Genetic diversity of penicillin-resistant Streptococcus pneumoniae
https://doi.org/10.22625/2072-6732-2009-1-4-66-71
Abstract
Fifty five Streptococcus pneumoniae isolates with reduced susceptibility to penicillin, obtained from patients with respiratory tract infections during 2003 –2007, were analyzed by MLST. Ten isolates were identified by MLST as Streptococcus «viridians» group. Among the remaining isolates 33,3% (n=15) belonged to global clonal complex CC81 and demonstrated reduced susceptibility to macrolides, tetracyclynes and chloramphenicol, three isolates were additionally resistant to levofloxacin. Clonal complex CC271 was represented by 5 isolated (11,1%), CC315 – by 4 (8,9%), CC315 – by 3 (6,7%), CC156, CC280 and CC1012 were represented by 2 (4,4%) isolates each. Isolates of clonal complexes 271 and 315 demonstrated high level of associated resistance to macrolides. Twelve clonal complexes were represented by single isolates. More than 50% of isolates with reduced susceptibility to penicillin belonged to three global clonal complexes. Probably these clonal complexes were imported to Russia from other geographical regions.
About the Authors
T. A. SavinovaRussian Federation
O. Y. Filimonova
Russian Federation
S. A. Grudinina
Russian Federation
S. V. Sidorenko
Russian Federation
References
1. Austrian R. Pneumococcus and the Brooklyn connection / R. Austrian // Am. J. Med. - 1999. – V.107, № 1A. – P. 2S– 6S.
2. Metlay J.P. Impact of penicillin susceptibility on medical outcomes for adult patients with bacteremic pneumococcal pneumonia / J.P Metlay., J. Hofmann, M.S. Cetron, M.J. Fine, M.M. Farley, C. Whitney, R.F. Breiman// Clin. Infect. Dis. – 2000. – Vol.30, № 3. – P.520–528.
3. Hansman D. A resistant pneumococcus / D. Hansman, M.M. Bullen // Lancet. – 1967. – Vol. 290, № 7509. – P. 264– 265.
4. Low D.E. Changing trends in antimicrobial-resistant pneumococci: it's not all bad news / D.E. Low // Clin. Infect. Dis. – 2005. – Vol. 41, Suppl 4. – P. S228–233.
5. Richter S.S. Changing epidemiology of antimicrobialresistant Streptococcus pneumoniae in the United States 2004–2005 / S.S. Richter, K.P. Heilmann, C.L. Dohrn, F. Riahi, S.E. Beekmann, G.V. Doern // Clin. Infect. Dis. – 2009. – Vol. 48. № 3. – P. e23–e33.
6. Sabuncu E. Significant Reduction of Antibiotic Use in the Community after a Nationwide Campaign in France, 2002– 2007 / E. Sabuncu, J. David, C. Bernede-Bauduin, S. Pepin, M. Leroy, P-Y. Boelle, L. Watier, D. Guillemot // PLoS. Med. – 2009. – Vol. 6. – № 6. – P. 184
7. Грудинина С.А. Динамика распространения антибиотикорезистентности среди Streptococcus pneumoniae в Москве в период с 1998 по 2003 гг. / С.А. Грудинина, С.В. Сидоренко, В.В. Федорчук, Л.К. Катосова, Н.А. Фатова, Л.В. Еремина, Н.М. Фурлетова, Н.С. Ютаонова // Антибиотики и химиотерапия. – 2004. – Т. 49. – № 4. – С. 25–34.
8. Enright M.C. A multilocus sequence typing scheme for Streptococcus pneumoniae: identification of clones associated with serious invasive disease / M.C. Enright, B.G. Spratt // Microbiology. – 1998. – Vol. 144. – № 11. – P. 3049–3060.
9. Hanage W.P. Using multilocus sequence data to define the pneumococcus / W.P. Hanage, T. Kaijalainen, E. Herva, A. Saukkoriipi, R. Syrjanen, B.G. Spratt // J. Bacteriol. – 2005. – Vol. 187. – № 17. – P. 6223–6230.
10. Munoz R. Intercontinental spread of a multiresistant clone of serotype 23F Streptococcus pneumoniae / R. Munoz, T.J. Coffey, M. Daniels, C.G. Dowson, G. Laible, J. Casal, R. Hakenbeck, M. Jacobs, J.M. Musser, B.G. Spratt et al //J. Infect. Dis. – 1991. – Vol. 164. – № 2. – P.302–306.
