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JAC Advance Access originally published online on October 16, 2009
Journal of Antimicrobial Chemotherapy 2009 64(6):1326-1328; doi:10.1093/jac/dkp374
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Research letters

Molecular characterization of group B streptococci with reduced penicillin susceptibility recurrently isolated from a sacral decubitus ulcer

Noriyuki Nagano1,2, Kouji Kimura1, Yukiko Nagano1, Hiroaki Yakumaru3 and Yoshichika Arakawa1,*

1 Department of Bacterial Pathogenesis and Infection Control, National Institute of Infectious Diseases, 4-7-1 Musashi-murayama, Tokyo 208-0011, Japan 2 Medical Microbiology Laboratory, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, Chiba 273-8588, Japan 3 Department of Plastic Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, Chiba 273-8588, Japan


* Corresponding author. Tel: +81-42-561-0771; Fax: +81-42-561-7173; E-mail: yarakawa@nih.go.jp

Keywords: Streptococcus agalactiae , β-lactams , infection , PBP 2X alterations , MLST

The first 10% of the full text of this article appears below.

Sir,

Penicillin is the first-line antibiotic for group B streptococci (GBS) in disease therapy as well as in intrapartum chemoprophylaxis because resistance to this agent has so far not been reported among GBS clinical isolates. However, we have recently reported GBS isolates with reduced penicillin susceptibility (PRGBS), where altered penicillin-binding protein (PBP) 2X demonstrates a major contribution to the reduction of β-lactam susceptibility.1 We have also shown a diversity of mutations in PBP genes among PRGBS, while those genes of the penicillin-susceptible strains . . . [Full Text of this Article]


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