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Published on: August 15, 2025
Fourteen Draft Genome Sequences for the First Reported Cases of Azithromycin-Resistant Neisseria gonorrhoeae in
Micheál Mac Aogáin1, Nicholas Fennelly2, Anne Walsh2
1Department of Clinical Microbiology, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, Dublin, Ireland m.macaogain@tcd.ie.
Abstract:
Here, we report the draft genome assemblies of 14 azithromycin-resistant Neisseria gonorrhoeae clinical isolates, representing the first such strains identified in Ireland. Among these isolates are the first reported highly resistant strains (MIC >256 mg/liter), which both belonged to the ST1580 sequence type.
Insights
This study details the first azithromycin-resistant *Neisseria gonorrhoeae* strains found in Ireland. It includes highly resistant strains, indicating a growing public health concern.
Area of Science:
- Microbiology
- Genomics
- Antimicrobial Resistance
Background:
- *Neisseria gonorrhoeae* is a significant cause of sexually transmitted infections globally.
- Antimicrobial resistance in *N. gonorrhoeae* poses a serious threat to public health.
- Azithromycin resistance is a growing concern, necessitating continuous surveillance.
Purpose of the Study:
- To report the draft genome assemblies of azithromycin-resistant *Neisseria gonorrhoeae* clinical isolates from Ireland.
- To characterize the genetic features of these resistant strains, including the identification of highly resistant isolates.
- To establish a baseline for future genomic surveillance of antimicrobial resistance in Ireland.
Main Methods:
- Whole-genome sequencing of 14 *Neisseria gonorrhoeae* clinical isolates.
- Bioinformatic analysis to assemble draft genomes.
- Antimicrobial susceptibility testing to determine Minimum Inhibitory Concentrations (MICs).
Main Results:
- Successfully generated draft genome assemblies for 14 azithromycin-resistant *N. gonorrhoeae* isolates.
- Identified the first highly azithromycin-resistant strains in Ireland (MIC >256 mg/liter).
- Determined that these highly resistant strains belong to the ST1580 sequence type.
Conclusions:
- The emergence of azithromycin-resistant *N. gonorrhoeae*, including highly resistant strains, is confirmed in Ireland.
- Genomic data provides crucial insights into the evolution and spread of antimicrobial resistance.
- Ongoing surveillance and characterization of resistant strains are essential for effective public health strategies.
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