Journal article

Increasing macrolide and fluoroquinolone resistance in Mycoplasma genitalium

GL Murray, CS Bradshaw, M Bissessor, J Danielewski, SM Garland, JS Jensen, CK Fairley, SN Tabrizi

Emerging Infectious Diseases | CENTERS DISEASE CONTROL | Published : 2017

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. Macrolide/fluoroquinolone-resistance mutations were in 8.6% of specimens, for which recommended therapies would be ineffective.