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    Analysis of phenotype, genotype and serotype distribution in erythromycin-resistant group B streptococci isolated from vaginal flora in Southern Ireland.

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    Authors
    Kiely, R A
    Lucey, B
    Cotter, L
    Affiliation
    Department of Medical Microbiology, Cork University Hospital, Cork, Ireland.
    Issue Date
    2010-02
    MeSH
    Adolescent
    Adult
    Anti-Bacterial Agents
    Drug Resistance, Bacterial
    Erythromycin
    Female
    Gene Expression Regulation, Bacterial
    Genotype
    Humans
    Ireland
    Microbial Sensitivity Tests
    Middle Aged
    Phenotype
    Serotyping
    Streptococcal Infections
    Streptococcus agalactiae
    Vagina
    Vaginal Diseases
    Young Adult
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    Citation
    Analysis of phenotype, genotype and serotype distribution in erythromycin-resistant group B streptococci isolated from vaginal flora in Southern Ireland. 2010, 138 (2):286-91 Epidemiol. Infect.
    Journal
    Epidemiology and infection
    URI
    http://hdl.handle.net/10147/200337
    DOI
    10.1017/S0950268809990392
    PubMed ID
    19602300
    Abstract
    The screening of 2000 women of childbearing age in Cork between 2004 and 2006 produced 37 erythromycin-resistant group B streptococcus (GBS) isolates. PCR analysis was performed to determine the basis for erythromycin resistance. The ermTR gene was most frequently expressed (n = 19), followed by the ermB gene (n = 8). Four isolates harboured the mefA gene. Six isolates yielded no PCR products. Some phenotype-genotype correlation was observed. All isolates expressing the mefA gene displayed the M phenotype whilst all those expressing ermB displayed the constitutive macrolide resistance (cMLS(B)) phenotype. Of 19 isolates that expressed the ermTR gene, 16 displayed the inducible macrolide resistance (iMLS(B)) phenotype. Serotype analysis revealed that serotypes III and V predominated in these isolates. The identification of two erythromycin-resistant serotype VIII isolates among this collection represents the first reported finding of erythromycin resistance in this serotype. A single isolate was non-typable using two latex agglutination serotyping kits.
    Item Type
    Article
    Language
    en
    ISSN
    1469-4409
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0950268809990392
    Scopus Count
    Collections
    Cork University Hospital

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