Distribution of genes encoding resistance to macrolides, lincosamides, and streptogramins among staphylococci

G Lina, A Quaglia, ME Reverdy… - Antimicrobial agents …, 1999 - Am Soc Microbiol
G Lina, A Quaglia, ME Reverdy, R Leclercq, F Vandenesch, J Etienne
Antimicrobial agents and chemotherapy, 1999Am Soc Microbiol
The relative frequency of 10 determinants of resistance to macrolides, lincosamides, and
streptogramins was investigated by PCR in a series of 294 macrolide-, lincosamide-, and/or
streptogramin-resistant clinical isolates of Staphylococcus aureus and coagulase-negative
staphylococci isolated in 1995 from 32 French hospitals. Resistance was mainly due to the
presence of ermA or ermC genes, which were detected in 259 strains (88%), in particular
those resistant to methicillin (78% of the strains). Macrolide resistance due to msrA was …
Abstract
The relative frequency of 10 determinants of resistance to macrolides, lincosamides, and streptogramins was investigated by PCR in a series of 294 macrolide-, lincosamide-, and/or streptogramin-resistant clinical isolates of Staphylococcus aureus and coagulase-negative staphylococci isolated in 1995 from 32 French hospitals. Resistance was mainly due to the presence ofermA or ermC genes, which were detected in 259 strains (88%), in particular those resistant to methicillin (78% of the strains). Macrolide resistance due to msrA was more prevalent in coagulase-negative staphylococci (14.6%) than inS. aureus (2.1%). Genes related tolinA/linA′ and conferring resistance to lincomycin were detected in one strain of S. aureus and seven strains of coagulase-negative staphylococci. Resistance to pristinamycin and quinupristin-dalfopristin was phenotypically detected in 10 strains ofS. aureus and in three strains of coagulase-negative staphylococci; it was always associated with resistance to type A streptogramins encoded by vat or vatB genes and occurred in association with erm genes. The vgagene conferring decreased susceptibility to type A streptogramins was present alone in three strains of coagulase-negative staphylococci and in combination with erm genes in 10 strains of coagulase-negative staphylococci. A combination ofvga-vgb-vat and ermA genes was found in a single strain of S. epidermidis.
American Society for Microbiology