Clinical Microbiology and Antimicrobial Chemotherapy. 2026; 28(2):309-319
Objective. To study prevalence of macrolide resistance mutations in Mycoplasma pneumoniae isolated from children with community-acquired pneumonia in Smolensk region.
Materials and Methods. The study included 774 M. pneumoniae-positive samples isolated by realtime polymerase chain reaction (real-time PCR) from pharyngeal swab in children with communityacquired pneumonia over the period 2009–2024, including 3 epidemiological rises in the incidence of M. pneumoniae (2013–2014, 2018–2019, 2023–2024). Samples of isolated DNA were examined for nucleotide substitutions in the 23S rRNA gene at positions 2058, 2059, 2611 (E.