Background & objectives:
Increasing resistance to erythromycin has been observed worldwide in group C and group G streptococci (GCS/GGS). The information available from India is scanty. The aim of the study was to identify erythromycin resistant GCS/GGS isolates in Chennai, south India, and to compare erythromycin resistant genotypes with
emm
types.
Methods:
One hundred and thirty one GCS/GGS isolates were tested for erythromycin resistance by disc diffusion and agar dilution methods. Erythromycin resistance genotypes [
erm
(A),
erm
(B) and
mef
(A)] were determined by a multiplex PCR.
emm
types of erythromycin resistant GCS/GGS isolates was also assessed using
emm
gene sequencing method.
Results:
Sixteen of the 131 isolates (12.21%) were resistant to erythromycin. Majority of the isolates were GGS (15/16). Eight of the 16 (50%) were
S. dysgalactiae
subsps.
equisimilis
. Twelve isolates (75%) were MLS
B
phenotype and four (25%) were M phenotype. Of the 12 isolates which exhibited MLS
B
resistance, seven showed cMLS
B
phenotype and were positive for
erm
(B) gene. The remaining five were iMLS
B
phenotype of which three were positive for
erm
(A) gene and two for
erm
(B) gene.
erm
(A) was common among carriers whereas
erm
(B) was common among clinical isolates.
Interpretation & conclusions:
MLS
B
was the predominant phenotype and
erm
(B) was the common genotype in the present study. The
emm
type
stC1400.0
was frequently associated with erythromycin resistant GCS/GGS in our study.