T. Muratani et al., Outbreak of cefozopran (Penicillin, oral cephems, and aztreonam)-resistantNeisseria gonorrhoeae in Japan, ANTIM AG CH, 45(12), 2001, pp. 3603-3606
We have previously reported that the Neisseria gonorrhoeae isolates from cl
inical failure cases treated with cefdinir and aztreonam, beta -lactams exh
ibited high MICs. These resistant isolates were clearly separated from the
isolates exhibiting a low level of resistance to P-lactams as shown by the
MIC distribution of cefozopran. Restriction fragment length polymorphism DN
A typing revealed that the outbreak of cefozopran-resistant isolates in Kit
akyushu, Japan, occurred as a result of clonal spread.