GONOCOCCAL-INFECTION WITHIN SCOTLAND - ANTIGENIC HETEROGENEITY AND ANTIBIOTIC SUSCEPTIBILITY OF INFECTING STRAINS

被引:32
作者
YOUNG, H
MOYES, A
ROBERTSON, DHH
MCCARTNEY, AC
LINDSAY, G
GALLACHER, G
TAIT, IB
BROGAN, O
FOX, C
KOHIYAR, GA
PARRATT, D
ALEXANDER, I
机构
[1] Sexually Transmitted Diseases Diagnostic Laboratory, Department of Bacteriology, Edinburgh University Medical School, Edinburgh
[2] Genitourinary Medicine Unit, Department of Medicine, Edinburgh University Medical School, Edinburgh
[3] Departments of Bacteriology, Glasgow Royal Infirmary, Glasgow Royal Infirmary and Southern General Hospital, Glasgow
[4] Southern General Hospital, Glasgow Royal Infirmary and Southern General Hospital, Glasgow
[5] Department of Genitourinary Medicine, Glasgow Royal Infirmary and Southern General Hospital, Glasgow
[6] Department of Microbiology, Fife Area Laboratory, Victoria Hospital, Kirkcaldy and Dunfermline and West Fife Hospital, Fife
[7] Sexually Transmitted Diseases Clinic, Victoria Hospital, Kirkcaldy and Dunfermline and West Fife Hospital, Fife
[8] Department of Medical Microbiology, Ninewells Hospital Dundee, Dundee Royal Infirmary, Dundee
[9] Department of Genitourinary Medicine, Dundee Royal Infirmary, Dundee
关键词
Antibiotic susceptibility; Geographical variation; N; gonorrhoeae; PPNG; Serotyping;
D O I
10.1007/BF00155541
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Two panels of monoclonal antibody reagents were used to serotype all strains of Neisseria gonorrhoeae isolated from four separate geographical areas serving two million of the five million Scottish population. Serotype 113 isolates accounted for 60% of the 869 strains examined and were more prevalent than 1A isolates in each geographical area. A total of 11 JA serovars and 47 1B serovars were recognised. Only two of the 11 IA serovars (Aedgkih/Arost and Aedih/Arst) were found in every centre but these accounted for over 90% of the IA isolates. Although there was a total of 47 different 113 serovars over 80% of the isolates were accounted for by the ten most commonly encountered serovars. There were, however, marked geographical differences within both major and minor serovars. There was a highly significant difference (P < 0.001) between protein IA and 1B serovars with respect to their susceptibility to penicillin. Within each protein 1 type there were also differences in antibiotic susceptibility. Penicillinase-producing N. gonorrhoeae (PPNG) were found in all centres and accounted for 24 (2.8%) of the 869 isolates. The majority of the PPNG (71%) were serotype IA and with one exception were serovar Aedih/Arst. PPNG strains accounted for 37% (16) of the 43 Aedih/Arst isolates. Epidemiological, diagnostic and therapeutic implications arising from the distinct geographical differences in the pool of circulating gonococci are discussed. © 1990 Kluwer Academic Publishers.
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页码:1 / 8
页数:8
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