Changes in penicillinase-producing Neisseria gonorrhoeae isolated in London
1Department of Medical Microbiology, St Mary's Hospital Medical School, Paddington, London.
Abstract:
To investigate changes in the gonococcal population over time, the plasmid content, serotype and auxotype have been determined for strains of penicillinase-producing Neisseria gonorrhoeae (PPNG) isolated from patients attending the Praed Street Clinic for Sexually Transmitted Diseases between 1978 and 1987. Three distinct changes have been identified: (i) in the main plasmid type, from PPNG with the 3.2-Mda plasmid before 1982 to strains with the 4.4-Mda plasmid between 1982 and 1985; (ii) the decline during this time of strains also carrying the 24.5-Mda conjugal plasmid; (iii) the re-emergence of PPNG with the 3.2-Mda plasmid in 1986. The three typing methods used have identified eight clusters of strains which have been prevalent in different years between 1978 and 1987.
Insights
Penicillinase-producing Neisseria gonorrhoeae (PPNG) strains showed plasmid changes between 1978-1987. The dominant 3.2-Mda plasmid PPNG re-emerged after a period with 4.4-Mda plasmids.
Area of Science:
- Microbiology
- Epidemiology
- Genetics
Background:
- Neisseria gonorrhoeae is a significant cause of sexually transmitted infections.
- Penicillinase-producing Neisseria gonorrhoeae (PPNG) strains pose treatment challenges due to antibiotic resistance.
- Monitoring gonococcal population dynamics is crucial for public health surveillance.
Purpose of the Study:
- To analyze temporal changes in plasmid content, serotype, and auxotype of PPNG strains.
- To understand the evolution of PPNG populations in response to antimicrobial pressures.
- To identify distinct clusters and their prevalence over a decade.
Main Methods:
- Plasmid content analysis (3.2-Mda, 4.4-Mda, 24.5-Mda plasmids).
- Serotyping and auxotyping of Neisseria gonorrhoeae isolates.
- Longitudinal study of strains collected between 1978 and 1987.
Main Results:
- A shift from 3.2-Mda to 4.4-Mda plasmids occurred before 1982, lasting until 1985.
- A concurrent decline in strains carrying the 24.5-Mda conjugal plasmid was observed.
- The 3.2-Mda plasmid PPNG strains re-emerged in 1986.
- Eight distinct strain clusters showed varying prevalence over the study period.
Conclusions:
- PPNG populations exhibit dynamic changes in plasmid profiles over time.
- These plasmid shifts may reflect adaptation or changing selective pressures.
- Long-term surveillance is essential for tracking antimicrobial resistance trends in Neisseria gonorrhoeae.
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