Abstract
A multiply resistant serotype 23F pneumococcus was cultured from a 3-year-old child with otitis media and five carriers at the child's day-care centre in South Africa. Attempts to eradicate carriage with mupirocin failed. The strains were identical to the Spanish clone of multiply resistant pneumococci by serotype, antimicrobial susceptibility pattern, restriction analysis of the penicillin-binding protein 1A, 2B and 2X genes and by multilocus enzyme electrophoresis. The data suggest that this clone has acquired erythromycin resistance. A possible link between the index case and residence of a family member in Spain was found.
MeSH Terms
Adult
Carrier State/drug therapy,epidemiology,microbiology
Child
Child, Preschool
Cluster Analysis
DNA Fingerprinting
DNA, Bacterial/genetics
Drug Resistance, Microbial
Erythromycin
Female
Humans
Infant
Mupirocin/therapeutic use
Otitis Media/microbiology
Pneumococcal Infections/epidemiology,genetics,microbiology
South Africa/epidemiology
Spain/epidemiology
Species Specificity
Streptococcus pneumoniae/genetics,isolation & purification
Chemicals
DNA, Bacterial
Erythromycin
Mupirocin
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Klugman K P
Department of Medical Microbiology, University of the Witwatersrand, Johannesburg, South Africa.
Coffey T J
Smith A
Wasas A
Meyers M
Spratt B G
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