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Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
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.
Abstract:
A collection of 307 pneumococcal isolates form 84 children and 223 adults admitted to Siriraj Hospital were separated into two groups, penicillin-susceptible (PSSP) and penicillin-nonsusceptible (PNSP). Each group was tested for susceptibilities to 12 drugs (cefuroxime, amoxicillin, chloramphenicol, tetracycline, cefotaxime, ceftriaxone, imipenem, meropenem, ciprofloxacin, ofloxacin, erythromycin and co-trimoxazole). PSSP were susceptible to cefuroxime (87.5%), amoxicillin (100%), chloramphenicol (84.7%), tetracycline (45.8%), cefotaxime (99%), ceftriaxone (99%), imipenem (99%), meropenem (100%), ciprofloxacin (76%), ofloxacin (99%), erythromycin (94.8%) and co-trimoxazole (61.5%). PNSP were resistant to most drugs, except for amoxicillin (99%), ofloxacin (99%) and ciprofloxacin (86.3%). Twenty-two pneumococcal isolates belonging to the three most common serotypes (6, 19, 23) were randomly selected for studies of the pbp2b gene with RFLP. There were 7 distinct pbp2b RFLP patterns. RFLP pattern 1 was the most predominant resistant pattern. The RFLP pattern 2 was found only in PSSP.
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