The incidence of drug-resistant pathogens differs greatly between countries according to differences in the usage of antibiotics. The purpose of this study was to investigate the phenotypic resistance of 321 methicillin resistance Staphylococcus aureus (MRSA) and 195 methicillin susceptible S. aureus (MSSA) in a total of 516 S. aureus strains to macrolide, lincosamide, streptogramin B (MLSB), ketolid, and linezolid. Disk diffusion method was applied to determine MLSB phenotype and susceptibility to different antibiotic agents. It was found that 54.6% of the isolates were resistant to erythromycin (ERSA), 48% to clindamycin, 55% to azithromycin, 58.7% to spiramycin, 34.7% to telithromycin, and 0.4% to quinupristin-dalfopristin, respectively. No strain resistant to linezolid was found. The prevalence of constitutive (cMLSB), inducible (IMLSB), and macrolides and type B streptogramins (M/MSB) among ERSA isolates (237 MRSA, 45 MSSA) was 69.6%, 18.2%, and 12.2% in MRSA and 28.9%, 40%, and 31.1% in MSSA, respectively. In conclusions, the prevalence of cMLSB was predominant in MRSA; while in MSSA strains, iMLSB and M/MSB phenotype were more higher than cMLSB phenotype resistance. The resistance to quinupristindalfopristin was very low, and linezolid was considered as the most effective antibiotic against all S.aureus strains.
Journal Information
Vol. 14. Issue 1.
Pages 11-14 (January - February 2010)
Vol. 14. Issue 1.
Pages 11-14 (January - February 2010)
Original article
Open Access
Prevalence of phenotypic resistance of Staphylococcus aureus isolates to macrolide, lincosamide, streptogramin B, ketolid and linezolid antibiotics in Turkey
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Riza Adaleti1, Yasar Nakipoglu2,
, Nurgul Ceran3, Cihan Tasdemir1, Fatma Kaya1, Semiha Tasdemir1
Corresponding author
yasarnakip@yahoo.com
Correspondence to: Department of Microbiology and Clinical Microbiology Istanbul Faculty of Medicine Istanbul University 34390 Capa Istanbul, Turkey. Tel: +90 212 414 20 00-32372, Fax: +90 212 414 20 37.
Correspondence to: Department of Microbiology and Clinical Microbiology Istanbul Faculty of Medicine Istanbul University 34390 Capa Istanbul, Turkey. Tel: +90 212 414 20 00-32372, Fax: +90 212 414 20 37.
1 Clinical Microbiology Laboratory, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
2 Istanbul University, Istanbul Faculty of Medicine, Department of Microbiology and Clinical Microbiology, 34390 Capa, Istanbul, Turkey
3 Clinical Microbiology and infectious disease, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
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Article information
Abstract
Keywords:
Staphylococcus aureus
macrolide
lincosamide
streptogramin B
ketolid
linezolid
MLSB
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References
[1.]
A.M. Zelazny, M.J. Ferraro, A. Glennen, et al.
Selection of Strains for Quality Assessment of the Disk Induction Method for Detection of Inducible Clindamycin Resistance in Staphylococci: a CLSI Collaborative Study.
J Clin Microbiol, 43 (2005), pp. 2613-2615
[2.]
K.R. Fiebelkorn, S.A. Crawford, M.L. McElmeel, J.H. Jorgensen.
Practical disk diffusion method for detection of inducible clindamycin resistance in Staphylococcus aureus and coagulasenegative staphylococci.
J Clin Microbiol, 41 (2003), pp. 4740-4744
[3.]
S. Fokas, S. Fokas, M. Tsironi, M. Kalkani, M. Dionysopouloy.
Prevalence of inducible clindamycin resistance in macrolideresistant Staphylococcus spp.
Clinical Microbiology and Infection, 11 (2005), pp. 337-340
[4.]
K.A. Davis, S.A. Crawford, K.R. Fiebelkorn, J.H. Jorgensen.
Selection of Strains for Quality Assessment of the Disk Induction Method for Detection of Inducible Clindamycin Resistance in Staphylococci: a CLSI Collaborative Study.
Antimicrob Agents Chemother, 49 (2005), pp. 3059-3061
[5.]
S.M. Swaney, H. Aoki, M.C. Ganoza, D.L. Shinabarger.
The oxazolidinone linezolid inhibits initiation of protein synthesis in bacteria.
