Publications by authors named "J W Tapsall"

Clinical resistance to the currently recommended extended-spectrum cephalosporins (ESCs), the last remaining treatment options for gonorrhea, is being reported. Gonorrhea may become untreatable, and new treatment options are crucial. We investigated the in vitro activity of ertapenem, relative to ceftriaxone, against N.

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Molecular detection of Neisseria gonorrhoeae in extragenital samples may result in false-positive results due to cross-reaction with commensal Neisseria species or Neisseria meningitidis. This study examined 450 characterized clinical culture isolates, comprising 216 N. gonorrhoeae isolates and 234 isolates of nongonococcal Neisseria species (n = 218) and 16 isolates of other closely related bacteria, with six commercial nucleic acid amplification tests (NAATs).

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Article Synopsis
  • Antimicrobial resistance (AMR) in Neisseria gonorrhoeae is a significant global health issue, with reduced effectiveness of the first-line treatment, extended-spectrum cephalosporins (ESCs), leading to more therapeutic failures.
  • A study introduced a cefpodoxime 10 μg disc test to effectively screen for gonococci with a specific penA mosaic allele linked to decreased ESC susceptibility among 315 clinical isolates, using various testing methods for validation.
  • The test was found to be rapid, cost-effective, and sensitive, making it suitable for AMR surveillance in public health, particularly in low-resource settings, and there are ongoing efforts to refine this testing approach further.
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With increasing concerns regarding diminishing treatment options for gonorrhea, maintaining the efficacy of currently used treatments and ensuring optimal Neisseria gonorrhoeae antimicrobial resistance surveillance are of the utmost importance. Penicillin is still used to treat gonorrhea in some parts of the world. In this study, we developed and validated a real-time PCR assay for the detection of penicillinase-producing N.

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