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

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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