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Updated: Sep 26, 2026

Using the Overlay Assay to Qualitatively Measure Bacterial Production of and Sensitivity to Pneumococcal Bacteriocins
Published on: September 30, 2014
[Streptococcus pneumoniae strains resistance to macrolide, lincosamide, streptogramin, oxazolidinone and ketolide]
Burçin Sener1, Ozgen Köseoğlu, Inci Fişenk
1Hacettepe Universitesi Tip Fakültesi Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dali, Ankara.
Abstract:
Over the last two decades, antimicrobial resistance in Streptococcus pneumoniae has been detected at an increasing rate. There have been several reports of increasing rate of macrolide resistance among the penicillin-resistant S. pneumoniae strains. The rapid evolution of such resistance necessitated new antimicrobials, such as streptogramins, oxazolidinones and ketolides, against beta-lactam and macrolide resistant pneumococci. This study was undertaken to determine the prevalence of macrolide resistance in pneumococci isolated in a Turkish University hospital and also to determine the activity of these newly developed agents against pneumococci. For that purpose a total of 264 pneumococci, isolated from clinical specimens, were tested for susceptibility against penicillin, erythromycin, clarithromycin, clindamycin, quinupristin/dalfopristin, linezolid and telithromycin by agar dilution method. Penicillin resistance and intermediate penicillin resistance was found in 7.6% and 40% of isolates respectively, while resistance rates of the tested isolates against erythromycin, clarithromycin and clindamycin were as 15.9%, 13.6% and 13.6%, respectively. Resistance to macrolides and clindamycin was higher among the penicillin-resistant isolates. No resistance was detected against quinupristin/dalfopristin, linezolid and telithromycin, except for four strains which had minimal inhibitory concentration (MIC) values of intermediately susceptible category to quinupristin/dalfopristin. These data indicate the presence of an important percentage of macrolide resistant pneumococci in our hospital. It can also be concluded that streptogramins, oxazolidinones and ketolides may be used as good alternatives especially in case of infections due to macrolide resistant pneumococci.
Insights
Antimicrobial resistance in Streptococcus pneumoniae is rising, particularly macrolide resistance in penicillin-resistant strains. New agents like streptogramins, oxazolidinones, and ketolides show promise against resistant pneumococci.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Pharmacology
Context:
- Increasing antimicrobial resistance in Streptococcus pneumoniae over two decades.
- Reports indicate a rise in macrolide resistance among penicillin-resistant S. pneumoniae.
- Evolution of resistance necessitates novel antimicrobial agents.
Purpose:
- Determine the prevalence of macrolide resistance in pneumococci in a Turkish University hospital.
- Evaluate the activity of new agents (streptogramins, oxazolidinones, ketolides) against resistant pneumococci.
Summary:
- 264 pneumococcal isolates tested against penicillin, macrolides, clindamycin, quinupristin/dalfopristin, linezolid, and telithromycin.
- Penicillin resistance: 7.6%; intermediate: 40%. Macrolide resistance: 13.6-15.9%. Higher resistance in penicillin-resistant strains.
- No resistance to quinupristin/dalfopristin, linezolid, telithromycin, with minimal exceptions.
Impact:
- Significant prevalence of macrolide-resistant pneumococci identified in the hospital.
- Streptogramins, oxazolidinones, and ketolides demonstrate potential as alternative treatments for resistant pneumococcal infections.
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