Parachlamydia acanthamoebae and
Neochlamydia hartmanellae are
Chlamydia-related bacteria naturally infecting
free-
living amoebae. These strict intracellular bacteria might represent emerging pathogens. Recent studies report an association with lower respiratory tract infections, especially with pneumonia where they have been identified as a potential causative agent in 1–2% of cases. In this study, we defined the antibiotic susceptibility of
N.
hartmanellae, two strains of
P. acanthamoebae and two yet unclassified
Parachlamydiaceae strains using a quantitative approach.
We confirmed the results obtained earlier for P. acanthamoebae strain Bn9 in an observational study. Macrolides (MICs < 0.06–0.5 μg/ml), rifampicin (MICs 0.25–2) and doxycycline (2–4 μg/ml) were active against P. acanthamoebae strains and Neochlamydia. All strains were resistant to amoxicillin, ceftriaxone and imipenem (MIC ≥32 μg/ml). Similarly to other Chlamydia-related bacteria, all investigated Parachlamydiaceae were resistant to quinolones (MICs ≥ 16 μg/ml). Therefore, we recommend a treatment with macrolides for Parachlamydia-associated pneumonia.