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
Hauptverfasser: 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.
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container_issue 3
container_start_page 223
container_title Nature reviews. Microbiology
container_volume 12
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
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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. 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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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