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Published on: February 23, 2014
Antibiotic resistance patterns and resistance-associated genes in Streptococcus pneumoniae: insights from healthy
Azin Masroor1, Maryam Sadat Attarzadeh2, Ali Mojtahedi3
1Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Theran, Iran.
Background:
The emergence of resistance to β-lactam and macrolide antibiotics, the main therapeutic agents for Streptococcus pneumoniae infections, poses a major public health challenge. This study aimed to investigate antibiotic resistance patterns and characterize the resistance-associated genes in pneumococcal isolates.
Methods:
Nasopharyngeal swab specimens were collected from 318 healthy children younger than 16 years of age. S. pneumoniae isolates were identified using conventional culture, Gram staining, and biochemical tests. Antimicrobial susceptibility was determined by the disk diffusion method, and the minimum inhibitory concentration (MIC) of erythromycin was measured using the E-test. Molecular PCR assays were performed to confirm pneumococcal identification and detect antibiotic resistance genes.
Results:
Nasopharyngeal carriage of S. pneumoniae was detected in 25 of 318 children (7.86%). Penicillin showed the highest resistance rate (92%), whereas vancomycin exhibited the lowest (8%). Based on the E-test results, seven isolates (28%) were non-susceptible to erythromycin, including four (16%) resistant and three (12%) intermediate isolates. Therefore, 13 isolates (52%) were classified as multidrug-resistant (MDR). Among the 25 isolates, the pbp2b and ermA genes were each detected in one isolate (4%), whereas ermB, mef(A/E), and tetM were identified in 8 (32%), 16 (64%), and 23 (92%) isolates, respectively. The tet(O) gene was not detected in any isolate.
Conclusion:
These findings highlight the importance of continuous surveillance of pneumococcal carriage and antimicrobial resistance in pediatric populations to support evidence-based treatment strategies and public health interventions.
Insights
Antibiotic resistance in Streptococcus pneumoniae is a growing concern. This study found high rates of penicillin resistance and multidrug-resistant strains in children, emphasizing the need for ongoing surveillance.
Area of Science:
- Microbiology
- Public Health
- Genetics
Background:
- Antibiotic resistance in Streptococcus pneumoniae is a significant public health issue.
- The study addresses the challenge of resistance to beta-lactam and macrolide antibiotics.
Purpose of the Study:
- To investigate antibiotic resistance patterns in pneumococcal isolates.
- To characterize antibiotic resistance-associated genes in Streptococcus pneumoniae.
Main Methods:
- Collected nasopharyngeal swabs from 318 healthy children.
- Identified S. pneumoniae using culture and biochemical tests.
- Determined antimicrobial susceptibility via disk diffusion and E-test; performed PCR for resistance genes.
Main Results:
- S. pneumoniae carriage found in 7.86% of children.
- High resistance rates observed for penicillin (92%) and tetM (92%).
- 52% of isolates were multidrug-resistant (MDR), with ermB and mef(A/E) genes prevalent.
Conclusions:
- Continuous surveillance of pneumococcal carriage and resistance in pediatric populations is crucial.
- Findings support evidence-based treatment strategies and public health interventions.
- Highlights the need for monitoring antimicrobial resistance trends.
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