Antimicrob Agents Chemother, 42 (1998), pp. 3251-3255
[6.]
I. Raad, R. Hachem, H. Hanna.
Treatment of vancomycin-resistant enterococcal infections in the immunocompromised host: quinupristin-dalfopristin in combination with minocycline.
Antimicrob. Agents Chemother, 45 (2001), pp. 3202-3204
[7.]
C. Cocito, M. Di Giambattista, E. Nyssen, P. Vannuffel.
Inhibition of protein synthesis by streptogramins and related antibiotics.
J Antimicrob Chemother, 39 (1997), pp. 7-13
[8.]
Clinical and Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing. CLSI approved standard M100-S17. Clinical and Laboratory Standards Institute, 2007; Wayne, PA.
[9.]
Comité de l’ antibiogramme de la Société Françasie de Microbiologie 2005 [cited; Available from:http://www.sfm.asso.fr/doc/download.php?doc=DiU8C&fic=Communiqu%E9_2005.pdf].
[10.]
F.J. Schmitz, J. Verhoef, A.C. Fluit.
Prevalence of resistance to MLS antibiotics in 20 European university hospitals participating in the European SENTRY surveillance programme. Sentry Participants Group.
J Antimicrob Chemother, 43 (1999), pp. 783-792
[11.]
Z. Aktas, A. Aridogan, C.B. Kayacan, D. Aydin.
Resistance to Macrolide, Lincosamide and Streptogramin Antibiotics in Staphylococci Isolated in Istanbul, Turkey.
The Journal of Microbiology, 45 (2007), pp. 286-290
[12.]
I. Spiliopoulou, E. Petinaki, P. Papandreou, G. Dimitracopoulos.
erm(C) is the predominant genetic determinant for the expression of resistance to macrolides among methicillin resistant Staphylococcus aureus clinical isolates in Greece.
J Antimicrob Chemother, 53 (2004), pp. 814-817
[13.]
R.P. Janapatla, J.J. Yan, A.H. Huang, H.M. Chen, H.M. Wu, J.J. Wu.
Inducible clindamycin resistance in Staphylococcus aureus isolates causing bacteremia at a university hospital in southern Taiwan.
Diagn Microbiol Infect Dis, 58 (2007), pp. 203-209
[14.]
T. Otsuka, H. Zaraket, T. Takano, et al.
Macrolide-lincosamide-streptogramin B resistance phenotypes and genotypes among Staphylococcus aureus clinical isolates in Japan.
Clin Microbiol Infect, 13 (2007), pp. 325-327
[15.]
R. Modak, D. Ross, V.L. Kan.
Macrolide and Clindamycin Resistance in Staphylococcus aureus Isolates and Antibiotic Use in a Veterans Affairs Medical Center.
Infect Control Hosp Epidemiol, 29 (2008), pp. 180-182
[16.]
L. Merino-Díaz, A. Cantos de la Casa, M.J. Torres-Sánchez, J. Aznar-Martín.
Detection of inducible resistance to clindamycin in cutaneous isolates of Staphylococcus spp. by phenotypic and genotypic methods.
Enferm Infecc Microbiol Clin, 25 (2007), pp. 77-81
[17.]
K. Lee do, Y. Kim, K.S. Park, J.W. Yang, K. Kim, N.J. Ha.
Antimicrobial activity of mupirocin, daptomycin, linezolid, quinupristin-dalfopristin and tigecycline against vancomycin-resistant enterococci (VRE) from clinical isolates in Korea (1998 and 2005).
J Biochem Mol Biol, 40 (2007), pp. 881-887
[18.]
S. Tsiodras, H.S. Gold, G. Sakoulas, et al.
Linezolid resistance in a clinical isolate of Staphylococcus aureus.
Lancet, 358 (2001), pp. 207-208
[19.]
S.K. Pillai, G. Sakoulas, C. Wennersten, et al.
Linezolid Resistance in Staphylococcus aureus: Characterization and Stability of Resistant Phenotype.
The Journal of Infectious Diseases, 186 (2002), pp. 1603-1607
[20.]
R.N. Jones, T.R. Fritsche, H.S. Sader, J.E. Ross.
LEADER surveillance program results for 2006: an activity and spectrum analysis of linezolid using clinical isolates from the United States (50 medical centers).
Diagn Microbiol Infect Dis, 59 (2007), pp. 309-317
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