Dicuonzo Giordano, Fiscarelli Ersilia, Gherardi Giovanni, Lorino Giulia, Battistoni Fabrizio, Landi Simona, De Cesaris Marina, Petitti Tommasangelo, Beall Bernard
Department of Laboratory Medicine. Hospital Infection Control Program, Università Campus Bio-Medico, Rome, Italy.
Antimicrob Agents Chemother. 2002 Dec;46(12):3987-90. doi: 10.1128/AAC.46.12.3987-3990.2002.
Three classes of macrolide resistance phenotypes and three different erythromycin resistance determinants were found among 127 erythromycin-resistant group A streptococcal (GAS) isolates recovered from 355 (35.8%) pediatric pharyngitis patients in Rome, Italy. According to emm and sof sequence typing results, erythromycin-resistant isolates comprised 11 different clonal types. Remarkably, 126 of the 127 macrolide-resistant isolates were serum opacity factor (sof) gene positive. These data suggest a strong association between macrolide resistance and the presence of sof among GAS isolates recovered from Italian pediatric pharyngitis patients.
在从意大利罗马355名(35.8%)小儿咽炎患者中分离出的127株耐红霉素A组链球菌(GAS)菌株中,发现了三类大环内酯耐药表型和三种不同的红霉素耐药决定因素。根据emm和sof序列分型结果,耐红霉素菌株包括11种不同的克隆类型。值得注意的是,127株大环内酯耐药菌株中有126株血清不透明因子(sof)基因呈阳性。这些数据表明,从意大利小儿咽炎患者中分离出的GAS菌株中,大环内酯耐药与sof的存在之间存在密切关联。