Target site modifications and efflux phenotype in clinical isolates of Streptococcus pneumoniae from Hong Kong with reduced susceptibility to fluoroquinolones

Autor: Wkw Seto, W. S. Ng, D. N. C. Tsang, T. L. Que, Wing-Cheong Yam, Pak-Leung Ho, T. K. Ng
Rok vydání: 2001
Předmět:
Zdroj: Journal of Antimicrobial Chemotherapy. 47:655-658
ISSN: 1460-2091
0305-7453
DOI: 10.1093/jac/47.5.655
Popis: Ciprofloxacin-susceptible (n = 7) and -resistant (MIC >or=4 mg/L) (n = 15) clinical isolates of Streptococcus pneumoniae from diverse sources in Hong Kong were studied for target site modifications and efflux phenotype. Reserpine-inhibited efflux of ciprofloxacin and/or levofloxacin was common in both susceptible and non-susceptible isolates. The ParC substitutions K137N and/or S79F or Y were associated with increased ciprofloxacin MICS. The GyrA substitution S81F was only found in isolates with full resistance to ciprofloxacin (MIC >or=16 mg/L) and levofloxacin (MIC >or=8 mg/L). Among clinical isolates of S. pneumoniae, accumulation of target site mutations in strains with an efflux mechanism was associated with increasing MICs of fluoroquinolones.
Databáze: OpenAIRE