19046174-Bacterial Typing Techniques, pubmed-meshheading:19046174-Cluster Analysis, pubmed-meshheading:19046174-DNA, Bacterial, pubmed-meshheading:19046174-DNA Fingerprinting, pubmed-meshheading:19046174-Drug Resistance, Bacterial, pubmed-meshheading:19046174-Electrophoresis, Gel, Pulsed-Field, pubmed-meshheading:19046174-Genotype, pubmed-meshheading:19046174-Humans, pubmed-meshheading:19046174-Lincosamides, pubmed-meshheading:19046174-Macrolides, pubmed-meshheading:19046174-Microbial Sensitivity Tests, pubmed-meshheading:19046174-Portugal, pubmed-meshheading:19046174-Sequence Analysis, DNA, pubmed-meshheading:19046174-Serotyping, pubmed-meshheading:19046174-Streptococcal Infections, pubmed-meshheading:19046174-Streptococcus pyogenes, pubmed-meshheading:19046174-Streptogramin B
pubmed:year
2008
pubmed:articleTitle
Decrease in macrolide resistance and clonal instability among Streptococcus pyogenes in Portugal.
pubmed:affiliation
Institute of Microbiology/Molecular Medicine, Faculty of Medicine, Lisbon University, Lisbon, Portugal.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't