ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access
Damodharan Perumal1, A.R. Heamchandsaravanan1, Karthick Shanmugam1, Shankar Dhamodharan2, Janani Nandan1 and Prabu Dhandapani1
1Department of Microbiology, Dr. ALM PG institute of Basic Medical Sciences, University of Madras, Taramani Campus, Chennai, Tamilnadu, India.
2Department of Genetics, Dr. ALM PG institute of Basic Medical Sciences, University of Madras, Taramani Campus, Chennai, Tamilnadu, India.
Article Number: 8146 | © The Author(s). 2023
J Pure Appl Microbiol. 2023;17(1):338-344. https://doi.org/10.22207/JPAM.17.1.23
Received: 04 October 2022 | Accepted: 17 January 2023 | Published online: 01 March 2023
Issue online: March 2023
Abstract

Mycoplasma pneumoniae is recognized as the leading cause of community-acquired lower respiratory tract infection in children, accounting for a significant proportion of pediatric mortality. Macrolides are the first-line treatment for M. pneumoniae infections. However, the extensive use of macrolides in clinical practice resulted in the emergence of macrolide-resistant M. pneumoniae (MRMP), which has a negative impact on treatment outcomes. Hence, in the present study, MRMP was determined in hospitalized children with community-acquired pneumonia (CAP). Real-time PCR detected M. pneumoniae in 41 of 348 clinical samples. Sanger sequencing revealed that none of the isolates were associated with the A2063G or A2064G base mutation, which confers macrolide resistance, in domain V of the 23S rRNA gene. Although MRMP was not observed in children with CAP in our study, healthcare practitioners should be vigilant about the potential risk of MRMP infections.

Keywords

Macrolide Resistant Mycoplasma pneumoniae, Community-acquired Pneumonia, 23S rRNA Gene Sequencing

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© The Author(s) 2023. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, sharing, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.