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Journal of Clinical Microbiology, March 2001, p. 913-917, Vol. 39, No. 3
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.3.913-917.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Frequency of Acyclovir-Resistant Herpes Simplex Virus in Clinical Specimens and Laboratory Isolates

Young Kyoo Shin,1,2 Guang-Yun Cai,2 Adriana Weinberg,2 Jeffry J. Leary,3 and Myron J. Levin2,*

Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea1; Section of Pediatric Infectious Diseases, School of Medicine, University of Colorado, Denver, Colorado2; and SmithKline Beecham Pharmaceuticals, Collegeville, Pennsylvania3

Received 7 August 2000/Returned for modification 6 November 2000/Accepted 22 February 2000

The proportion of acyclovir (ACV)-resistant herpes simplex virus (HSV) isolates in clinical specimens and laboratory isolates was determined. HSV isolates in clinical specimens and laboratory isolates were cultured in the absence or presence of 5 µg of ACV per ml. The frequency of ACV-resistant HSV was calculated as (average virus titer in the wells with ACV)/(average virus titer in the wells without ACV). The mutation frequency of HSV type 1 isolates in clinical samples (directly from patient lesions) was 7.5 × 10-4 ± 2.5 × 10-4 (mean ± standard error), and that of HSV type 2 isolates was 15.0 × 10-4 ± 4.6 × 10-4. The mutation frequencies of isolates derived in the laboratory from these clinical samples were very similar. Similarly, the 50% inhibitory concentrations for isolates in clinical samples and laboratory isolates were identical. The frequencies of ACV-resistant HSV types 1 and 2 were in a narrow range of 7.5 × 10-4 to 15.0 × 10-4 among isolates in clinical specimens and did not change for laboratory-derived pools of viral isolates.


* Corresponding author. Mailing address: University of Colorado Health Sciences Center, School of Medicine, 4200 East Ninth Ave., C-227, Denver, CO 80262. Phone: (303) 315-4620. Fax: (303) 315-7909. E-mail: myron.levin{at}uchsc.edu.


Journal of Clinical Microbiology, March 2001, p. 913-917, Vol. 39, No. 3
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.3.913-917.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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