Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.19 No.1 contents]
Japanese / English

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Article in Japanese

ArticleTitle Serotype Distribution and Penicillin-Binding Protein Genes of Streptococcus pneumoniae Isolated from the Patients with Acute Otitis Media
Language J
AuthorList Iku Kurokawa1), Junko Masaki1), Naoko Chiba2), Kimiko Ubukata2)
Affiliation 1) Department of Laboratory Medicine, Tohoku Rosai Hospital, Japan Labor Health & Welfare Organization, 4-3-21 Dainohara, Aoba-ku, Sendai-shi, Miyagi 981-8563, Japan
2) Kitasato Institute for Life Science & Graduate School of Infection Control Sciences, Kitasato University
Publication J.J.C.M.: 19 (1), 5-11, 2009
Received August 12, 2008
Accepted December 24, 2008
Abstract We studied 426 acute otitis media (AOM) cases for the period from August 2006 to May 2007. Specimens were collected by myringotomy, and 190 (41.1%) strains were isolated, in which 75 isolates were identified as Streptococcus pneumoniae. Abnormal PBP genes of pbp1a, pbp2x, and pbp2b were identified by PCR as follows: (i) genotype (g) PSSP with normal PBP gene (8.0%), (ii) gPISP with an abnormal pbp2x gene (29.3%), (iii) gPISP with an abnormal pbp2b gene (5.3%), (iv) gPISP with an abnormal pbp2x+2b gene (5.3%), (v) gPISP with an abnormal pbp1a+2x gene (8.0%), and (vi) gPRSP with an abnormal pbp1a+2b+2x (44.0%) gene. Pneumococcal serotype of isolates were 3 (25.3%), 19F (18.7%), 6A (16.0%), 14 (9.3%), and 23F (9.3%). The MICs value of PCG in serotype 3 strains with pbp2x (mucoid type) or serotype 14 strains with pbp1a+2x demonstrating small colonies were considered to be ≤0.06 μg/ml by dilution antimicrobial susceptibility methods commonly used in our daily laboratory work. It is concluded that we need to re-examine the conditions of bacterial inoculum size and the medium at the time of measurement of susceptibility.
Keywords Streptococcus pneumoniae, serotype, penicillin-binding protein genes, acute otitis media
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