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Emergence of quinolone-resistant Bordetella pertussis in Japan
Masayuki Ohtsuka1, Ken Kikuchi, Kenichiro Shimizu
1Department of Infection Control Science, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan. kikuti@juntendo.ac.jp
Abstract:
Six Bordetella pertussis strains isolated from children in Japan from 2004 to 2006 showed high-level resistance to nalidixic acid (NAL; MIC, >256 microg/ml) and decreased susceptibilities to fluoroquinolones. All of the NAL-resistant strains had the same D87G mutation in gyrA.
Insights
Six Bordetella pertussis strains in Japan exhibit high resistance to nalidixic acid (NAL) and reduced susceptibility to fluoroquinolones. This resistance is linked to a specific D87G mutation in the gyrA gene.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Bordetella pertussis is a significant cause of respiratory illness worldwide.
- Antibiotic resistance in B. pertussis poses a growing public health concern.
- Fluoroquinolones are important antibiotics for treating bacterial infections.
Purpose of the Study:
- To investigate the antibiotic susceptibility of Bordetella pertussis strains isolated from children in Japan.
- To identify the genetic basis for nalidixic acid (NAL) resistance in these strains.
Main Methods:
- Phenotypic characterization of B. pertussis isolates for antibiotic susceptibility testing.
- Genomic analysis to identify mutations in the gyrA gene.
Main Results:
- Six B. pertussis strains isolated between 2004 and 2006 demonstrated high-level resistance to nalidixic acid (NAL; MIC >256 microg/ml).
- These resistant strains also showed decreased susceptibility to other fluoroquinolones.
- All NAL-resistant strains possessed the identical D87G mutation in the gyrA gene.
Conclusions:
- The D87G mutation in gyrA is associated with high-level nalidixic acid resistance in Bordetella pertussis.
- Emergence of fluoroquinolone resistance in B. pertussis warrants continued surveillance.
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