TY - JOUR
T1 - Activity of telithromycin compared with seven other agents against 1039 Streptococcus pyogenes pediatric isolates from ten centers in central and eastern Europe
AU - Bozdogan, B.
AU - Appelbaum, P. C.
AU - Kelly, L. M.
AU - Hoellman, D. B.
AU - Tambic-Andrasevic, A.
AU - Drukalska, L.
AU - Hryniewicz, W.
AU - Hupkova, H.
AU - Jacobs, M. R.
AU - Kolman, J.
AU - Konkoly-Thege, M.
AU - Miciuleviciene, J.
AU - Pana, M.
AU - Setchanova, L.
AU - Trupl, J.
AU - Urbaskova, P.
PY - 2003/7/1
Y1 - 2003/7/1
N2 - In total, 1039 pediatric Streptococcus pyogenes isolates from Bulgaria, Croatia, the Czech Republic, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and Slovenia were studied. All strains were susceptible to penicillin G, levofloxacin, and quinupristin-dalfopristin, 91-100% to telithromycin, and 82-100% to erythromycin, azithromycin, and clarithromycin, and 90-100% to clindamycin. Macrolide resistance occurred mainly in Slovakia (25%), the Czech Republic (17.3%), and Croatia (15.8%). Overall, 9.7% of S. pyogenes isolates were erythromycin resistant due to erm(B)- or erm(A)-encoded methylases (72.3%) or to a mef(A)-encoded efflux pump (25.7%). One strain had alterations of both 23S rRNA (A2058G Escherichia coli numbering) and ribosomal protein L22 (G95D).
AB - In total, 1039 pediatric Streptococcus pyogenes isolates from Bulgaria, Croatia, the Czech Republic, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and Slovenia were studied. All strains were susceptible to penicillin G, levofloxacin, and quinupristin-dalfopristin, 91-100% to telithromycin, and 82-100% to erythromycin, azithromycin, and clarithromycin, and 90-100% to clindamycin. Macrolide resistance occurred mainly in Slovakia (25%), the Czech Republic (17.3%), and Croatia (15.8%). Overall, 9.7% of S. pyogenes isolates were erythromycin resistant due to erm(B)- or erm(A)-encoded methylases (72.3%) or to a mef(A)-encoded efflux pump (25.7%). One strain had alterations of both 23S rRNA (A2058G Escherichia coli numbering) and ribosomal protein L22 (G95D).
KW - Macrolide resistance
KW - Streptococcus pyogenes
KW - Telithromycin
UR - http://www.scopus.com/inward/record.url?scp=0042026411&partnerID=8YFLogxK
U2 - 10.1046/j.1469-0691.2003.00598.x
DO - 10.1046/j.1469-0691.2003.00598.x
M3 - Article
C2 - 12925122
AN - SCOPUS:0042026411
SN - 1198-743X
VL - 9
SP - 741
EP - 745
JO - Clinical Microbiology and Infection
JF - Clinical Microbiology and Infection
IS - 7
ER -