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Antimicrobial Agents and Chemotherapy, August 2003, p. 2692-2695, Vol. 47, No. 8
0066-4804/03/$08.00+0 DOI: 10.1128/AAC.47.8.2692-2695.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Servicio de Microbiología, Hospital Universitario Ramón y Cajal, Madrid, Spain
Received 2 December 2002/ Returned for modification 3 February 2003/ Accepted 10 April 2003
The activity of garenoxacin was assessed against 412 Streptococcus pneumoniae isolates (49.3% from the adult population). Overall penicillin, erythromycin, and ciprofloxacin (MIC,
4 µg/ml) resistance was 51.7, 35.4, and 1.5%, respectively. For all isolates, the garenoxacin MIC was
1 µg/ml. Amino acid replacements in GryA (Ser81
Phe or Tyr), ParC (Ser79
Phe or Tyr; Asp83
Gly; Lys137
Asn), and ParE (Ile460
Val; Asp435
Asn), alone or in combination, were ascribed to the reduced garenoxacin susceptibility (MIC range, 0.5 to 1 µg/ml) found in four isolates. The low impact of these mutations on garenoxacin activity envisages the possible coverage of S. pneumoniae populations resistant to preexisting quinolones.
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