Spread of Linezolid-Resistant Spp. in Human Clinical Isolates in the Czech Republic
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The aim of this study was to map and investigate linezolid resistance mechanisms in linezolid-resistant enterococci in the Czech Republic from 2009 to 2019. Altogether, 1442 isolates of and were examined in the National Reference Laboratory for Antibiotics. Among them, 8% of isolates ( = 115) were resistant to linezolid (/ = 106, / = 9). Only three strains of were resistant to tigecycline, 72.6% of isolates were resistant to vancomycin. One isolate of harbored the gene. The majority (87%, = 11) of strains were resistant to linezolid because of the mutation G2576T in the domain V of the 23S rRNA. This mutation was detected also in two strains of . The presence of the gene was the dominant mechanism of linezolid resistance in isolates. None of enterococci contained , genes, or any amino acid mutation in genes encoding ribosomal proteins. No mechanism of resistance was identified in 4 out of 106 linezolid resistant isolates in this study. Seventeen sequence types (STs) including four novel STs were identified in this work. Clonal complex CC17 was found in all isolates.
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