KEGG   DISEASE: Penicillin-resistant Streptococcus pneumoniae infection
Entry
H01423                      Disease                                
Name
Penicillin-resistant Streptococcus pneumoniae infection
Description
Streptococcus pneumoniae is a common causative pathogen in community-acquired respiratory tract infections (RTIs), including acute otitis media, acute bacterial exacerbations of chronic bronchitis, acute bacterial sinusitis, and community-acquired pneumonia. It is also a major cause of bacteremia. Pneumococcal antibiotic resistance towards different families of antibiotics, in particular, penicillin and the macrocodes, continues to be a much-debated issue. The main mechanism of resistance in clinical isolates of S. pneumoniae involves the alteration of penicillin target proteins, the so-called penicillin binding protein (PBPs), which cause reduced affinities and/or binding capacities for the antibiotic molecule.
Category
Bacterial infectious disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 21 Symptoms, signs or clinical findings, not elsewhere classified
  General symptoms, signs or clinical findings
   Finding of microorganism resistant to antimicrobial drugs
    MG51  Finding of gram positive bacteria resistant to antimicrobial drugs
     H01423  Penicillin-resistant Streptococcus pneumoniae infection
Genome-based classification of infectious diseases [BR:br08401]
 Bacterial infections
  Infections caused by Gram-positive bacteria
   H01423  Penicillin-resistant Streptococcus pneumoniae infection
Infectious diseases by law in Japan [br08406.html]
 H01423
Pathogen
Streptococcus pneumoniae [GN:spw snd spnn sne]
Comment
S. pneumoniae genes containing mutations:
pbp1A [SPW:SPCG_0365] [KO:K05366]
pbp2X [SPW:SPCG_0339] [KO:K12556]
pbp2B [SPW:SPCG_1645] [KO:K00687]
Other DBs
ICD-11: MG51.10
MeSH: D013290
Reference
  Authors
Aspa J, Rajas O, de Castro FR
  Title
Pneumococcal antimicrobial resistance: therapeutic strategy and management in community-acquired pneumonia.
  Journal
Expert Opin Pharmacother 9:229-41 (2008)
DOI:10.1517/14656566.9.2.229
Reference
  Authors
Jenkins SG, Brown SD, Farrell DJ
  Title
Trends in antibacterial resistance among Streptococcus pneumoniae isolated in the USA: update from PROTEKT US Years 1-4.
  Journal
Ann Clin Microbiol Antimicrob 7:1 (2008)
DOI:10.1186/1476-0711-7-1
Reference
  Authors
Reinert RR
  Title
The antimicrobial resistance profile of Streptococcus pneumoniae.
  Journal
Clin Microbiol Infect 15 Suppl 3:7-11 (2009)
DOI:10.1111/j.1469-0691.2009.02724.x
Reference
  Authors
Croucher NJ, Walker D, Romero P, Lennard N, Paterson GK, Bason NC, Mitchell AM, Quail MA, Andrew PW, Parkhill J, Bentley SD, Mitchell TJ
  Title
Role of conjugative elements in the evolution of the multidrug-resistant pandemic clone Streptococcus pneumoniaeSpain23F ST81.
  Journal
J Bacteriol 191:1480-9 (2009)
DOI:10.1128/JB.01343-08
Reference
  Authors
Rivera AM, Boucher HW
  Title
Current concepts in antimicrobial therapy against select gram-positive organisms: methicillin-resistant Staphylococcus aureus, penicillin-resistant pneumococci, and vancomycin-resistant enterococci.
  Journal
Mayo Clin Proc 86:1230-43 (2011)
DOI:10.4065/mcp.2011.0514
Reference
  Authors
Hameed N, Tunkel AR
  Title
Treatment of Drug-resistant Pneumococcal Meningitis.
  Journal
Curr Infect Dis Rep 12:274-81 (2010)
DOI:10.1007/s11908-010-0110-7
Reference
  Authors
Faella F, Pagliano P, Fusco U, Attanasio V, Conte M
  Title
Combined treatment with ceftriaxone and linezolid of pneumococcal meningitis: a case series including penicillin-resistant strains.
  Journal
Clin Microbiol Infect 12:391-4 (2006)
DOI:10.1111/j.1469-0691.2006.01352.x
Reference
  Authors
Contreras-Martel C, Dahout-Gonzalez C, Martins Ados S, Kotnik M, Dessen A
  Title
PBP active site flexibility as the key mechanism for beta-lactam resistance in pneumococci.
  Journal
J Mol Biol 387:899-909 (2009)
DOI:10.1016/j.jmb.2009.02.024
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