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Neisseria meningitidis isolates with moderate susceptibility to penicillin
1Department of Pathology, Kuala Lumpur Hospital.
Abstract:
Neisseria meningitidis is one of the important cause of meningitis and has been extremely susceptible to penicillin. Nevertheless, moderately penicillin resistant strains have been reported in some parts of the world. To our knowledge, there is no such report in Malaysia. We report two clinical isolates that were found to have MICs of decreased susceptibility to penicillin by the agar dilution method.
Insights
Penicillin-resistant Neisseria meningitidis, a cause of meningitis, is a growing concern. This study reports the first cases of decreased penicillin susceptibility in Malaysian clinical isolates, highlighting a potential emerging public health issue.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Neisseria meningitidis is a primary bacterial cause of meningitis globally.
- While historically susceptible to penicillin, reports of reduced susceptibility are emerging worldwide.
- No previous reports of penicillin resistance in Neisseria meningitidis exist in Malaysia.
Purpose of the Study:
- To report the first documented instances of decreased penicillin susceptibility in Neisseria meningitidis clinical isolates from Malaysia.
- To characterize the antimicrobial susceptibility profile of these isolates.
Main Methods:
- Agar dilution method was employed to determine Minimum Inhibitory Concentrations (MICs).
- Two clinical isolates of Neisseria meningitidis were analyzed.
Main Results:
- Two clinical isolates exhibited decreased susceptibility to penicillin.
- Minimum Inhibitory Concentrations (MICs) indicated a reduction in susceptibility compared to historical data.
Conclusions:
- This study documents the emergence of decreased penicillin susceptibility in Neisseria meningitidis in Malaysia.
- These findings warrant further surveillance and investigation into the implications for meningitis treatment and prevention in the region.
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