Increasing resistance to penicillin in Streptococcus pneumoniae in southern Sweden

Scand J Infect Dis. 1994;26(3):301-5. doi: 10.3109/00365549409011799.

Abstract

The susceptibility to penicillin of 6 prevalent pneumococcal types isolated from nasopharynx in 1992 was compared with that of corresponding types from 1980-82. The 6 types or groups, 6, 9, 14, 15, 19 and 23, constituted 78% of consecutive isolates. 19/204 isolates in 1992 were intermediately resistant (MIC 0.12-1.0 mg/l) in comparison with 1/194 from 1980-82 (p < 0.001). Resistant strains (MIC > or = 2 mg/l) were not found. Of group 15, no fewer than 10/31 isolates were intermediately resistant, which may support the clonal origin and spread of penicillin-resistant pneumococci. At least 5.0% of nasopharyngeal isolates are now intermediately resistant to penicillin. This figure is substantially higher than the 2% earlier reported in Sweden.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Microbial Sensitivity Tests
  • Middle Aged
  • Nasopharynx / microbiology
  • Penicillin G / pharmacology
  • Penicillin Resistance*
  • Penicillin V / pharmacology
  • Reproducibility of Results
  • Streptococcus pneumoniae / drug effects*
  • Streptococcus pneumoniae / isolation & purification
  • Sweden
  • Time Factors

Substances

  • Penicillin G
  • Penicillin V