Emergence of meningococci with reduced susceptibility to third-generation cephalosporins. - Institut Pasteur Access content directly
Journal Articles Journal of Antimicrobial Chemotherapy Year : 2017

Emergence of meningococci with reduced susceptibility to third-generation cephalosporins.

Abstract

OBJECTIVES: Reduced susceptibility to penicillin G in Neisseria meningitidis is mainly due to alterations in PBP2 encoded by the penA gene. However, this phenotype was not associated with reduced susceptibility to third-generation cephalosporins (C3Gs). We aimed to study the emergence of meningococci with reduced susceptibility to C3Gs (MIC >0.06 mg/L) in France since 2012. METHODS: Invasive meningococcal isolates were typed by MLST and penA sequencing and their antibiotic susceptibility was tested. RESULTS: Isolates with reduced susceptibility to C3Gs represented 2% of all invasive isolates from 2012-15, but were absent before. They harboured a new penA allele, penA327, that was also detected in isolates from urethritis cases and in gonococci. CONCLUSIONS: Surveillance of these isolates should be enhanced as they may jeopardize the use of C3Gs in the management of invasive meningococcal disease.

Dates and versions

pasteur-02013247 , version 1 (26-04-2019)

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Ala-Eddine Deghmane, Eva Hong, Muhamed-Kheir Taha. Emergence of meningococci with reduced susceptibility to third-generation cephalosporins.. Journal of Antimicrobial Chemotherapy, 2017, 72 (1), pp.95-98. ⟨10.1093/jac/dkw400⟩. ⟨pasteur-02013247⟩

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