Predicting Pneumococcus Resistance to β-lactam Antibiotics

Minimum Inhibitory Concentrations Predicted by Penicillin Binding Protein Types

Key points

  • ob体育's Streptococcus Laboratory created procedures to predict phenotypic susceptibility results for multiple antibiotics using whole-genome sequencing data.
  • For beta (β)-lactam antibiotics, the procedure uses penicillin binding protein (PBP) types.

Overview

PBP types are based on transpeptidase-encoding regions of PBP proteins 1a, 2b, and 2x.

Laboratory personnel can use a machine-learning algorithm to predict a specific level of resistance based on a S. pneumoniae isolate's PBP gene type1234.

Reference resources

Streptococcus pneumoniae pipeline

PBP type sequence databases

  1. Metcalf BJ, Gertz RE Jr, Gladstone RA, et al. . Clin Microbiol Infect. 2016;22(1):60 e9–60.
  2. Metcalf BJ, Chochua S, Gertz RE Jr, et al. . Clin Microbiol Infect. 2016;22(12):1002.e1–1002.e8.
  3. .
  4. Li Y, Metcalf BJ, Chochua S, et al. . mBio. 2016;7(3):60 pii:e00756–16.