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Journal of Clinical Microbiology, July 1999, p. 2337-2342, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Dissemination of a Chloramphenicol- and Tetracycline-Resistant but Penicillin-Susceptible Invasive Clone of Serotype 5 Streptococcus pneumoniae in Colombia

Mónica Tamayo,1,2 Raquel Sá-Leão,1 Ilda Santos Sanches,1,3 Elizabeth Castañeda,2 and Hermínia de Lencastre1,3,4,*

Instituto de Tecnologia Química e Biológica, Universidade Nova de Lisboa, Oeiras,1 and Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, Monte da Caparica,3 Portugal; Grupo de Microbiología, Instituto Nacional de Salud, Santa Fe de Bogotá, Colombia2; and The Rockefeller University, New York, New York4

Received 28 December 1998/Returned for modification 18 February 1999/Accepted 24 March 1999

A national surveillance conducted in Colombia between 1994 and 1996 identified serotype 5 Streptococcus pneumoniae as the second most frequent cause of invasive disease in children younger than 5 years of age. All 43 serotype 5 isolates collected during this period were shown to be susceptible to penicillin, erythromycin, cefotaxime, and vancomycin, but most (38 of 43, or 88%) were highly resistant to chloramphenicol. In order to clarify a possible genetic relatedness among these isolates, additional microbiological and molecular characterizations were performed. Most (40 of 43, or 93%) of the isolates were found to be resistant to tetracycline. Pulsed-field gel electrophoresis (PFGE) patterns of chromosomal DNAs revealed that all the 43 isolates were closely related and that 38 of the 43 isolates were representatives of a "Colombian clone" of S. pneumoniae isolates which were recovered throughout the 3-year surveillance period from patients in 13 hospitals located in five Colombian cities. Isolates belonging to this Colombian clone were resistant to chloramphenicol and tetracycline, hybridized with the cat and tetM DNA probes in the same 340-kb SmaI fragment, and had identical PFGE patterns after both SmaI and ApaI digestions.


* Corresponding author. Mailing address: Laboratory of Microbiology, The Rockefeller University, 1230 York Ave., New York, NY 10021. Phone: (212) 327-8277. Fax: (212) 327-8688. E-mail: lencash{at}rockvax.rockefeller.edu.


Journal of Clinical Microbiology, July 1999, p. 2337-2342, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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