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Distribution of Genes Encoding Resistance to Macrolides, Lincosamides and Streptogramins Among Clinical Staphylococcal Isolates in a Turkish University Hospital

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dc.creator CETIN, Emel Sesli
dc.creator KAYA, Selçuk
dc.creator DEMİRCİ, Mustafa
dc.creator GÜNEŞ, Hayati
dc.creator Aridogan, Buket
dc.date 2010-11-30T22:00:00Z
dc.date.accessioned 2020-10-06T09:30:04Z
dc.date.available 2020-10-06T09:30:04Z
dc.identifier 206877e6-7aef-4b04-a809-cd7442556969
dc.identifier 10.1016/s1684-1182(10)60081-3
dc.identifier https://avesis.sdu.edu.tr/publication/details/206877e6-7aef-4b04-a809-cd7442556969/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/55104
dc.description This study investigated the prevalence of genes encoding resistance to macrolides, lincosamides and streptogramins (MLSB) among staphylococci in a series of 301 erythromycin-resistant clinical isolates of Staphylococcus aureus and coagulase-negative staphylococci (CoNS). Erythromycin-resistance phenotypes were determined according to Clinical and Laboratory Standards Institute guidelines and specific resistance genes erm(A), erm(B), erm(C), msr(A) and msr(B) were identified using polymerase chain reaction. Two hundred of 301 (66.5%) erythromycin-resistant staphylococcal isolates exhibited resistance to MLSB antibiotics. Of these, 127(63.5%) exhibited a cMLS(B) resistance phenotype (resistant to both erythromycin and clindamycin), whereas 73 (36.5%) expressed the iMLS(B) resistance phenotype (resistant to erythromycin and susceptible to clindamycin). The most prevalent resistance determinants were erm(A) (62%) among S. aureus and erm(C) (30%) among CoNS isolates. Combinations of resistance mechanisms were rarely seen, and occurred most often in oxacillin-resistant isolates. The results of the present study support the idea that there are geographical differences in the prevalence of erythromycin resistance mechanisms among staphylococci, therefore local surveillance studies are important tools for guiding therapy and in the promotion of judicious use of antimicrobial agents.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Distribution of Genes Encoding Resistance to Macrolides, Lincosamides and Streptogramins Among Clinical Staphylococcal Isolates in a Turkish University Hospital
dc.type info:eu-repo/semantics/article


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