Real-Time PCR Targeting the penA Mosaic XXXIV Type for Prediction of Extended-Spectrum-Cephalosporin Susceptibility in Clinical Neisseria gonorrhoeae Isolates
Author(s) -
Lisa K. Wong,
Peera Hemarajata,
Olusegun O. Soge,
Romney M. Humphries,
Jeffrey D. Klausner
Publication year - 2017
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01339-17
Subject(s) - neisseria gonorrhoeae , cephalosporin , ciprofloxacin , microbiology and biotechnology , virology , biology , minimum inhibitory concentration , antibiotics
Neisseria gonorrhoeae isolates with decreased susceptibility to extended-spectrum cephalosporins (ESCs) are increasing. We developed an assay to predictN. gonorrhoeae susceptibility to ESCs by targetingpenA mosaic XXXIV, an allele prevalent among U.S. isolates with elevated ESC MICs. The assay was 97% sensitive and 100% specific for predicting at least one ESC MIC above the CDC alert value among clinical isolates, and it could be multiplexed with a previously validatedgyrA PCR to predict ciprofloxacin susceptibility.
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