Colonization Rate, Serotypes, and Distributions of Macrolide-Lincosamide-StreptograminB Resistant Types of Group B Streptococci in Pregnant Women

Y. Uh, S. Choi, I. Jang, K. S. Lee, H. Cho, O. Kwon, K. Yoon
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引用次数: 13

Abstract

GBS in the different culture media was S-THB (96.3%), NGM-B (92.6%), NGM-H (88.9%), and NGM-T (85.2%). The distribution of GBS serotypes was as follows: III (29.6%), V and VI (22.2%), Ib and II (11.1%), and Ia (3.7%). 33.3% of GBS isolates were resistant to erythromycin and 44.4% to clindamycin. Among the nine erythromycin-resistant isolates, eight were serotype V and VI, which are erm(B) positive serotypes. Conclusion: The colonization of pregnant women by GBS, and the incidence of resistance of the GBS isolates to erythromycin and clindamycin were higher than those previously reported. Serotypes V and VI, GBS serotypes that carry the erm(B), are novel serotypes that have not previously been identified in pregnant Korean women. (Korean J Clin Microbiol 2009;12:174-179)
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孕妇B群链球菌的定植率、血清型和耐药型的分布
不同培养基中GBS分别为S-THB(96.3%)、NGM-B(92.6%)、NGM-H(88.9%)和NGM-T(85.2%)。GBS血清型分布为:III型(29.6%)、V型和VI型(22.2%)、Ib型和II型(11.1%)、Ia型(3.7%)。33.3%的GBS分离株对红霉素耐药,44.4%对克林霉素耐药。9株红霉素耐药菌株中,8株为血清V型和血清VI型,均为erm(B)阳性血清型。结论:GBS在孕妇中的定殖率和对红霉素、克林霉素的耐药率均高于文献报道。血清型V和血清型VI,即携带erm(B)的GBS血清型,是以前未在韩国孕妇中发现的新型血清型。(中华临床微生物学杂志2009;12:174-179)
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