Erythromycin resistance in Streptococcus pyogenes in Italy

被引:50
作者
Bassetti, M
Manno, G
Collidà, A
Ferrando, A
Gatti, G
Ugolotti, U
Cruciani, M
Bassetti, D
机构
[1] Univ Genoa, G Gaslini Childrens Hosp, Dept Infect Dis, I-16147 Genoa, Italy
[2] Dept Infect Dis, Verona, Italy
关键词
D O I
10.3201/eid0602.000212
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In a prospective study of acute pharyngitis in Italian children, 69 (38.3%) of 180 isolates of Streptococcus pyogenes were resistant to macrolides. S. pyogenes was eradicated in 12 (63.1%) of 19 patients with erythromycin-resistant S. pyogenes treated with clarithromycin and in 22 (88%) of 25 patients with erythromycin-susceptible strains. The constitutive-resistant phenotype was correlated with failure of macrolide treatment.
引用
收藏
页码:180 / 183
页数:4
相关论文
共 24 条
[1]   Streptococcus pyogenes erythromycin resistance in Italy [J].
Bassetti, M ;
Mantero, E ;
Gatti, G ;
Di Biagio, A ;
Bassetti, D .
EMERGING INFECTIOUS DISEASES, 1999, 5 (02) :302-303
[2]   GROUP-A STREPTOCOCCAL INFECTIONS AND ACUTE RHEUMATIC-FEVER [J].
BISNO, AL .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (11) :783-793
[3]   Antibiotic susceptibility of group a streptococci in 2 Italian cities: Milano and Catania [J].
Cocuzza, C ;
Blandino, G ;
Mattina, R ;
Nicoletti, F ;
Nicoletti, G .
MICROBIAL DRUG RESISTANCE-MECHANISMS EPIDEMIOLOGY AND DISEASE, 1997, 3 (04) :379-384
[4]   Rapid increase of resistance to erythromycin and clindamycin in Streptococcus pyogenes in Italy, 1993-1995 [J].
Cornaglia, G ;
Ligozzi, M ;
Mazzariol, A ;
Valentini, M ;
Orefici, G ;
Fontana, R .
EMERGING INFECTIOUS DISEASES, 1996, 2 (04) :339-342
[5]  
Cornwell TB, 1998, J ADVERTISING, V27, P1
[6]   Emergence of erythromycin-resistant, clindamycin-susceptible Streptococcus pyogenes isolates in Madrid, Spain [J].
Garcia-Bermejo, I ;
Cacho, J ;
Orden, B ;
Alós, JI ;
Gómez-Garcés, JL .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (04) :989-990
[7]  
GENTRY JL, 1980, AM J DIS CHILD, V133, P801
[8]   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
[9]   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
[10]  
LODE H, 1993, MACROLIDES CHEM PHAR, P409