Ceftriaxone-Resistant Neisseria gonorrhoeae, Canada, 2017
- PMID: 29131780
- PMCID: PMC5782888
- DOI: 10.3201/eid2402.171756
Ceftriaxone-Resistant Neisseria gonorrhoeae, Canada, 2017
Abstract
We identified a ceftriaxone-resistant Neisseria gonorrhoeae isolate in a patient in Canada. This isolate carried the penA-60 allele, which differs substantially from its closest relative, mosaic penA XXVII (80% nucleotide identity). Epidemiologic and genomic data suggest spread from Asia. Antimicrobial susceptibility surveillance helps prevent spread of highly resistant N. gonorrhoeae strains.
Keywords: Canada; Neisseria gonorrhoeae; North America; antimicrobial resistance; antimicrobial susceptibility surveillance; bacteria; ceftriaxone; ceftriaxone-resistant; gonorrhea; mosaic penA allele; penA-60; sexually transmitted infections.
Comment in
-
Ceftriaxone-Resistant Neisseria gonorrhoeae, Canada, 2017.Emerg Infect Dis. 2018 Mar;24(3):608. doi: 10.3201/eid2403.171892. Epub 2018 Mar 17. Emerg Infect Dis. 2018. PMID: 29190210 Free PMC article. No abstract available.
Similar articles
-
Antimicrobial susceptibility of Neisseria gonorrhoeae isolates from symptomatic men attending the Nanjing sexually transmitted diseases clinic (2011-2012): genetic characteristics of isolates with reduced sensitivity to ceftriaxone.BMC Infect Dis. 2014 Nov 27;14:622. doi: 10.1186/s12879-014-0622-0. BMC Infect Dis. 2014. PMID: 25427572 Free PMC article.
-
Identification of Internationally Disseminated Ceftriaxone-Resistant Neisseria gonorrhoeae Strain FC428, China.Emerg Infect Dis. 2019 Jul;25(7):1427-1429. doi: 10.3201/eid2507.190172. Epub 2019 Jul 17. Emerg Infect Dis. 2019. PMID: 30900979 Free PMC article.
-
Ceftriaxone susceptibility and molecular characteristics of Neisseria gonorrhoeae isolates in Changsha, China.J Infect Chemother. 2017 Jun;23(6):385-389. doi: 10.1016/j.jiac.2017.03.007. Epub 2017 Apr 23. J Infect Chemother. 2017. PMID: 28446378
-
Establishing Novel Molecular Algorithms to Predict Decreased Susceptibility to Ceftriaxone in Neisseria gonorrhoeae Strains.J Infect Dis. 2021 Apr 8;223(7):1232-1240. doi: 10.1093/infdis/jiaa495. J Infect Dis. 2021. PMID: 32779717 Free PMC article. Review.
-
Emerging resistance in Neisseria meningitidis and Neisseria gonorrhoeae.Expert Rev Anti Infect Ther. 2011 Feb;9(2):237-44. doi: 10.1586/eri.10.171. Expert Rev Anti Infect Ther. 2011. Retraction in: Expert Rev Anti Infect Ther. 2011 Dec;9(12):1204. doi: 10.1586/eri.11.146 PMID: 21342071 Retracted. Review.
Cited by
-
Emergence and evolution of mosaic penA-60 and penA-237 alleles in a Neisseria gonorrhoeae core genogroup that was historically susceptible to extended spectrum cephalosporins.Front Microbiol. 2024 Oct 1;15:1401303. doi: 10.3389/fmicb.2024.1401303. eCollection 2024. Front Microbiol. 2024. PMID: 39411431 Free PMC article.
-
In silico gepotidacin target mining among 33 213 global Neisseria gonorrhoeae genomes from 1928 to 2023 combined with gepotidacin MIC testing of 22 gonococcal isolates with different GyrA and ParC substitutions.J Antimicrob Chemother. 2024 Sep 3;79(9):2221-2226. doi: 10.1093/jac/dkae217. J Antimicrob Chemother. 2024. PMID: 39004438 Free PMC article.
-
Antimicrobial treatment and resistance in sexually transmitted bacterial infections.Nat Rev Microbiol. 2024 Jul;22(7):435-450. doi: 10.1038/s41579-024-01023-3. Epub 2024 Mar 20. Nat Rev Microbiol. 2024. PMID: 38509173 Review.
-
Antimicrobial resistance and molecular characteristics of Neisseria gonorrhoea isolates in Ghana.Access Microbiol. 2024 Feb 8;6(2):000689.v3. doi: 10.1099/acmi.0.000689.v3. eCollection 2024. Access Microbiol. 2024. PMID: 38482370 Free PMC article.
-
Antimicrobial susceptibilities of Neisseria gonorrhoeae in Canada, 2021.Can Commun Dis Rep. 2023 Sep 1;49(9):388-397. doi: 10.14745/ccdr.v49i09a05. eCollection 2023 Sep 1. Can Commun Dis Rep. 2023. PMID: 38463902 Free PMC article.
References
-
- Public Health Agency of Canada. Canadian guidelines on sexually transmitted infections ‒ management and treatment of specific infections ‒ gonococcal infections. 2013. [cited 2017 Oct 23]. http://www.phac-aspc.gc.ca/std-mts/sti-its/cgsti-ldcits/section-5-6-eng.php
-
- Ohnishi M, Golparian D, Shimuta K, Saika T, Hoshina S, Iwasaku K, et al. Is Neisseria gonorrhoeae initiating a future era of untreatable gonorrhea?: detailed characterization of the first strain with high-level resistance to ceftriaxone. Antimicrob Agents Chemother. 2011;55:3538–45. 10.1128/AAC.00325-11 - DOI - PMC - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical

