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Journal of Clinical Microbiology, July 2001, p. 2719-2721, Vol. 39, No. 7
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.7.2719-2721.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Fluoroquinolone Resistance Is a Poor Surrogate Marker for Type II Topoisomerase Mutations in Clinical Isolates of Streptococcus pneumoniae

John J. Millichap,1,2 Ekaterina Pestova,1,2 Farida Siddiqui,1,2 Gary A. Noskin,1,2 and Lance R. Peterson1,2,*

Departments of Pathology and Medicine, Northwestern University Medical School,1 and Divisions of Microbiology and Infectious Diseases, Northwestern Memorial Hospital,2 Chicago, Illinois 60611

Received 18 December 2000/Returned for modification 7 March 2001/Accepted 20 April 2001

The association between fluoroquinolone susceptibility and DNA mutations coding for amino acid substitutions in the quinolone resistance-determining region was assessed with 44 clinical isolates of Streptococcus pneumoniae. Twenty-three strains bore at least one amino acid substitution. Only seven strains with mutations were suggested by diminished susceptibility to ciprofloxacin (MIC, >= 2 µg/ml).


* Corresponding author. Mailing address: Northwestern Prevention Epicenter, Department of Pathology, Galter Carriage House, Room 701, Northwestern Memorial Hospital, 251-East Huron, Chicago, IL 60611. Phone: (312) 926-2885. Fax: (312) 926-4139. E-mail: lancer{at}northwestern.edu.


Journal of Clinical Microbiology, July 2001, p. 2719-2721, Vol. 39, No. 7
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.7.2719-2721.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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