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Epidemiology

Dissemination of High-Level Penicillin-, Extended-Spectrum Cephalosporin-, and Erythromycin-Resistant Streptococcus pneumoniae Clones in Taiwan

Po-Ren Hsueh, Lee-Jene Teng, Li-Na Lee, Pan-Chyr Yang, Shen-Wu Ho, Kwen-Tay Luh
Po-Ren Hsueh
Departments of Laboratory Medicine and
Internal Medicine, National Taiwan University Hospital, and
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Lee-Jene Teng
School of Medical Technology, National Taiwan University College of Medicine, Taipei, Taiwan
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Li-Na Lee
Departments of Laboratory Medicine and
Internal Medicine, National Taiwan University Hospital, and
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Pan-Chyr Yang
Internal Medicine, National Taiwan University Hospital, and
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Shen-Wu Ho
School of Medical Technology, National Taiwan University College of Medicine, Taipei, Taiwan
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Kwen-Tay Luh
Departments of Laboratory Medicine and
Internal Medicine, National Taiwan University Hospital, and
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DOI: 10.1128/JCM.37.1.221-224.1999
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    Fig. 1.

    RAPD patterns generated by arbitrarily primed PCR of the 22 clones of S. pneumoniae with two primers, M13 and ERIC1. Molecular sizes (lane M) are indicated in kilobases (Gibco BRL).

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    Fig. 2.

    PFGE profiles of SmaI-digested chromosomal DNA of nine clones of serotype 23F S. pneumoniae isolates. Lane M is a molecular size standard for a bacteriophage λ ladder (Gibco BRL); lanes 1 to 9 show clones 1 to 9, respectively.

Tables

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  • Table 1.

    Characteristics of 67 penicillin- and erythromycin-resistant S. pneumoniae isolates

    Clone (no. of isolates)AntibiotypeSerotypeRAPD patternaPulsotypeFingerprint profileSource(s) (no. of isolates)b
    pbp1apbp2xpbp2b
    1 (16)A23FAaIIIBlood (4), CSF (1), S/B (8), throat (3)
    2 (4)B23FBbIIIIIIBlood (2), S/B (1), sinus (1)
    3 (3)C23FCcIIIIIIIIBlood (1), S/B (2)
    4 (1)B23FDdIVIIIVS/B (1)
    5 (1)D23FEeIIIIIIVNose (1)
    6 (1)E23FFfVIIIIIThroat (1)
    7 (1)F23FGgVIIIVS/B (1)
    8 (1)A23FHhIVIIVS/B (1)
    9 (6)B23FIiIIIIIIVBlood (1), S/B (4), nose (1)
    10 (2)G23FJjVIIIIIIIBlood (1), S/B (1)
    11 (1)H23FKkIIIIIIIVSinus (1)
    12 (1)I23FLlIVIIIIIS/B (1)
    13 (1)B23FMmIIIIVIIIS/B (1)
    14 (1)J23FNnIVIIIIIPus (1)
    15 (4)K19FOoVIIIIVPus (1), S/B (2), ear (1)
    16 (1)A19FPpIVIIIIIIS/B (1)
    17 (2)L19FQqIVIIIVBlood (1), pus (1)
    18 (2)M19FRrIVVVBlood (1), S/B (1)
    19 (9)N19FSsIVIIIVS/B (6), wound (2), blood (1)
    20 (1)O19FTtIIIIIVBlood (1)
    21 (7)P6BUuIIIVIVCSF (2), S/B (2), blood (1), Bile (1), wound (1)
    22 (1)Q6BVvIIIIIVEar (1)
    • ↵a Generated by PCR with primers OPA-7, M13, and ERIC1.

    • ↵b CSF, cerebrospinal fluid; S/B, sputum or bronchial secretion.

  • Table 2.

    Antimicrobial susceptibilities of 67 isolates of S. pneumoniae and their antibiotypes

    Clone (no. of isolates)MIC (μg/ml)Antibiotype
    PenicillinCefotaximeCefpiromeImipenemGentamicinCiprofloxacinErythromycin
    1 (16)4840.5321≥256A
    2 (4)2210.5321≥256B
    3 (3)2411161≥256C
    4 (1)2110.5321≥256B
    5 (1)2110.25814D
    6 (1)2210.253222E
    7 (1)24213214F
    8 (1)8840.5322≥256A
    9 (6)220.50.25161≥256B
    10 (2)0.510.2511612G
    11 (1)0.120.06≤0.03≤0.03161≥256H
    12 (1)140.120.532164I
    13 (1)1110.25160.5≥256B
    14 (1)0.50.50.06≤0.030.50.128J
    15 (4)20.5≤0.0310.512K
    16 (1)8840.5322≥256A
    17 (2)0.250.12≤0.03≤0.030.50.252L
    18 (2)0.120.060.06≤0.03160.516M
    19 (9)0.250.250.060.060.51≥256N
    20 (1)0.520.50.121611O
    21 (7)0.510.50.0620.2532P
    22 (1)0.510.50.12124Q
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Dissemination of High-Level Penicillin-, Extended-Spectrum Cephalosporin-, and Erythromycin-Resistant Streptococcus pneumoniae Clones in Taiwan
Po-Ren Hsueh, Lee-Jene Teng, Li-Na Lee, Pan-Chyr Yang, Shen-Wu Ho, Kwen-Tay Luh
Journal of Clinical Microbiology Jan 1999, 37 (1) 221-224; DOI: 10.1128/JCM.37.1.221-224.1999

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Dissemination of High-Level Penicillin-, Extended-Spectrum Cephalosporin-, and Erythromycin-Resistant Streptococcus pneumoniae Clones in Taiwan
Po-Ren Hsueh, Lee-Jene Teng, Li-Na Lee, Pan-Chyr Yang, Shen-Wu Ho, Kwen-Tay Luh
Journal of Clinical Microbiology Jan 1999, 37 (1) 221-224; DOI: 10.1128/JCM.37.1.221-224.1999
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KEYWORDS

Aminoacyltransferases
Bacterial Proteins
Cephalosporins
Erythromycin
Hexosyltransferases
Penicillins
Peptidyl Transferases
Streptococcus pneumoniae

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