RT Journal Article T1 Clonal Spread of Levofloxacin-Resistant Streptococcus pneumoniae Invasive Isolates in Madrid, Spain, 2007 to 2009 A1 Rodríguez-Avial Infante, Iciar A1 Ramos, Belén A1 Ríos Dueñas, Esther A1 Cercenado Mansilla, Emilia A1 Ordobás, María A1 Sanz Fernández, Juan Carlos AB Among 1,349 Streptococcus pneumoniae invasive isolates, 45 (3.3%) were levofloxacin resistant. Serotype distribution was as follows: 8 (n = 32 isolates), 19A (n = 4 isolates), 7F (n = 3 isolates), 9V (n = 2 isolates), 10A (n = 1 isolate), 19F (n = 1 isolate), 6B (n = 1 isolate), and nontypeable (n = 1 isolate). Levofloxacin-resistant isolates had dual mutations in the gyrA and parC genes. Serotype 8 strains corresponded to a capsular switching of the Sweden15A-25 clone. Levofloxacin resistance was also detected among multiresistant (ST27619A, Spain9V-ST156, ST8819F, and ST15426B) and among usually antibiotic-susceptible (Netherlands7F-ST191, ST120119A, and ST263910A) clones. PB American Society for Microbiology SN 0066-4804 YR 2011 FD 2011-04-28 LK https://hdl.handle.net/20.500.14352/112751 UL https://hdl.handle.net/20.500.14352/112751 LA eng NO Rodríguez-Avial IRamos B, Ríos E, Cercenado EOrdobás M, Sanz JC, 2011. Clonal Spread of Levofloxacin-Resistant Streptococcus pneumoniae Invasive Isolates in Madrid, Spain, 2007 to 2009. Antimicrob Agents Chemother 55:. https://doi.org/10.1128/aac.01380-10 DS Docta Complutense RD 19 abr 2025