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Sulfadiazine-resistant group A Neisseria meningitidis

Science (New York, N.Y.)
|September 6, 1968
PubMed

Insights

A Group A meningococcal meningitis epidemic showed unusual resistance to sulfadiazine in most strains. This marks the first documented sulfonamide resistance in an epidemic Neisseria meningitidis Group A strain.

Area of Science:

  • Microbiology
  • Epidemiology
  • Infectious Diseases

Background:

  • Meningitis epidemics are often caused by Neisseria meningitidis.
  • Sulfadiazine has historically been an effective treatment for bacterial meningitis.

Purpose of the Study:

  • To report on the antimicrobial resistance patterns observed during a Group A meningococcal meningitis epidemic.
  • To document the first instance of sulfonamide resistance in an epidemic strain of Neisseria meningitidis Group A.

Main Methods:

  • Isolation and identification of Neisseria meningitidis Group A strains from patients during an epidemic.
  • Antimicrobial susceptibility testing of isolated strains, focusing on sulfadiazine resistance.

Main Results:

  • Most Neisseria meningitidis Group A strains isolated during the epidemic exhibited resistance to sulfadiazine.
  • This resistance pattern was unusual compared to historical data for this pathogen.

Conclusions:

  • The findings indicate a significant emergence of sulfadiazine resistance in epidemic Group A meningococci.
  • This necessitates a re-evaluation of treatment strategies for Neisseria meningitidis Group A infections.

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