Antimicrobial Susceptibility and Molecular Detection of Pertactin-producing and Pertactin-Deficient Bordetella

Emily Souder1, Jennifer Vodzak, Alan T Evangelista

  • 1From the *Section of Infectious Diseases, Department of Pediatrics, St. Christopher's Hospital for Children and Drexel University College of Medicine, Philadelphia, Pennsylvania; and †Department of Pathology and Laboratory Medicine, St. Christopher's Hospital for Children and Drexel University College of Medicine, Philadelphia, Pennsylvania.

Insights

Pertactin-deficient Bordetella pertussis strains are rising but are equally detectable by nucleic acid amplification testing and remain susceptible to antibiotics, similar to pertactin-producing strains.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Bordetella pertussis (whooping cough) is re-emerging in the US.
  • A rise in pertactin-deficient strains has been observed.
  • Data on these deficient strains' detectability and antibiotic susceptibility are limited.

Purpose of the Study:

  • To compare the detectability of pertactin-deficient B. pertussis strains using nucleic acid amplification testing (NAAT).
  • To assess the antimicrobial susceptibility of pertactin-deficient B. pertussis strains.
  • To compare these characteristics with pertactin-producing B. pertussis strains.

Main Methods:

  • Analyzed 15 pertactin-producing and 15 pertactin-deficient B. pertussis isolates.
  • Utilized nucleic acid amplification testing (NAAT) for detection.
  • Performed antimicrobial susceptibility testing.

Main Results:

  • Pertactin-deficient and pertactin-producing B. pertussis strains showed equal detectability via NAAT.
  • All tested B. pertussis strains, regardless of pertactin status, were susceptible to antibiotics.

Conclusions:

  • Nucleic acid amplification testing effectively detects both pertactin-producing and pertactin-deficient Bordetella pertussis.
  • Pertactin-deficient B. pertussis strains do not exhibit antibiotic resistance.
  • These findings are crucial for diagnosing and treating pertussis amidst evolving bacterial populations.

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