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Journal of Clinical Microbiology, October 1999, p. 3380-3383, Vol. 37, No. 10
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Antibiotic Susceptibilities of Group C and Group G Streptococci Isolated from Patients with Invasive Infections: Evidence of Vancomycin Tolerance among Group G Serotypes

Theoklis Zaoutis,1,2 Barbara Schneider,3 Lynn Steele Moore,3 and Joel D. Klein1,2,*

Division of Pediatric Infectious Diseases, Alfred I. duPont Hospital for Children,1 and Infectious Diseases Laboratory, Christiana Care Health System,3 Wilmington, Delaware, and Jefferson Medical College, Philadelphia, Pennsylvania2

Received 8 February 1999/Returned for modification 2 May 1999/Accepted 10 July 1999

A retrospective review of medical records for 32 patients with invasive group C streptococcus (GCS) or group G streptococcus (GGS) infections was performed. MICs and minimum bactericidal concentrations (MBCs) of penicillin, erythromycin, and vancomycin for all isolates were obtained. Tolerance of vancomycin, defined as an MBC 32 or more times higher than the MIC, was exhibited by 18 GGS isolates (54%). The identification of tolerance in clinical isolates of GGS and GCS may have clinical implications in treating these seriously ill patients.


* Corresponding author. Mailing address: Division of Pediatric Infectious Diseases, Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE 19899. Phone: (302) 651-4421. Fax: (302) 651-4463. E-mail: jklein{at}nemours.org.


Journal of Clinical Microbiology, October 1999, p. 3380-3383, Vol. 37, No. 10
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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