TABLE 2.
Strains | Yr of isolation | German town | Age | Source | Macrolide resistance:
|
MIC (μg/ml)
|
||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
GT | PT | ERY | ROX | AZM | CLA | CLI | JOS | SPI | TEL | Q-D | PEN | CTX | LEV | TET | SXT | |||||
NRZ 288 | 1998 | Chemnitz | 5 yr | Blood | erm(B)−, mef(A)− | cMLSB | ≥32 | ≥32 | ≥32 | ≥32 | 8 | 16 | ≥32 | 0.25 | 1 | 0.016 | 0.016 | 1 | 0.5 | 0.06/1.2 |
NRZ 796 | 2000 | Kassel | 3 mo | Blood | erm(B)−, mef(A)− | iMLSB | 8 | 8 | 8 | 4 | 0.25 | 8 | 8 | 0.03 | 1 | 0.016 | 0.016 | 0.5 | 0.5 | 0.06/1.2 |
PS 2938 | 1999 | Dillingen (Saar) | 36 yr | Pleural puncture | erm(B)−, mef(A)− | cMLSB | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | 0.06 | 1 | 0.25 | 0.06 | 2 | 32 | 0.25/4.75 |
PS 2909 | 1999 | Munich | 33 yr | BAL | erm(B)−, mef(A)− | M | 16 | 16 | 32 | 16 | 0.06 | 4 | 8 | 0.06 | 1 | 8 | 4 | 1 | 32 | 0.25/4.75 |
PW 555 | 2000 | Weingarten | 28 yr | CSF | erm(B)−, mef(A)− | iMLSB | 2 | 4 | 4 | 2 | 0.125 | 1 | 2 | 0.03 | 1 | 0.016 | 0.016 | 1 | 0.5 | 0.25/4.75 |
NRZ 462 | 1999 | Heidelberg | 8 yr | CSF | erm(B)+, mef(A)− | iMLSB | ≥32 | ≥32 | ≥32 | ≥32 | 0.5 | ≥32 | ≥32 | 0.125 | 1 | 0.016 | 0.016 | 0.5 | 32 | 0.5/9.5 |
NRZ 810 | 2000 | Frankfurt | 5 yr | CSF | erm(B)−, mef(A)+ | cMLSB | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | 0.25 | 1 | 1 | 1 | 0.5 | 32 | 1/19 |
Abbreviations: GT, genotype; PT, phenotype; erm(B)−, erm(B) negative; erm(B)+, erm(B) positive; mef(A)−, mef(A) negative; mef(A)+, mef(A) positive; M phenotype, macrolide resistance; ERY, erythromycin A; ROX, roxithromycin; AZM, azithromycin; CLA, clarithromycin; CLI, clindamycin; JOS, josamycin; SPI, spiramycin; TEL, telithromycin; Q-D, quinupristin-dalfopristin; PEN, penicillin G; CTX, cefotaxime; LEV, levofloxacin; TET, tetracycline; SXT, sulfamethoxazole-trimethoprim; BAL, bronchoalveolar lavage; CSF, cerebrospinal fluid.