Low Prevalence of Cfr-Mediated Linezolid Resistance among Methicillin-Resistant Staphylococcus aureus in a Spanish Hospital: Case Report on Linezolid Resistance Acquired during Linezolid Therapy

被引:18
作者
Sierra, Josep M. [1 ]
Camoez, Mariana [1 ]
Tubau, Fe [1 ]
Gasch, Oriol [2 ]
Pujol, Miquel [2 ]
Martin, Rogelio [1 ]
Angeles Dominguez, M. [1 ]
机构
[1] Univ Barcelona, Dept Microbiol, Hosp Univ Bellvitge IDIBELL, Dept Pathol & Expt Therapeut, Barcelona, Spain
[2] Univ Barcelona, Hosp Univ Bellvitge IDIBELL, Dept Pathol & Expt Therapeut, Dept Infect Dis, Barcelona, Spain
关键词
GENE; MECHANISM;
D O I
10.1371/journal.pone.0059215
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Linezolid is an effective antimicrobial agent to treat methicillin-resistant Staphylococcus aureus (MRSA). Resistance to linezolid due to the cfr gene is described worldwide. The present study aimed to analyze the prevalence of the cfr-mediated linezolid resistance among MRSA clinical isolates in our area. A very low prevalence of cfr mediated linezolid resistance was found: only one bacteremic isolate out of 2 215 screened isolates. The only linezolid resistant isolate arose in a patient, previously colonized by MRSA, following linezolid therapy. Despite the low rate of resistance in our area, ongoing surveillance is advisable to avoid the spread of linezolid resistance.
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页数:3
相关论文
共 15 条
[1]   Clinical and microbiological aspects of linezolid resistance mediated by the cfr gene encoding a 23S rRNA methyltransferase [J].
Arias, Cesar A. ;
Vallejo, Martha ;
Reyes, Jinnethe ;
Panesso, Diana ;
Moreno, Jaime ;
Castaneda, Elizabeth ;
Villegas, Maria V. ;
Murray, Barbara E. ;
Quinn, John P. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2008, 46 (03) :892-896
[2]   Linezolid resistance in Staphylococcus aureus:: Gene dosage effect, stability, fitness costs, and cross-resistances [J].
Besier, Silke ;
Ludwig, Albrecht ;
Zander, Johannes ;
Brade, Volker ;
Wichelhaus, Thomas A. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2008, 52 (04) :1570-1572
[3]   Oxazolidinones: activity, mode of action, and mechanism of resistance [J].
Bozdogan, B ;
Appelbaum, PC .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2004, 23 (02) :113-119
[4]   Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus [J].
Enright, MC ;
Day, NPJ ;
Davies, CE ;
Peacock, SJ ;
Spratt, BG .
JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (03) :1008-1015
[5]   Two Novel Point Mutations in Clinical Staphylococcus aureus Reduce Linezolid Susceptibility and Switch on the Stringent Response to Promote Persistent Infection [J].
Gao, Wei ;
Chua, Kyra ;
Davies, John K. ;
Newton, Hayley J. ;
Seemann, Torsten ;
Harrison, Paul F. ;
Holmes, Natasha E. ;
Rhee, Hyun-Woo ;
Hong, Jong-In ;
Hartland, Elizabeth L. ;
Stinear, Timothy P. ;
Howden, Benjamin P. .
PLOS PATHOGENS, 2010, 6 (06)
[6]   United States resistance surveillance results for linezolid (LEADER Program for 2007) [J].
Jones, Ronald N. ;
Ross, James E. ;
Castanheira, Mariana ;
Mendes, Rodrigo E. .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2008, 62 (04) :416-426
[7]   Distribution of florfenicol resistance genes fexA and cfr among chloramphenicol-resistant Staphylococcus isolates [J].
Kehrenberg, C ;
Schwarz, S .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2006, 50 (04) :1156-1163
[8]   Bacterial competition for human nasal cavity colonization:: Role of staphylococcal agr alleles [J].
Lina, G ;
Boutite, F ;
Tristan, A ;
Bes, M ;
Etienne, J ;
Vandenesch, F .
APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 2003, 69 (01) :18-23
[9]   Linezolid in vitro:: mechanism and antibacterial spectrum [J].
Livermore, DM .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 51 :9-16
[10]   Mutations in Ribosomal Protein L3 Are Associated with Oxazolidinone Resistance in Staphylococci of Clinical Origin [J].
Locke, Jeffrey B. ;
Hilgers, Mark ;
Shaw, Karen Joy .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2009, 53 (12) :5275-5278