Emergence of Extensively Drug-Resistant Haemophilus parainfluenzae in Switzerland
Author(s) -
Regula Tinguely,
Salomé N. Seiffert,
Hansjakob Furrer,
Vincent Perreten,
Sara Droz,
Andrea Endimiani
Publication year - 2013
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00221-13
Subject(s) - haemophilus parainfluenzae , microbiology and biotechnology , cefepime , cefuroxime , ciprofloxacin , cefotaxime , meropenem , nalidixic acid , biology , virology , azithromycin , ampicillin , haemophilus , antibacterial agent , amoxicillin , haemophilus influenzae , antibiotics , imipenem , antibiotic resistance , bacteria , genetics
Two homosexual men were colonized in the urethra with Haemophilus parainfluenzae nonsusceptible to ampicillin (MIC, 8 μg/ml), amoxicillin-clavulanate (MIC, 4 μg/ml), cefotaxime (MIC, 1.5 μg/ml), cefepime (MIC, 3 μg/ml), meropenem (MIC, 0.5 μg/ml), cefuroxime, azithromycin, ciprofloxacin, tetracycline, and chloramphenicol (all MICs, ≥ 32 μg/ml). Repetitive extragenic palindromic PCR (rep-PCR) showed that the strains were indistinguishable. The isolates had amino acid substitutions in PBP3, L4, GyrA, and ParC and possessed Mef(A), Tet(M), and CatS resistance mechanisms. This is the first report of extensively drug-resistant (XDR) H. parainfluenzae.
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