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Journal of Clinical Microbiology, April 2000, p. 1641-1644, Vol. 38, No. 4
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Molecular Characterization of Multidrug-Resistant
Streptococcus pneumoniae Isolates in Korea
Jae-Hoon
Song,1,*
Ji-won
Yang,2
Joung Hwa
Jin,3
Shin Woo
Kim,1
Choon Kwan
Kim,1
Hyuck
Lee,1
Kyong Ran
Peck,1
Sungmin
Kim,1
Nam Yong
Lee,4
Michael R.
Jacobs,5
Peter C.
Appelbaum,6 and
The Asian Network
for Surveillance of Resistant Pathogens (ANSORP) Study
Group3
Division of Infectious
Diseases1 and Department of Clinical
Pathology,4 Samsung Medical Center,
Sungkyunkwan University School of Medicine, Samsung Biomedical Research
Institute,2 and Asian-Pacific Research
Foundation for Infectious Diseases,3 Seoul,
Korea; Case Western Reserve University, Cleveland,
Ohio5; and Hershey Medical Center,
Hershey, Pennsylvania6
Received 23 September 1999/Returned for modification 1 December
1999/Accepted 10 January 2000
Pulsed-field gel electrophoresis, ribotyping, and fingerprinting
analysis of 22 invasive isolates of multidrug-resistant (MDR) pneumococci from Korea showed that 59 to 82% were genetically related.
DNA sequencing of the PBP 2B gene showed relatively uniform alterations
in nucleotides (5.4 to 7.8%) and amino acids (3.0 to 4.3%), while
Asn-276
Lys, Arg-285
Cys and Ser-305
Phe substitutions were
unique to Korean MDR strains, suggesting the spread of a few epidemic
clones of resistant pneumococci within Korea.
*
Corresponding author. Mailing address: Division of
Infectious Diseases, Samsung Medical Center, Sungkyunkwan University
School of Medicine, 50 IL-won dong Kangnam-ku, Seoul 135-710, Korea. Phone: 82-2-3410-0320. Fax: 82-2-3410-0328. E-mail:
jhsong{at}smc.samsung.co.kr.
Journal of Clinical Microbiology, April 2000, p. 1641-1644, Vol. 38, No. 4
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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