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

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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