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Journal of Clinical Microbiology, October 2001, p. 3586-3590, Vol. 39, No. 10
Wernigerode Branch, Robert Koch Institute,
D-38855 Wernigerode,1 and Institute of
Medical Microbiology and Immunology, Düsseldorf University,
D-40225 Düsseldorf,2 Germany
Received 24 January 2001/Returned for modification 8 June
2001/Accepted 11 July 2001
Of 3,052 Staphylococcus aureus strains collected by
the European SENTRY surveillance study, 35 were found to be
nonsusceptible to quinupristin-dalfopristin (MIC of
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.10.3586-3590.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Methicillin-Resistant,
Quinupristin-Dalfopristin-Resistant Staphylococcus
aureus with Reduced Sensitivity to Glycopeptides
2 mg/liter).
These isolates originated from four hospitals in France and one in
Spain. In isolates from two Parisian hospitals exhibiting the same
SmaI macrorestriction pattern, streptogramin resistance
was based on vatA and vgbA. One isolate
from a hospital in Lyon and 22 from a hospital in Lille were of the
vatB vgaB streptogramin A resistance genotype and
possessed ermA and/or ermC. As
deduced from the loss of either streptogramin A or streptogramin B
resistance determinants in particular isolates, resistance to
quinupristin-dalfopristin requires mechanisms conferring resistance to
both compounds. The SmaI macrorestriction patterns of
strains from hospitals in Lille and Lyon were different; however,
similarity analysis suggested a relatedness of 20 methicillin-resistant
S. aureus strains from the Lille hospital, a finding
confirmed by PCR typing based on three different genomic polymorphisms.
These groups of isolates were found to be
hetero-glycopeptide-intermediate susceptible S. aureus. Information about the failure of glycopeptide
chemotherapy has not been available.
*
Corresponding author. Mailing address: Robert Koch
Institute, Wernigerode Branch, Burgstr. 37, 38855 Wernigerode, Germany. Phone: 0049-3943-679246. Fax: 0049-3943-679317. E-mail:
wittew{at}rki.de.
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