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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.

Fluoroquinolone-Resistant Streptococcus pneumoniae in Spain: Activities of Garenoxacin against Clinical Isolates Including Strains with Altered Topoisomerases

María-Isabel Morosini, Elena Loza, Rosa del Campo, Felisa Almaraz, Fernando Baquero, and Rafael Cantón*

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.


* Corresponding author. Mailing address: Servicio de Microbiología, Hospital Universitario Ramón y Cajal, Ctra. de Colmenar, Km 9,1, 28034 Madrid, Spain. Phone: 34-91-336 8330. Fax: 34-91-336 8809. E-mail: rcanton.hrc{at}salud.madrid.org.


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.




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