RESUMO
Macrolide(Ma) resistance has been spreading for more than 13 years worldwide accompanying Ma widely used for anti-mycoplasma pneumoniae (Mp)infection,and has been rapidly increasing.Prevalence of Ma resistance has been higher in Asia than in Europe and America.More than 10 positions of Mp mutation were found.Of them A2058G in domain V of 23S ribosomal RNA gene is frequently found in Europe and America,and A2063G is found dominant in Asia.Different position points of Mp mutation are related with different Ma resistance.Real time PCR for detecting Mp and its mutation position directly from bronchoalveolar lavage fluid is the most accurate method.Treatment with minocycline and garenoxacin for Ma-resistant Mp infection are known most effective.
