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. 1978 Apr;13(4):645–648. doi: 10.1128/aac.13.4.645

Antimicrobial Susceptibility Patterns of Streptococcus pneumoniae

Robert C Cooksey 1, Richard R Facklam 1, Clyde Thornsberry 1
PMCID: PMC352304  PMID: 27140

Abstract

Fifty clinical isolates of Streptococcus pneumoniae received by the Streptococcus Laboratory of the Center for Disease Control from August 1976 through March 1977 and 50 pneumococcal strains retrieved from 13- to 16-year storage (originally isolated October 1961 through December 1964) were tested for susceptibility to 10 antimicrobial agents by disk-agar diffusion and agar dilution tests. No appreciable differences in susceptibility patterns were apparent between the two groups, and, except for one isolate, all were highly susceptible to every drug tested except gentamicin. This single isolate required higher drug concentrations to inhibit macroscopic growth and had corresponding decrements in zones of disk inhibition with penicillin, ampicillin, and cephalothin. An additional 43 pneumococci recently received from various areas of the United States and Canada were screened by a disk agar diffusion method for penicillin resistance. Four of these isolates had penicillin zone diameters <30 mm, and subsequent agar dilution test results showed that the penicillin minimum inhibitory concentrations were elevated with these organisms. Antimicrobial susceptibility patterns of pneumococci to antimicrobials other than penicillin and its analogs have not changed substantially in over a decade. However, due to the emergence of strains with decreased susceptibility to penicillin, the screening test for penicillin resistance in pneumococci, especially in isolates from spinal fluid and blood, could be clinically useful as an aid in selecting optimal therapy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bauer A. W., Kirby W. M., Sherris J. C., Turck M. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol. 1966 Apr;45(4):493–496. [PubMed] [Google Scholar]
  2. Cybulska J., Jeljaszewicz J., Lund E., Munksgaard A. Prevalence of types of Diplococcus pneumoniae and their susceptibility to 30 antibiotics. Chemotherapy. 1970;15(5):304–316. doi: 10.1159/000220695. [DOI] [PubMed] [Google Scholar]
  3. Finland M. Increased resistance in the pneumococcus. N Engl J Med. 1971 Jan 28;284(4):212–214. doi: 10.1056/NEJM197101282840411. [DOI] [PubMed] [Google Scholar]
  4. Hansman D. Antibiotic sensitivity pattern of pneumococci relatively insensitive to penicillin and cephalosporin antibiotics. Med J Aust. 1975 Nov 8;2(19):740–742. doi: 10.5694/j.1326-5377.1975.tb106245.x. [DOI] [PubMed] [Google Scholar]
  5. Hansman D., Glasgow H. N., Sturt J., Devitt L., Douglas R. M. Pneumococci insensitive to penicillin. Nature. 1971 Apr 9;230(5293):407–408. doi: 10.1038/230407a0. [DOI] [PubMed] [Google Scholar]
  6. Hansman D., Glasgow H., Sturt J., Devitt L., Douglas R. Increased resistance to penicillin of pneumococci isolated from man. N Engl J Med. 1971 Jan 28;284(4):175–177. doi: 10.1056/NEJM197101282840403. [DOI] [PubMed] [Google Scholar]
  7. Hansman D. Penicillin-insensitive pneumococci. Br Med J. 1976 Dec 18;2(6050):1503–1504. doi: 10.1136/bmj.2.6050.1503-c. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Howes V. J., Mitchell R. G. Meningitis due to relatively penicillin-resistant pneumococcus. Br Med J. 1976 Apr 24;1(6016):996–996. doi: 10.1136/bmj.1.6016.996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Naraqi S., Kirkpatrick G. P., Kabins S. Relapsing pneumococcal meningitis: isolation of an organism with decreased susceptibility to penicillin G. J Pediatr. 1974 Nov;85(5):671–673. doi: 10.1016/s0022-3476(74)80513-5. [DOI] [PubMed] [Google Scholar]
  10. O'Callaghan C. H., Morris A., Kirby S. M., Shingler A. H. Novel method for detection of beta-lactamases by using a chromogenic cephalosporin substrate. Antimicrob Agents Chemother. 1972 Apr;1(4):283–288. doi: 10.1128/aac.1.4.283. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Paredes A., Taber L. H., Yow M. D., Clark D., Nathan W. Prolonged pneumococcal meningitis due to an organism with increased resistance to penicillin. Pediatrics. 1976 Sep;58(3):378–381. [PubMed] [Google Scholar]

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