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Molecular epidemiology of macrolide resistance in neonatal bloodstream isolates of group B streptococci
Authors:Diekema Daniel J  Andrews Janet I  Huynh Holly  Rhomberg Paul R  Doktor Stella R  Beyer Jill  Shortridge Virginia D  Flamm Robert K  Jones Ronald N  Pfaller Michael A
Institution:Department of Internal Medicine, University of Iowa Colleges of Medicine and Public Health, Iowa City, Iowa 52242, USA. daniel-diekema@uiowa.edu
Abstract:Pulsed-field gel electrophoresis (PFGE) was performed on 122 neonatal bloodstream isolates of group B streptococci (GBS) to further examine the relationship between macrolide resistance and serotype V GBS (GBS-V). Over one-third (35%) of macrolide-resistant GBS belonged to a single PFGE subtype of GBS-V, which was also the most common GBS-V subtype noted in previous Centers for Disease Control and Prevention surveillance studies. Erm methylase (ermA and ermB) was the most common resistance mechanism detected, present in 12 of 20 macrolide-resistant GBS.
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