Penicillin resistance and defective lysis in clinical isolates of pneumococci: evidence for two kinds of antibiotic pressure operating in the clinical environment.
Details
Serval ID
serval:BIB_1EB673039BAF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Penicillin resistance and defective lysis in clinical isolates of pneumococci: evidence for two kinds of antibiotic pressure operating in the clinical environment.
Journal
Journal of Infectious Diseases
ISSN
0022-1899 (Print)
ISSN-L
0022-1899
Publication state
Published
Issued date
1988
Volume
157
Number
6
Pages
1150-1157
Language
english
Abstract
Seventy percent of clinical isolates of penicillin-resistant pneumococci also exhibit defective lysis when treated with penicillin exceeding the minimal inhibitory concentration (MIC). To provide a possible explanation for the frequent association of these two traits, we exposed penicillin-susceptible pneumococci to two kinds of antibiotic pressures in the laboratory. Treatment of cultures with cycles of high concentrations of penicillin (20 X MIC) followed by growth of the survivors in drug-free medium selected for lysis-defective mutants that died only slowly during antibiotic treatment but had unchanged MICs. Exposure to sustained, low levels of penicillin produced resistant mutants, with elevated MICs, that lysed normally with penicillin. We suggest that the cyclic antibiotic exposure generally used in the clinical setting may select primarily for enhanced survival. From these survivors a second type of antibiotic exposure--sustained antibiotic concentrations just above the MIC (concentrations that may be restricted to the tail-end trough of a dosing interval)--selects for penicillin-resistant mutants.
Keywords
Bacteriolysis, Culture Media, Mutation, N-Acetylmuramoyl-L-alanine Amidase/genetics, N-Acetylmuramoyl-L-alanine Amidase/metabolism, Penicillin Resistance, Penicillins/pharmacology, Streptococcus pneumoniae/drug effects, Streptococcus pneumoniae/genetics, Transformation, Bacterial
Pubmed
Web of science
Create date
24/01/2008 13:58
Last modification date
20/08/2019 12:54