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Published on: November 5, 2019
Characterisation of Neisseria meningitidis C:2b:P1.2,5 isolates in Poland
A Skoczyńska1, M Kadłubowski, I Waśko
1Department of Epidemiology and Clinical Microbiology, National Reference Centre for Bacterial Meningitis, National Institute of Public Health, Warsaw, Poland. skoczek@cls.edu.pl
Abstract:
This study aimed to characterise Neisseria meningitidis C:2b:P1.2,5 isolates from Poland, which have now become predominant among serogroup C isolates in this country. Overall, 44 isolates (25 invasive and 19 from contact carriers) were typed by whole-cell ELISA and pulsed-field gel electrophoresis. Additionally, the invasive isolates were analysed by multilocus sequence typing, which revealed that they all belonged to the ST-8 complex/cluster A4. The emergence of this clone in other countries has resulted in mass immunisation campaigns and has been associated with a higher level of decreased susceptibility to penicillin; however the present study detected only one isolate that was penicillin-non-susceptible.
Insights
This study characterized Neisseria meningitidis C:2b:P1.2,5 in Poland. While this invasive strain is linked to penicillin resistance elsewhere, Polish isolates showed limited susceptibility issues.
Area of Science:
- Microbiology
- Epidemiology
- Immunology
Background:
- Neisseria meningitidis serogroup C is a significant cause of bacterial meningitis.
- The C:2b:P1.2,5 strain has emerged as predominant in Poland.
- This clone's global emergence has prompted public health interventions.
Purpose of the Study:
- To characterize the predominant Neisseria meningitidis C:2b:P1.2,5 isolates in Poland.
- To assess the genetic relatedness and antimicrobial susceptibility of these isolates.
- To understand the epidemiological significance of this emerging clone.
Main Methods:
- Whole-cell ELISA and pulsed-field gel electrophoresis (PFGE) for isolate typing.
- Multilocus sequence typing (MLST) for genotypic analysis of invasive isolates.
- Assessment of penicillin susceptibility.
Main Results:
- 44 Neisseria meningitidis isolates (25 invasive, 19 contact carriers) were analyzed.
- All invasive isolates belonged to the ST-8 complex/cluster A4.
- Only one isolate exhibited decreased susceptibility to penicillin.
Conclusions:
- The predominant Neisseria meningitidis C:2b:P1.2,5 clone in Poland is genetically uniform (ST-8 complex/cluster A4).
- Unlike in other regions, this clone currently shows low levels of penicillin non-susceptibility in Poland.
- Continued surveillance is crucial to monitor potential changes in antimicrobial resistance patterns.
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