Pneumococci: drug susceptibilities and preliminary epidemiological studies by penicillin binding protein genotyping

Somporn Srifeungfung1, Sutiwan Thammawart, Amorn Leelarasamee

  • 1Department of Microbiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Prannok Rd, Bangkok 10700, Thailand. sissf@mahidol.ac.th

Insights

Penicillin-nonsusceptible Streptococcus pneumoniae (PNSP) isolates show resistance to multiple antibiotics. However, specific gene patterns (RFLP) in PNSP may help understand resistance mechanisms in pneumococcal infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Streptococcus pneumoniae causes significant morbidity and mortality globally.
  • Antibiotic resistance in S. pneumoniae is a growing public health concern.
  • Understanding resistance mechanisms is crucial for effective treatment strategies.

Purpose of the Study:

  • To investigate antibiotic susceptibility patterns of pneumococcal isolates.
  • To analyze the genetic basis of penicillin resistance in S. pneumoniae.
  • To identify potential molecular markers for penicillin resistance.

Main Methods:

  • Antibiotic susceptibility testing for 12 drugs against 307 pneumococcal isolates.
  • Classification of isolates into penicillin-susceptible (PSSP) and penicillin-nonsusceptible (PNSP) groups.
  • Analysis of the pbp2b gene using Restriction Fragment Length Polymorphism (RFLP) in selected isolates.

Main Results:

  • PNSP isolates exhibited resistance to most tested antibiotics, with exceptions including amoxicillin, ofloxacin, and ciprofloxacin.
  • Penicillin-susceptible S. pneumoniae (PSSP) isolates showed high susceptibility to most antibiotics.
  • Seven distinct pbp2b RFLP patterns were identified, with pattern 1 predominant in resistant isolates and pattern 2 exclusive to susceptible isolates.

Conclusions:

  • PNSP strains demonstrate significant multidrug resistance, necessitating careful antibiotic selection.
  • The pbp2b gene's RFLP patterns correlate with penicillin susceptibility, suggesting a role in resistance mechanisms.
  • Further research into the genetic determinants of pneumococcal antibiotic resistance is warranted.

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