Molecular approaches to enhance surveillance of gonococcal antimicrobial resistance
David M. Whiley and colleagues discuss the problem of antimicrobial resistance (AMR) in Neisseria gonorrhoeae , particularly emerging resistance to the cephalosporin ceftriaxone, and propose the use of molecular approaches to enhance gonococcal AMR surveillance. The best available data indicate that...
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Veröffentlicht in: | Nature reviews. Microbiology 2014-03, Vol.12 (3), p.223-229 |
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container_title | Nature reviews. Microbiology |
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creator | Goire, Namraj Lahra, Monica M. Chen, Marcus Donovan, Basil Fairley, Christopher K. Guy, Rebecca Kaldor, John Regan, David Ward, James Nissen, Michael D. Sloots, Theo P. Whiley, David M. |
description | David M. Whiley and colleagues discuss the problem of antimicrobial resistance (AMR) in
Neisseria gonorrhoeae
, particularly emerging resistance to the cephalosporin ceftriaxone, and propose the use of molecular approaches to enhance gonococcal AMR surveillance.
The best available data indicate that the world is heading towards a pandemic of extensively drug-resistant
Neisseria gonorrhoeae
. At the same time, clinical microbiology laboratories have moved away from using culture-based methods to diagnose gonorrhoea, thus undermining our ability to detect antimicrobial resistance (AMR) using current technologies. In this Opinion article, we discuss the problem of
N. gonorrhoeae
AMR, particularly emerging resistance to the cephalosporin ceftriaxone, outline current concerns about the surveillance of
N. gonorrhoeae
AMR and propose the use of molecular methods on a large scale to systematically enhance surveillance. |
doi_str_mv | 10.1038/nrmicro3217 |
format | Article |
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Neisseria gonorrhoeae
, particularly emerging resistance to the cephalosporin ceftriaxone, and propose the use of molecular approaches to enhance gonococcal AMR surveillance.
The best available data indicate that the world is heading towards a pandemic of extensively drug-resistant
Neisseria gonorrhoeae
. At the same time, clinical microbiology laboratories have moved away from using culture-based methods to diagnose gonorrhoea, thus undermining our ability to detect antimicrobial resistance (AMR) using current technologies. In this Opinion article, we discuss the problem of
N. gonorrhoeae
AMR, particularly emerging resistance to the cephalosporin ceftriaxone, outline current concerns about the surveillance of
N. gonorrhoeae
AMR and propose the use of molecular methods on a large scale to systematically enhance surveillance.</description><identifier>ISSN: 1740-1526</identifier><identifier>EISSN: 1740-1534</identifier><identifier>DOI: 10.1038/nrmicro3217</identifier><identifier>PMID: 24509781</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/326/107 ; 631/326/22/1290 ; 631/326/41/1969/2038 ; Anti-Infective Agents - pharmacology ; Antibiotics ; Antimicrobial agents ; Asymptomatic ; Ceftriaxone - pharmacology ; Cephalosporins - pharmacology ; Drug resistance ; Drug resistance in microorganisms ; Drug Resistance, Bacterial - genetics ; Epidemiological Monitoring ; Genes ; Genotype ; Gonorrhea ; Gonorrhea - epidemiology ; Gonorrhea - microbiology ; Humans ; Infections ; Infectious Diseases ; Life Sciences ; Medical Microbiology ; Medical research ; Medicine, Experimental ; Microbiology ; Mutation ; Neisseria gonorrhoeae ; Neisseria gonorrhoeae - drug effects ; Neisseria gonorrhoeae - genetics ; Neisseria gonorrhoeae - isolation & purification ; opinion-2 ; Pandemics ; Parasitology ; Penicillin ; Physiological aspects ; Protein synthesis ; Proteins ; Surveillance ; Virology</subject><ispartof>Nature reviews. Microbiology, 2014-03, Vol.12 (3), p.223-229</ispartof><rights>Springer Nature Limited 2014</rights><rights>COPYRIGHT 2014 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Mar 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-538d2bc712effe9ac569f6b9f2fa7fa89431feee34c99f4a0424269981992b703</citedby><cites>FETCH-LOGICAL-c454t-538d2bc712effe9ac569f6b9f2fa7fa89431feee34c99f4a0424269981992b703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24509781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goire, Namraj</creatorcontrib><creatorcontrib>Lahra, Monica M.</creatorcontrib><creatorcontrib>Chen, Marcus</creatorcontrib><creatorcontrib>Donovan, Basil</creatorcontrib><creatorcontrib>Fairley, Christopher K.</creatorcontrib><creatorcontrib>Guy, Rebecca</creatorcontrib><creatorcontrib>Kaldor, John</creatorcontrib><creatorcontrib>Regan, David</creatorcontrib><creatorcontrib>Ward, James</creatorcontrib><creatorcontrib>Nissen, Michael D.</creatorcontrib><creatorcontrib>Sloots, Theo P.</creatorcontrib><creatorcontrib>Whiley, David M.</creatorcontrib><title>Molecular approaches to enhance surveillance of gonococcal antimicrobial resistance</title><title>Nature reviews. Microbiology</title><addtitle>Nat Rev Microbiol</addtitle><addtitle>Nat Rev Microbiol</addtitle><description>David M. Whiley and colleagues discuss the problem of antimicrobial resistance (AMR) in
Neisseria gonorrhoeae
, particularly emerging resistance to the cephalosporin ceftriaxone, and propose the use of molecular approaches to enhance gonococcal AMR surveillance.
