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Antimicrobial resistance and molecular characteristics of Neisseria gonorrhoeae isolates from men who have sex with men

dc.contributor.authorCalado, Joana
dc.contributor.authorCastro, Rita
dc.contributor.authorLopes, Ângela
dc.contributor.authorCampos, Maria José
dc.contributor.authorRocha, Miguel
dc.contributor.authorPereira, Filomena
dc.date.accessioned2024-06-18T13:36:09Z
dc.date.available2024-06-18T13:36:09Z
dc.date.issued2019-02
dc.date.updated2024-06-10T13:09:09Z
dc.description.abstractObjectives To analyze the susceptibility of Neisseria gonorrhoeae isolates to penicillin (Pen), cefixime (Cfm), ceftriaxone (Cro), tetracycline (Tet), ciprofloxacin (Cip), azithromycin (Azm), and spectinomycin (Spt), and to verify the presence of mutations in resistance genes. Methods Antibiotic susceptibility testing was performed by Etest method on 30 N. gonorrhoeae isolates collected from the MSM (men who have sex with men) population. PCR and DNA sequencing were performed to identify mutations within the penA, mtrR, gyrA, and parC genes in intermediately resistant and fully resistant isolates. Results N. gonorrhoeae isolates showed intermediate or full resistance to Pen (73%), Cfm (3%), Tet (60%), Cip (37%), and Azm (13%). One isolate with resistance to Cfm presented a penicillin-binding protein 2 (PBP2) mosaic XXXIV. All isolates with intermediate or full resistance to Pen (except at PBP2 mosaic) presented a D345a in PBP2. All Cip-resistant isolates had an S91F in the gyrA gene together with mutations in the parC gene. All intermediate or fully resistant isolates to substrates of the MtrCDE efflux pump had an A39T or G45D mutation in the mtrR gene or an adenine deletion within the mtrR promoter. One isolate presented a Neisseria meningitidis-like mtrR promoter sequence. Conclusions The results of this study are consistent with the findings of other studies and reinforce the importance of the expedient development of new therapeutic options.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.authenticusidP-00Q-256
dc.identifier.doi10.1016/j.ijid.2018.10.030pt_PT
dc.identifier.eid2-s2.0-85059238382
dc.identifier.issn1201-9712
dc.identifier.slugcv-prod-1711678
dc.identifier.urihttp://hdl.handle.net/10400.26/51066
dc.identifier.wosWOS:000457127700022
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectMen who have sex with menpt_PT
dc.subjectNeisseria gonorrhoeaept_PT
dc.subjectAntimicrobial resistancept_PT
dc.titleAntimicrobial resistance and molecular characteristics of Neisseria gonorrhoeae isolates from men who have sex with menpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage122pt_PT
oaire.citation.startPage116pt_PT
oaire.citation.titleInternational Journal of Infectious Diseasespt_PT
oaire.citation.volume79pt_PT
person.familyNameRocha
person.givenNameMiguel
person.identifier999820
person.identifier.ciencia-id5F19-66C4-5F80
person.identifier.orcid0000-0003-1057-2419
person.identifier.ridAAL-7984-2020
person.identifier.scopus-author-id57204739884
rcaap.cv.cienciaid5F19-66C4-5F80 | Luís Miguel Carvalho Rocha
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf47c1e01-1192-4946-89a8-66594bb7364e
relation.isAuthorOfPublication.latestForDiscoveryf47c1e01-1192-4946-89a8-66594bb7364e

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