Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan

Taiwan has one of the highest levels of antibiotic-resistant pneumococcus in the world. Pneumococcal isolates not susceptible to penicillin first appeared in Taiwan in 1986; in 1995 an increase in the prevalence of nonsusceptibility to penicillins, extended-spectrum cephalosporins, trimethoprim-sulf...

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Main Authors: Po-Ren Hsueh, Kwen-Tay Luh
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2002-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/8/12/02-0178_article
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author Po-Ren Hsueh
Kwen-Tay Luh
author_facet Po-Ren Hsueh
Kwen-Tay Luh
author_sort Po-Ren Hsueh
collection DOAJ
description Taiwan has one of the highest levels of antibiotic-resistant pneumococcus in the world. Pneumococcal isolates not susceptible to penicillin first appeared in Taiwan in 1986; in 1995 an increase in the prevalence of nonsusceptibility to penicillins, extended-spectrum cephalosporins, trimethoprim-sulfamethoxazole, and macrolides as well as multidrug resistance began to be recognized. With the persistence of antibiotic selective pressure, resistance in some antibiotics reached a high plateau (β-lactam antibiotics) or continued to increase (macrolides), while novel resistance (fluoroquinolones) emerged in the last 3 years. Widespread distribution of some novel resistant 23F and 19F clones (and the international epidemic of 23F clones) contributes further to the rapid increase of resistance. Because Streptococcus pneumoniae is a major pathogen that causes community-acquired lower respiratory tract infections and meningitis in adults and children, antibiotic-resistance in this organism is a serious problem.
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spelling doaj.art-5eff33257d4d4a4189bc6b53a40dafe62022-12-21T18:38:29ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592002-12-018121487149110.3201/eid0812.020178Antimicrobial Resistance in Streptococcus pneumoniae, TaiwanPo-Ren HsuehKwen-Tay LuhTaiwan has one of the highest levels of antibiotic-resistant pneumococcus in the world. Pneumococcal isolates not susceptible to penicillin first appeared in Taiwan in 1986; in 1995 an increase in the prevalence of nonsusceptibility to penicillins, extended-spectrum cephalosporins, trimethoprim-sulfamethoxazole, and macrolides as well as multidrug resistance began to be recognized. With the persistence of antibiotic selective pressure, resistance in some antibiotics reached a high plateau (β-lactam antibiotics) or continued to increase (macrolides), while novel resistance (fluoroquinolones) emerged in the last 3 years. Widespread distribution of some novel resistant 23F and 19F clones (and the international epidemic of 23F clones) contributes further to the rapid increase of resistance. Because Streptococcus pneumoniae is a major pathogen that causes community-acquired lower respiratory tract infections and meningitis in adults and children, antibiotic-resistance in this organism is a serious problem.https://wwwnc.cdc.gov/eid/article/8/12/02-0178_articleantimicrobial resistanceStreptococcus pneumoniaeTaiwan
spellingShingle Po-Ren Hsueh
Kwen-Tay Luh
Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
Emerging Infectious Diseases
antimicrobial resistance
Streptococcus pneumoniae
Taiwan
title Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
title_full Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
title_fullStr Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
title_full_unstemmed Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
title_short Antimicrobial Resistance in Streptococcus pneumoniae, Taiwan
title_sort antimicrobial resistance in streptococcus pneumoniae taiwan
topic antimicrobial resistance
Streptococcus pneumoniae
Taiwan
url https://wwwnc.cdc.gov/eid/article/8/12/02-0178_article
work_keys_str_mv AT porenhsueh antimicrobialresistanceinstreptococcuspneumoniaetaiwan
AT kwentayluh antimicrobialresistanceinstreptococcuspneumoniaetaiwan