Macrolide-resistant Streptococcus pyogenes in Norway: population structure and resistance determinants

Antimicrob Agents Chemother. 2006 May;50(5):1896-9. doi: 10.1128/AAC.50.5.1896-1899.2006.

Abstract

A 2.7% prevalence of macrolide resistance in 1,657 Norwegian clinical Streptococcus pyogenes isolates was primarily due to erm(TR) (59%) and mef(A) (20%). Four clonal complexes comprised 75% of the strains. Macrolide resistance in S. pyogenes in Norway is imported as resistant strains or locally selected in internationally disseminated susceptible clones.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Drug Resistance, Bacterial / genetics*
  • Genes, Bacterial
  • Macrolides / therapeutic use*
  • Norway / epidemiology
  • Prevalence
  • Selection, Genetic
  • Sequence Analysis, DNA
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / epidemiology
  • Streptococcal Infections / microbiology
  • Streptococcus pyogenes / drug effects*
  • Streptococcus pyogenes / genetics
  • Streptococcus pyogenes / isolation & purification

Substances

  • Macrolides