» Articles » PMID: 28418319

Increasing Macrolide and Fluoroquinolone Resistance in Mycoplasma Genitalium

Overview
Date 2017 Apr 19
PMID 28418319
Citations 66
Authors
Affiliations
Soon will be listed here.
Abstract

Escalating resistance to azithromycin and moxifloxacin is being reported for Mycoplasma genitalium in the Asia-Pacific region. Analyzing 140 infections, we found pretreatment fluoroquinolone-resistance mutations in parC (13.6%) and gyrA (5%). ParC S83 changes were associated with moxifloxacin failure. Combined macrolide/fluoroquinolone-resistance mutations were in 8.6% of specimens, for which recommended therapies would be ineffective.

Citing Articles

Development of a New Rapid Simultaneous Molecular Assay for the Detection of STI Pathogens and Drug Resistance-Associated Mutations.

Michibuchi M, Yoshikane T, Matsuba Y, Yamazaki T, Hatakeyama S, Takanashi M Mol Diagn Ther. 2025; 29(2):263-272.

PMID: 39820941 PMC: 11861231. DOI: 10.1007/s40291-024-00769-z.


Access barriers and facilitators to implement mass drugs administration strategies for eliminating trachoma and geohelminthiasis in the department of Amazonas, Colombia.

Trujillo-Trujillo J, Zamora S, Bernal Lizarazu M, Torres Perez M, Bellido Cuellar O, Araque C PLoS One. 2024; 19(12):e0310143.

PMID: 39661584 PMC: 11633981. DOI: 10.1371/journal.pone.0310143.


Chinese advances in understanding and managing genitourinary tract infections caused by Mycoplasma genitalium, Mycoplasma hominis, and Ureaplasma urealyticum.

Qiu Y, Mao S, Li X, Chen Y, Chen W, Wen Y Arch Microbiol. 2024; 207(1):5.

PMID: 39607610 DOI: 10.1007/s00203-024-04204-z.


Prevalence and Risk Factors for Antimicrobial Resistance of Infections in a High-Risk Population.

Hackett A, Yossepowitch O, Goor Y, Sheffer R, Schwartz O, Sheftel Y J Clin Med. 2024; 13(16).

PMID: 39201065 PMC: 11355221. DOI: 10.3390/jcm13164924.


Etiological, sociodemographic and clinical characteristics of sexually transmitted infections and resistance in Shenzhen: a multicenter cross-sectional study in China.

Wang F, Zhang C, Xiu L, Li Y, Zeng Y, Li Y Front Cell Infect Microbiol. 2024; 14:1407124.

PMID: 39119297 PMC: 11308211. DOI: 10.3389/fcimb.2024.1407124.


References
1.
Barnard F, Maxwell A . Interaction between DNA gyrase and quinolones: effects of alanine mutations at GyrA subunit residues Ser(83) and Asp(87). Antimicrob Agents Chemother. 2001; 45(7):1994-2000. PMC: 90591. DOI: 10.1128/AAC.45.7.1994-2000.2001. View

2.
Shimada Y, Deguchi T, Nakane K, Masue T, Yasuda M, Yokoi S . Emergence of clinical strains of Mycoplasma genitalium harbouring alterations in ParC associated with fluoroquinolone resistance. Int J Antimicrob Agents. 2010; 36(3):255-8. DOI: 10.1016/j.ijantimicag.2010.05.011. View

3.
Kikuchi M, Ito S, Yasuda M, Tsuchiya T, Hatazaki K, Takanashi M . Remarkable increase in fluoroquinolone-resistant Mycoplasma genitalium in Japan. J Antimicrob Chemother. 2014; 69(9):2376-82. DOI: 10.1093/jac/dku164. View

4.
Le Roy C, Henin N, Pereyre S, Bebear C . Fluoroquinolone-Resistant Mycoplasma genitalium, Southwestern France. Emerg Infect Dis. 2016; 22(9):1677-9. PMC: 4994369. DOI: 10.3201/eid2209.160446. View

5.
Lis R, Rowhani-Rahbar A, Manhart L . Mycoplasma genitalium infection and female reproductive tract disease: a meta-analysis. Clin Infect Dis. 2015; 61(3):418-26. DOI: 10.1093/cid/civ312. View