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Journal of Antimicrobial Chemotherapy (2003) 51, 715-719
© 2003 The British Society for Antimicrobial Chemotherapy

Spain14-5 international multiresistant Streptococcus pneumoniae clone resistant to fluoroquinolones and other families of antibiotics

Emilio Pérez-Trallero1,2,*, José M. Marimón1, Alberto Gonzalez1 and Luis Iglesias1

1 Servicio de Microbiología, Hospital Donostia, Paseo Dr. Beguiristain s/n, 20014 San Sebastián (Gipuzkoa); 2 Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad del País Vasco, San Sebastián, Spain

Received 17 October 2002; returned 20 November 2002; revised 25 November 2002; accepted 26 November 2002

The Spain14-5 international multiresistant clone was initially described as resistant to penicillin, tetracycline, chloramphenicol and trimethoprim/sulfamethoxazole. In Gipuzkoa, Spain, Streptococcus pneumoniae isolated from 16 patients, and determined by PFGE and multilocus sequence typing to belong to the Spain14-5 clone, showed further resistance to fluoroquinolones (all strains had point mutations in the parC and gyrA genes). In addition, most strains showed resistance to amoxicillin (MIC >= 8 mg/L), cefotaxime (MIC >= 2 mg/L), macrolides and lincosamides. Two strains were resistant to rifampicin (MIC 8 mg/L). The multiresistance observed in these isolates converts the Spain14-5 clone into one of the most, if not the most, multiresistant of the international clones described.

Keywords: rifampicin resistance, erythromycin resistance, mechanism of resistance

* Corresponding author. Tel: +34-94-300-7046; Fax: +34-94-300-7063; E-mail: mikrobiol{at}terra.es


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