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. 2007 Jun 4;51(8):2690–2700. doi: 10.1128/AAC.00258-07

TABLE 1.

Phenotypic and genotypic characteristics of typical and atypical pneumococci and of viridans streptococci, their MICs to fluoroquinolones, and respective amino acid substitutions at the QRDRs of the gyrase and topoisomerase genes

Group and isolate no. Characteristicsa
Sero-type Amino acid substitution for indicated position and geneb
MIC (μg/ml) for:
gyrA
gyrB
parC
parE
Phenotype
PCR
Ser 81 Ser 114 Asp 142 Ser 494 Ser 52 Phe 55 Ser 58 Ser 79 Asp 83 Asn 91 Glu 96 Glu 135 Lys 137 Ile 460 CIP LEV
OPT Bile lytA ply
Typical S. pneumoniae
    L5 S P P P NT Val 4 2
    L6 S P P P 23F Phe Asn Val 8 16
    L12 S P P P 19F Phe Phe Val 64 16
    L13 S P P P 19F Tyr Val 4 2
    L14 S P P P NT Asn Val 4 2
    L15 S P P P 23F Asn Asn Val 8 2
    L22 S P P P 23F Asn Val 4 2
    L24 S P P P 23F Phe Thr Asn Asn Val ≥16 8
Viridans streptococci
    L2 R N N N Rough Gly Thr Gly Asp - 4 2
    L7 R N N N Rough Gly Thr Gly Asp - 4 2
    L16 R N N N Rough Gly Thr Gly Asp - 4 1
    L17 R N N N Rough Gly Thr Gly Asp - 4 1
    L18 R N N N Rough Gly Asn Thr Val 4 2
    L19 R N N N Rough Gly Thr Gly Asp Val 4 2
    L20 R N N N Rough Thr Gly Asp - 8 2
    L21 R N N N Rough Thr Asn - 16 2
    L26 R N N N Rough Phe Asn - 16 16
Atypical pneumococci
    a
        L3 R N P P Rough Asn - 4 1
        L8 R N P P Rough Gly His Gly Asp Asn 8 2
        L9 R N P P Rough Gly Thr Asn - 4 2
        L10 R N P P Rough Phe Asn - 4 2
        L4 R P P P Rough - 4 2
        L1 R I P P Rough Phe Phe Asp Asn - >32 16
    b
        L25 S I N P Rough Asn - 4 2
        L27 S I P P Rough Gly Asp Asp - 4 1
        L11 S I P P Rough Gly Asp Asp - 8 2
a

Within the atypical pneumococcal group, all isolates possess the lytA and ply genes, but group “a” strains have reduced susceptibilities to optochin, while group “b” strains are optochin susceptible. Isolates may be bile soluble (P), insoluble (N), or incompletely soluble (I). OPT, optochin test; Bile, bile solubility test; lytA, autolysin gene; ply, pneumolysin gene.

b

Position of amino acid substitution compared to the corresponding amino acid position of S. pneumoniae R6. Bold characters indicate QRDR and amino acid substitutions unique compared to those of R6 and more compatible with those of viridans streptococci. -, not done.