11. Corso A. Molecular characterization of penicillinresistant Streptococcus pneumoniae isolates causing respiratory disease in the United States / A. Corso, E.P. Severina, V.F. Petruk, Y.R. Mauriz, A. Tomasz // Microb. Drug. Resist. – 1998. – Vol. 4. – № 4. – P. 325–337.
12. Pletz M.W. Levofloxacin-resistant invasive Strepto coccus pneumoniae in the United States: evidence for clonal spread and the impact of conjugate pneumococcal vaccine / M.W. Pletz, L. McGee, J. Jorgensen, B. Beall, R.R. Facklam, C.G. Whitney, K.P. Klugman // Antimicrob. Agents Chemother. – 2004. – Vol. 48. – № 9. – P. 3491–3497.
13. Reinert R.R. Molecular epidemiology of macrolideresistant Streptococcus pneumoniae isolates in Europe /R.R. Reinert, A. Ringelstein, M. van der Linden, M.Y. Cil, A. Al- Lahham, F.J. Schmitz // J. Clin. Microbiol. – 2005 – Vol. 43. – № 3. – P.1294–1300.
14. Klugman K.P. Efficacy of pneumococcal conjugate vaccines and their effect on carriage and antimicrobial resistance / K.P. Klugman // Lancet Infect. Dis. – 2001. – Vol. 1. – № 2. – P.85–91.
15. Coffey T.J. Serotype 19A variants of the Spanish serotype 23F multiresistant clone of Streptococcus pneumoniae /T.J. Coffey, M.C. Enright, M. Daniels, P. Wilkinson, S. Berron, A. Fenoll, B.G. Spratt // Microb. Drug Resist. – 1998. –Vol. 4. – № 1. – P. 51–55.
16. Coffey T.J. Recombinational exchanges at the capsular polysaccharide biosynthetic locus lead to frequent serotype changes among natural isolates of Streptococcus pneumoniae / T.J. Coffey, M.C. Enright, M. Daniels, J.K. Morona, R. Morona, W. Hryniewicz, J.C. Paton, B.G. Spratt // Mol. Microbiol. – 1998. – Vol. 27. – № 1. – P.73–83.
17. Brueggemann A.B. Clonal relationships between invasive and carriage Streptococcus pneumoniae and serotypeand clone-specific differences in invasive disease potential / A.B. Brueggemann, D.T. Griffiths, E. Meats, T. Peto, D.W. Crook, B.G. Spratt // J. Infect. Dis. – 2003. – Vol. 187. – № 9. – P. 1424–1432.
18. Sjostrom K. Clonal and capsular types decide whether pneumococci will act as a primary or opportunistic pathogen /Sjostrom K, Spindler C, Ortqvist A, Kalin M, Sandgren A., Kuhlmann-Berenzon S, Henriques-Normark B // Clin. Infect. Dis. – 2006. – Vol. 42. – №4. – P. 451–459.
19. Farrell D,J. Emergence and spread of Streptococcus pneumoniae with erm(B) and mef(A) resistance / D.J. Farrell, S.G. Jenkins, S.D. Brown, M. Patel, B.S. Lavin, K.P. Klugman // Emerg. Infect. Dis. – 2005. – Vol. 11. – № 6. – P. 851–858.
20. Zhou J. Identification of the major Spanish clones of penicillin-resistant pneumococci via the Internet using multilocus sequence typing / J. Zhou, M.C. Enright, B.G. Spratt: // J. Clin. Microbiol. – 2000. – Vol. 38. – № 3. – P. 977–986.
21. Pichichero M.E., Casey J.R. Emergence of a multiresistant serotype 19A pneumococcal strain not included in the 7-valent conjugate vaccine as an otopathogen in children. / M.E. Pichichero, J.R. Casey // JAMA. – 2007. – Vol. 298. – № 15. – P. 1772–1778.
Review
For citations:
Savinova T.A., Filimonova O.Y., Grudinina S.A., Sidorenko S.V. Genetic diversity of penicillin-resistant Streptococcus pneumoniae. Journal Infectology. 2009;1(4):66-71. (In Russ.) https://doi.org/10.22625/2072-6732-2009-1-4-66-71