Resistance of Streptococcus pneumoniae isolated from Lebanese patients between 2005 and 2009

Ziad Daoud1, Mariam Kourani, Rawan Saab

  • 1Department of Biomedical Sciences, Faculty of Medicine & Medical Sciences, University of Balamand, POBox: 100- Tripoli, Lebanon. ziad.daoud@balamand.edu.lb

Abstract

Insights

Antibiotic resistance in Streptococcus pneumoniae is rising globally. This study found significant penicillin resistance in Lebanese strains, highlighting the need for ongoing surveillance and updated treatment guidelines to combat serious infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Streptococcus pneumoniae is a prevalent pathogen causing severe infections.
  • Increasing antimicrobial resistance worldwide poses a significant public health threat.
  • Understanding local resistance patterns is crucial for effective treatment.

Purpose of the Study:

  • To evaluate antimicrobial resistance patterns of S. pneumoniae in Lebanon.
  • To assess resistance to penicillin, macrolides, and other antibiotics.
  • To identify resistance genes in clinical isolates.

Main Methods:

  • Analysis of 121 S. pneumoniae strains isolated between 2005-2009 in Beirut.
  • Minimum Inhibitory Concentration (MIC) determination using E-test.
  • Polymerase Chain Reaction (PCR) to detect erm(B) and mef(A/E) genes.

Main Results:

  • Most strains (73.5%) were from respiratory tract infections.
  • Penicillin showed intermediate resistance in 50.4% and full resistance in 1.6% of isolates.
  • Amoxicillin-clavulanic acid and cefpodoxime demonstrated 100% activity; erm(B) was prevalent in macrolide-resistant strains (85.3%).

Conclusions:

  • Rising S. pneumoniae resistance impacts empirical antibiotic prescribing.
  • Treatment choices are jeopardized, posing a serious threat.
  • Continued surveillance and epidemiological studies are essential to monitor and control resistance spread.

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