Rapid increase of resistance to erythromycin and clindamycin in Streptococcus pyogenes in Italy, 1993-1995

被引:70
作者
Cornaglia, G
Ligozzi, M
Mazzariol, A
Valentini, M
Orefici, G
Fontana, R
机构
[1] NATL INST HLTH,ROME,ITALY
[2] OSPED SAN GIUSEPPE,EMPOLI,ITALY
[3] OSPED SAN GERARDO,MONZA,ITALY
[4] UNIV PALERMO,DIPARTIMENTO IGIENE & MICROBIOL,I-90133 PALERMO,ITALY
[5] SPEDALI RIUNITI PISTOIA,PISTOIA,ITALY
[6] UNIV CATTOLICA SACRO CUORE,IST MICROBIOL,ROME,ITALY
[7] OSPED CIVILE,PORDENONE,ITALY
[8] UNIV SASSARI,IST IGIENE & MED PREVENT,I-07100 SASSARI,ITALY
[9] UNIV SASSARI,IST MICROBIOL,I-07100 SASSARI,ITALY
[10] OSPED CIVILE,VENICE,ITALY
[11] OSPED SAN BORTOLO,VICENZA,ITALY
[12] OSPED RIUNITI BERGAMO,I-24100 BERGAMO,ITALY
[13] AZIENDA OSPED MORELLI,BORMIO,ITALY
[14] AZIENDA OSPED CAREGGI,FLORENCE,ITALY
关键词
D O I
10.3201/eid0204.960410
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A survey of antibiotic resistance in Streptococcus pyogenes in Italy showed a sharp increase in erythromycin resistance. In 1993, the incidence of erythromycin-resistant strains was on average 5.1%, with marked variations by geographic area. Two years later, the incidence of these strains had registered a 1.5- to roughly 20-fold increase, with a mean value of 25.9%, exceeding 40% in three centers out of 13 and 30% in another four. For all the strains studied, normal levels of susceptibility to penicillin were reported.
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收藏
页码:339 / 342
页数:4
相关论文
共 26 条
[1]   ORIGIN AND EVOLUTION OF GENES SPECIFYING RESISTANCE TO MACROLIDE, LINCOSAMIDE AND STREPTOGRAMIN ANTIBIOTICS - DATA AND HYPOTHESES [J].
ARTHUR, M ;
BRISSONNOEL, A ;
COURVALIN, P .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1987, 20 (06) :783-802
[2]   DETECTION OF ERYTHROMYCIN RESISTANCE BY THE POLYMERASE CHAIN-REACTION USING PRIMERS IN CONSERVED REGIONS OF ERM RIBOSOMAL-RNA METHYLASE GENES [J].
ARTHUR, M ;
MOLINAS, C ;
MABILAT, C ;
COURVALIN, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1990, 34 (10) :2024-2026
[3]   CLINICAL AND MICROBIOLOGICAL EVALUATION OF MIOCAMYCIN ACTIVITY AGAINST GROUP-A BETA-HEMOLYTIC STREPTOCOCCI IN PEDIATRIC-PATIENTS - 3-YEARS INCIDENCE OF ERYTHROMYCIN-RESISTANT GROUP-A STREPTOCOCCI [J].
BORZANI, M ;
VAROTTO, F ;
GARLASCHI, L ;
CONIO, F ;
DELLOLIO, M ;
CAREDDU, P .
JOURNAL OF CHEMOTHERAPY, 1989, 1 (01) :35-38
[4]  
Cellesi C, 1996, J CHEMOTHERAPY, V8, P188, DOI 10.1179/joc.1996.8.3.188
[5]  
CORNAGLIA G, 1993, BINARY, V5, P159
[6]   EVOLUTION AND EPIDEMIOLOGY OF MLS RESISTANCE [J].
DUVAL, J .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1985, 16 :137-149
[7]   DECREASED ACTIVITY OF ERYTHROMYCIN AGAINST STREPTOCOCCUS-PYOGENES IN TAIWAN [J].
HSUEH, PR ;
CHEN, HM ;
HUANG, AH ;
WU, JJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1995, 39 (10) :2239-2242
[8]   THE RESURGENCE OF GROUP-A STREPTOCOCCAL INFECTIONS AND THEIR SEQUELAE [J].
KAPLAN, EL .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1991, 10 (02) :55-57
[9]   BACTERIAL-RESISTANCE TO MACROLIDE, LINCOSAMIDE, AND STREPTOGRAMIN ANTIBIOTICS BY TARGET MODIFICATION [J].
LECLERCQ, R ;
COURVALIN, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (07) :1267-1272
[10]   CHIMERIC STREPTOCOCCAL PLASMIDS AND THEIR USE AS MOLECULAR-CLONING VEHICLES IN STREPTOCOCCUS-SANGUIS (CHALLIS) [J].
MACRINA, FL ;
JONES, KR ;
WOOD, PH .
JOURNAL OF BACTERIOLOGY, 1980, 143 (03) :1425-1435