| Literature DB >> 35475636 |
Gerald L Murray1,2,3, Kaveesha Bodiyabadu1,2,3, Lenka A Vodstrcil4,5, Dorothy A Machalek1,2,6, Jennifer Danielewski1,2, Erica L Plummer1,2,4,5, Suzanne M Garland1,2,3, David M Whiley7,8, Emma L Sweeney7, Catriona S Bradshaw4,5,9.
Abstract
Prevalence, trends, and treatment outcome estimates were generated for parC variants in macrolide-resistant Mycoplasma genitalium. Among 539 cases, the most common amino acid change was S83I, which increased from 13% in 2012 to 2013, to 23% in 2019 to 2020 (Ptrend = 0.046). From 381 moxifloxacin treatments, failure occurred in 58.7% (95% confidence interval [CI], 46.7 to 69.9) of cases with S83I. Other changes affecting S83 or D87 were uncommon and minor contributors to failure. The absence of S83I was highly predictive of moxifloxacin cure (96.4%; 95% CI, 93.7 to 98.2), highlighting diagnostic potential.Entities:
Keywords: Mycoplasma genitalium; antibiotic resistance; fluoroquinolone; moxifloxacin; parC
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Year: 2022 PMID: 35475636 PMCID: PMC9112906 DOI: 10.1128/aac.00278-22
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.938