Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States

Using data from the Gonococcal Isolate Surveillance Project, we studied changes in ciprofloxacin resistance in Neisseria gonorrhoeae isolates in the United States during 2002–2007. Compared with prevalence in heterosexual men, prevalence of ciprofloxacin-resistant N. gonorrhoeae infections showed a...

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Main Authors: Edward Goldstein, Robert D. Kirkcaldy, David Reshef, Stuart Berman, Hillard Weinstock, Pardis Sabeti, Carlos Del Rio, Geraldine Hall, Edward W. Hook, Marc Lipsitch
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2012-08-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/18/8/11-1202_article
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author Edward Goldstein
Robert D. Kirkcaldy
David Reshef
Stuart Berman
Hillard Weinstock
Pardis Sabeti
Carlos Del Rio
Geraldine Hall
Edward W. Hook
Marc Lipsitch
author_facet Edward Goldstein
Robert D. Kirkcaldy
David Reshef
Stuart Berman
Hillard Weinstock
Pardis Sabeti
Carlos Del Rio
Geraldine Hall
Edward W. Hook
Marc Lipsitch
author_sort Edward Goldstein
collection DOAJ
description Using data from the Gonococcal Isolate Surveillance Project, we studied changes in ciprofloxacin resistance in Neisseria gonorrhoeae isolates in the United States during 2002–2007. Compared with prevalence in heterosexual men, prevalence of ciprofloxacin-resistant N. gonorrhoeae infections showed a more pronounced increase in men who have sex with men (MSM), particularly through an increase in prevalence of strains also resistant to tetracycline and penicillin. Moreover, that multidrug resistance profile among MSM was negatively associated with recent travel. Across the surveillance project sites, first appearance of ciprofloxacin resistance in heterosexual men was positively correlated with such resistance for MSM. The increase in prevalence of ciprofloxacin resistance may have been facilitated by use of fluoroquinolones for treating gonorrhea and other conditions. The prominence of multidrug resistance suggests that using other classes of antimicrobial drugs for purposes other than treating gonorrhea helped increase the prevalence of ciprofloxacin-resistant strains that are also resistant to those drugs.
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spelling doaj.art-d555f481feec4c4ca8f1c3fdd578f92c2022-12-22T02:45:20ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592012-08-011881290129710.3201/eid1808.111202Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United StatesEdward GoldsteinRobert D. KirkcaldyDavid ReshefStuart BermanHillard WeinstockPardis SabetiCarlos Del RioGeraldine HallEdward W. HookMarc LipsitchUsing data from the Gonococcal Isolate Surveillance Project, we studied changes in ciprofloxacin resistance in Neisseria gonorrhoeae isolates in the United States during 2002–2007. Compared with prevalence in heterosexual men, prevalence of ciprofloxacin-resistant N. gonorrhoeae infections showed a more pronounced increase in men who have sex with men (MSM), particularly through an increase in prevalence of strains also resistant to tetracycline and penicillin. Moreover, that multidrug resistance profile among MSM was negatively associated with recent travel. Across the surveillance project sites, first appearance of ciprofloxacin resistance in heterosexual men was positively correlated with such resistance for MSM. The increase in prevalence of ciprofloxacin resistance may have been facilitated by use of fluoroquinolones for treating gonorrhea and other conditions. The prominence of multidrug resistance suggests that using other classes of antimicrobial drugs for purposes other than treating gonorrhea helped increase the prevalence of ciprofloxacin-resistant strains that are also resistant to those drugs.https://wwwnc.cdc.gov/eid/article/18/8/11-1202_articleDrug-resistant N. gonorrhoeaemultidrug resistanceMSMbacteriagonorrheaNeisseria gonorrhoeae
spellingShingle Edward Goldstein
Robert D. Kirkcaldy
David Reshef
Stuart Berman
Hillard Weinstock
Pardis Sabeti
Carlos Del Rio
Geraldine Hall
Edward W. Hook
Marc Lipsitch
Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
Emerging Infectious Diseases
Drug-resistant N. gonorrhoeae
multidrug resistance
MSM
bacteria
gonorrhea
Neisseria gonorrhoeae
title Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
title_full Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
title_fullStr Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
title_full_unstemmed Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
title_short Factors Related to Increasing Prevalence of Resistance to Ciprofloxacin and Other Antimicrobial Drugs in Neisseria gonorrhoeae, United States
title_sort factors related to increasing prevalence of resistance to ciprofloxacin and other antimicrobial drugs in neisseria gonorrhoeae united states
topic Drug-resistant N. gonorrhoeae
multidrug resistance
MSM
bacteria
gonorrhea
Neisseria gonorrhoeae
url https://wwwnc.cdc.gov/eid/article/18/8/11-1202_article
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