Fluoroquinolone-Resistant Streptococcus pneumoniae in Spain: Activities of Garenoxacin against Clinical Isolates Including Strains with Altered Topoisomerases

AUTOR(ES)
FONTE

American Society for Microbiology

RESUMO

The activity of garenoxacin was assessed against 412 Streptococcus pneumoniae isolates (49.3% from the adult population). Overall penicillin, erythromycin, and ciprofloxacin (MIC, ≥4 μg/ml) resistance was 51.7, 35.4, and 1.5%, respectively. For all isolates, the garenoxacin MIC was ≤1 μg/ml. Amino acid replacements in GryA (Ser81→Phe or Tyr), ParC (Ser79→Phe or Tyr; Asp83→Gly; Lys137→Asn), and ParE (Ile460→Val; Asp435→Asn), alone or in combination, were ascribed to the reduced garenoxacin susceptibility (MIC range, 0.5 to 1 μg/ml) found in four isolates. The low impact of these mutations on garenoxacin activity envisages the possible coverage of S. pneumoniae populations resistant to preexisting quinolones.

Documentos Relacionados