[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.

Abstract

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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