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Emergence and Spread of Cephalosporin-Resistant Neisseria gonorrhoeae with Mosaic penA Alleles, South Korea, 2012-2017.
Emerg Infect Dis ; 25(3): 416-424, 2019 03.
Article in En | MEDLINE | ID: mdl-30789143
In South Korea, surveillance of antimicrobial drug resistance in Neisseria gonorrhoeae is extremely limited. We describe the emergence and subsequent national spread of N. gonorrhoeae strains with mosaic penA alleles associated with decreased susceptibility and resistance to extended-spectrum cephalosporins. From 2012 through 2017, the proportion of mosaic penA alleles in gonococcal-positive nucleic acid amplification test (NAAT) specimens across South Korea increased from 1.1% to 23.9%. Gonococcal strains with mosaic penA alleles emerged in the international hubs of Seoul in Gyeonggi Province and Busan in South Gyeongsang Province and subsequently spread across South Korea. Most common was mosaic penA-10.001 (n = 572 isolates; 94.7%), which is associated with cefixime resistance. We also identified mosaic penA-34.001 and penA-60.001, both of which are associated with multidrug-resistant gonococcal strains and spread of cefixime and ceftriaxone resistance. Implementation of molecular resistance prediction from N. gonorrhoeae-positive nucleic acid amplification test specimens is imperative in South Korea and internationally.
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Full text: 1 Database: MEDLINE Main subject: Gonorrhea / Cephalosporin Resistance / Communicable Diseases, Emerging / Penicillin-Binding Proteins / Neisseria gonorrhoeae Limits: Female / Humans Country/Region as subject: Asia Language: En Journal: Emerg Infect Dis Journal subject: DOENCAS TRANSMISSIVEIS Year: 2019 Type: Article

Full text: 1 Database: MEDLINE Main subject: Gonorrhea / Cephalosporin Resistance / Communicable Diseases, Emerging / Penicillin-Binding Proteins / Neisseria gonorrhoeae Limits: Female / Humans Country/Region as subject: Asia Language: En Journal: Emerg Infect Dis Journal subject: DOENCAS TRANSMISSIVEIS Year: 2019 Type: Article