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Updated: Apr 27, 2026

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
[Mobile genetic elements associated with erythromycin-resistant isolates of Streptococcus pneumoniae in Colombia]
Viviana Ramos1, Carolina Duarte2, Aleyda Díaz3
1Grupo de Microbiología, Subdirección de Investigación Científica y Tecnológica, Instituto Nacional de Salud.
Introduction:
Resistance to macrolide antibiotics is increasing in clinical isolates of Streptococcus pneumoniae and is associated with the presence of mobile genetic elements. Objetive: The aim of this study was to determine the distribution of serotypes and transposons among macrolide-resistant invasive isolates of S. pneumoniae in Colombia from 1994 to 2011.
Materials And Methods:
A total of 225 macrolide-resistant S. pneumoniae isolates were analyzed. The isolates had epidemiological data, serotyping and antimicrobial susceptibility patterns. The phenotypes were tested by erythromycin-clindamycin double-disk test. We investigated the presence of transposons by several multiplex PCRs to identify the genes erm (B), mef(A), mef(E), tet M, Cat , Aph3 -III, int -Tn 916 , xis -Tn 916 , TnpA -Tn 917 , TnpR -Tn 917 and int -Tn 5252 .
Results:
Of all isolates, 62.7%, 2.7% and 34.6% of isolates exhibited cMLS B, iMLS B, and M phenotypes, respectively. Multiresistance was observed in 69.3% of these strains. The most prevalent genetic elements in MLS B were the Tn 5253 (34%), mostly carried in serotype 6B isolates and found to be related to the international clone Spain-ST90; Tn 1545 (18.4%), carried by serotype 19A and related to ST276, and Tn 3872 (14.9%), mainly detected in capsular types 6B and 14. Other seven transposons (32.7%) were associated with different serotypes. The mega element (62.8%) was associated to serotype 6A and ST473 in M phenotype.
Conclusions:
The majority of erythromycin-resistance isolates of S. pneumoniae in Colombia had the cMLS B phenotype and was associated with the presence of transposons, which carry multiple resistance determinants for other antibiotics. Moreover, isolates with M phenotype carried the gene mef( E) in the mega element.
Insights
Macrolide-resistant Streptococcus pneumoniae in Colombia are increasingly linked to mobile genetic elements like transposons. These elements carry multiple antibiotic resistance genes, contributing to growing antimicrobial resistance challenges.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Context:
- Increasing macrolide antibiotic resistance in Streptococcus pneumoniae clinical isolates.
- Association between resistance and mobile genetic elements.
Purpose:
- Determine serotype and transposon distribution in macrolide-resistant invasive S. pneumoniae isolates in Colombia (1994-2011).
Summary:
- Analyzed 225 macrolide-resistant S. pneumoniae isolates.
- Identified cMLS B (62.7%), iMLS B (2.7%), and M (34.6%) phenotypes.
- Prevalent transposons included Tn 5253 (34%), Tn 1545 (18.4%), and Tn 3872 (14.9%), often linked to specific serotypes and international clones. Mega element (62.8%) associated with M phenotype.
Impact:
- The majority of erythromycin-resistant S. pneumoniae isolates exhibited the cMLS B phenotype, associated with transposons carrying multiple resistance determinants.
- Isolates with M phenotype carried the mef(E) gene within the mega element, highlighting the role of mobile genetic elements in multidrug resistance.
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