title: Emergence of further serotypes of multiple drug-resistant Streptococcus pneumoniae in Queensland.
abstract: We describe 27 cases of multiple drug-resistant pneumococcal infection in Queensland children (7 cases) and adults (20 cases), between February 1995 and October 1996. Seven patients had invasive disease. Serotypes were those commonly associated with paediatric infections and included types 19F (15 strains), 14 (6), 23F (4), 6A (1) and 19A (1). No rifampicin or vancomycin resistance was encountered. However, pneumococci fully resistant to cotrimoxazole, erythromycin and tetracycline were isolated from 25 of 27 cases (93%). Strains with high level resistance to penicillin and chloramphenicol were also recovered from 16 (59%) and 19 (70%) patients respectively. Twelve of 16 penicillin-resistant isolates showed intermediate resistance to ceftriaxone and two strains were fully resistant to this antibiotic. Clones of types 19F and 14 pneumococci, each with two distinctive resistance patterns, appear to be established in south-east Queensland.
authors.affiliation: Acute Respiratory Infections Research and Reference Unit, Centre for Public Health Sciences, Queensland Health.
authors.forename: M
authors.initials: M
authors.lastname: Gratten
authors.forename: G
authors.initials: G
authors.lastname: Nimmo
authors.forename: J
authors.initials: J
authors.lastname: Carlisle
authors.forename: J
authors.initials: J
authors.lastname: Schooneveldt
authors.forename: E
authors.initials: E
authors.lastname: Seneviratne
authors.forename: R
authors.initials: R
authors.lastname: Kelly
authors.forename: R
authors.initials: R
authors.lastname: Norton
authors.forename: C
authors.initials: C
authors.lastname: Ashhurst-Smith
authors.forename: K
authors.initials: K
authors.lastname: Love
authors.forename: S
authors.initials: S
authors.lastname: Tiley
authors.forename: G
authors.initials: G
authors.lastname: Wood
authors.forename: J
authors.initials: J
authors.lastname: Fenton
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004352:Drug Resistance, Microbial; D018432:Drug Resistance, Multiple; D006801:Humans; D007223:Infant; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D011793:Queensland / Q000453:epidemiology; D012703:Serotyping; D013296:Streptococcus pneumoniae / Q000145:classification* / Q000187:drug effects