| Literature DB >> 33592101 |
Sebastian Banhart1, Regina Selb2, Sandra Oehlmann1, Jennifer Bender3,4, Susanne Buder5, Klaus Jansen2, Dagmar Heuer1.
Abstract
Within the German Gonococcal Resistance Network's (GORENET) Neisseria gonorrhoeae (NG) sample collection, azithromycin-resistant NG isolates increased from 4.3% in 2016 to 9.2% in 2018. We aim to understand this observed increase using whole genome sequencing of NG isolates combined with epidemiological and clinical data. Reduced susceptibility to azithromycin in 2018 was predominately clonal (NG multiantigen sequence typing G12302) and could mainly be attributed to the recently described mosaic-like mtr locus. Our data suggest that, together with horizontal gene transfer of resistance determinants and well-established point mutations, international spread of resistant lineages plays a major role regarding azithromycin resistance in Germany.Entities:
Keywords: zzm321990 Neisseria gonorrhoeaezzm321990 ; Germany; MLST ST9363; NG-MAST ST12302; antibiotic resistance; azithromycin; genomic epidemiology; gonorrhea; macrolide; mosaic mtr locus
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Year: 2021 PMID: 33592101 DOI: 10.1093/infdis/jiab091
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226