The best available data indicate that the world is heading towards a pandemic of extensively drug-resistant
Neisseria gonorrhoeae
. At the same time, clinical microbiology laboratories have moved away from using culture-based methods to diagnose gonorrhoea, thus undermining our ability to detect antimicrobial resistance (AMR) using current technologies. In this Opinion article, we discuss the problem of
N. gonorrhoeae
AMR, particularly emerging resistance to the cephalosporin ceftriaxone, outline current concerns about the surveillance of
N. gonorrhoeae
AMR and propose the use of molecular methods on a large scale to systematically enhance surveillance.</description><subject>631/326/107</subject><subject>631/326/22/1290</subject><subject>631/326/41/1969/2038</subject><subject>Anti-Infective Agents - pharmacology</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Asymptomatic</subject><subject>Ceftriaxone - pharmacology</subject><subject>Cephalosporins - pharmacology</subject><subject>Drug resistance</subject><subject>Drug resistance in microorganisms</subject><subject>Drug Resistance, Bacterial - genetics</subject><subject>Epidemiological Monitoring</subject><subject>Genes</subject><subject>Genotype</subject><subject>Gonorrhea</subject><subject>Gonorrhea - epidemiology</subject><subject>Gonorrhea - microbiology</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious Diseases</subject><subject>Life Sciences</subject><subject>Medical Microbiology</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Microbiology</subject><subject>Mutation</subject><subject>Neisseria gonorrhoeae</subject><subject>Neisseria gonorrhoeae - drug effects</subject><subject>Neisseria gonorrhoeae - genetics</subject><subject>Neisseria gonorrhoeae - isolation & purification</subject><subject>opinion-2</subject><subject>Pandemics</subject><subject>Parasitology</subject><subject>Penicillin</subject><subject>Physiological aspects</subject><subject>Protein synthesis</subject><subject>Proteins</subject><subject>Surveillance</subject><subject>Virology</subject><issn>1740-1526</issn><issn>1740-1534</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc9rFTEQx4MotlZP3mXBi6CvJpNfm2Mp9QdUPKjnkM2bvKbsS57JbsH_vtm-WqsUJIdkks98850ZQl4yeswo79-nso2-ZA5MPyKHTAu6YpKLx3dnUAfkWa2XlIKUGp6SAxCSGt2zQ_LtSx7Rz6MrndvtSnb-Ams35Q7ThUseuzqXK4zjeBPk0G1yyj5778bOpSnefD3EFhWssU4L9pw8CW6s-OJ2PyI_Ppx9P_20Ov_68fPpyfnKCymmleT9GgavGWAIaJyXygQ1mADB6eB6IzgLiMiFNyYIRwUIUMb0zBgYNOVH5M1et_n-OWOd7DZWj4tXzHO1TApBWQ8c_o8KY5hgQqqGvv4HvcxzSa0Qy5SiQgMD_YfauBFtTCFPxflF1J5wBVRJgMXh8QNUW2tsjcsJQ2z3fyW83Se0rtZaMNhdiVtXfllG7TJte2_ajX51a3Uetri-Y3-PtwHv9kBtT2mD5V4tD-hdA0oYs_Y</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Goire, Namraj</creator><creator>Lahra, Monica M.</creator><creator>Chen, Marcus</creator><creator>Donovan, Basil</creator><creator>Fairley, Christopher K.</creator><creator>Guy, Rebecca</creator><creator>Kaldor, John</creator><creator>Regan, David</creator><creator>Ward, James</creator><creator>Nissen, Michael D.</creator><creator>Sloots, Theo P.</creator><creator>Whiley, David M.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BKSAR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PCBAR</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>7T7</scope></search><sort><creationdate>20140301</creationdate><title>Molecular approaches to enhance surveillance of gonococcal antimicrobial resistance</title><author>Goire, Namraj ; Lahra, Monica M. ; Chen, Marcus ; Donovan, Basil ; Fairley, Christopher K. ; Guy, Rebecca ; Kaldor, John ; Regan, David ; Ward, James ; Nissen, Michael D. ; Sloots, Theo P. ; Whiley, David M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-538d2bc712effe9ac569f6b9f2fa7fa89431feee34c99f4a0424269981992b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>631/326/107</topic><topic>631/326/22/1290</topic><topic>631/326/41/1969/2038</topic><topic>Anti-Infective Agents - pharmacology</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Asymptomatic</topic><topic>Ceftriaxone - pharmacology</topic><topic>Cephalosporins - pharmacology</topic><topic>Drug resistance</topic><topic>Drug resistance in microorganisms</topic><topic>Drug Resistance, Bacterial - genetics</topic><topic>Epidemiological Monitoring</topic><topic>Genes</topic><topic>Genotype</topic><topic>Gonorrhea</topic><topic>Gonorrhea - epidemiology</topic><topic>Gonorrhea - microbiology</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious Diseases</topic><topic>Life Sciences</topic><topic>Medical Microbiology</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Microbiology</topic><topic>Mutation</topic><topic>Neisseria gonorrhoeae</topic><topic>Neisseria gonorrhoeae - drug effects</topic><topic>Neisseria gonorrhoeae - genetics</topic><topic>Neisseria gonorrhoeae - isolation & purification</topic><topic>opinion-2</topic><topic>Pandemics</topic><topic>Parasitology</topic><topic>Penicillin</topic><topic>Physiological aspects</topic><topic>Protein synthesis</topic><topic>Proteins</topic><topic>Surveillance</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goire, Namraj</creatorcontrib><creatorcontrib>Lahra, Monica M.</creatorcontrib><creatorcontrib>Chen, Marcus</creatorcontrib><creatorcontrib>Donovan, Basil</creatorcontrib><creatorcontrib>Fairley, Christopher K.</creatorcontrib><creatorcontrib>Guy, Rebecca</creatorcontrib><creatorcontrib>Kaldor, John</creatorcontrib><creatorcontrib>Regan, David</creatorcontrib><creatorcontrib>Ward, James</creatorcontrib><creatorcontrib>Nissen, Michael D.</creatorcontrib><creatorcontrib>Sloots, Theo P.</creatorcontrib><creatorcontrib>Whiley, David M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Earth, Atmospheric & Aquatic Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Earth, Atmospheric & Aquatic Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><jtitle>Nature reviews. Microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goire, Namraj</au><au>Lahra, Monica M.</au><au>Chen, Marcus</au><au>Donovan, Basil</au><au>Fairley, Christopher K.</au><au>Guy, Rebecca</au><au>Kaldor, John</au><au>Regan, David</au><au>Ward, James</au><au>Nissen, Michael D.</au><au>Sloots, Theo P.</au><au>Whiley, David M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Molecular approaches to enhance surveillance of gonococcal antimicrobial resistance</atitle><jtitle>Nature reviews. Microbiology</jtitle><stitle>Nat Rev Microbiol</stitle><addtitle>Nat Rev Microbiol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>12</volume><issue>3</issue><spage>223</spage><epage>229</epage><pages>223-229</pages><issn>1740-1526</issn><eissn>1740-1534</eissn><abstract>David M. Whiley and colleagues discuss the problem of antimicrobial resistance (AMR) in
Neisseria gonorrhoeae
, particularly emerging resistance to the cephalosporin ceftriaxone, and propose the use of molecular approaches to enhance gonococcal AMR surveillance.
The best available data indicate that the world is heading towards a pandemic of extensively drug-resistant
Neisseria gonorrhoeae
. At the same time, clinical microbiology laboratories have moved away from using culture-based methods to diagnose gonorrhoea, thus undermining our ability to detect antimicrobial resistance (AMR) using current technologies. In this Opinion article, we discuss the problem of
N. gonorrhoeae
AMR, particularly emerging resistance to the cephalosporin ceftriaxone, outline current concerns about the surveillance of
N. gonorrhoeae
AMR and propose the use of molecular methods on a large scale to systematically enhance surveillance.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24509781</pmid><doi>10.1038/nrmicro3217</doi><tpages>7</tpages></addata></record> |
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subjects | 631/326/107 631/326/22/1290 631/326/41/1969/2038 Anti-Infective Agents - pharmacology Antibiotics Antimicrobial agents Asymptomatic Ceftriaxone - pharmacology Cephalosporins - pharmacology Drug resistance Drug resistance in microorganisms Drug Resistance, Bacterial - genetics Epidemiological Monitoring Genes Genotype Gonorrhea Gonorrhea - epidemiology Gonorrhea - microbiology Humans Infections Infectious Diseases Life Sciences Medical Microbiology Medical research Medicine, Experimental Microbiology Mutation Neisseria gonorrhoeae Neisseria gonorrhoeae - drug effects Neisseria gonorrhoeae - genetics Neisseria gonorrhoeae - isolation & purification opinion-2 Pandemics Parasitology Penicillin Physiological aspects Protein synthesis Proteins Surveillance Virology |
title | Molecular approaches to enhance surveillance of gonococcal antimicrobial resistance |
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