Evidence map›Paper›PMID 24685549›Full record

ReviewCurrent opinion in infectious diseases2014

Preparing for an era of untreatable gonorrhea.

Lindley A Barbee

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Surveillance systems to monitor antimicrobial resistance inEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Veterinary world · 2024
    Review
  8. Article
  9. International journal of molecular sciences · 2021
    Article
  10. Persistence Dynamics of Antimicrobial-ResistantAntimicrobial agents and chemotherapy · 2020
    Article
  11. Repurposing salicylamide for combating multidrug-resistantAntimicrobial agents and chemotherapy · 2019
    Article
  12. Selective Inhibition ofAntimicrobial agents and chemotherapy · 2018
    Article
  13. Article
  14. Increases in Neisseria gonorrhoeae With Reduced Susceptibility to Azithromycin Among Men Who Have Sex With Men in Seattle, King County, Washington, 2012-2016.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  15. Review
  16. Article
  17. WGS to predict antibiotic MICs for Neisseria gonorrhoeae.The Journal of antimicrobial chemotherapy · 2017
    Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Lindley A BarbeeaDepartment of Medicine, Division of Allergy and Infectious Disease, University of Washington, Seattle, Washington, USA bPublic Health - Seattle & King County HIV/STD Program, Seattle, Washington, USA.
Public Health – Seattle & King County · US

Funding

VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
MOLECULAR AND CELLULAR MICROBIAL PATHOGENESIST32AI007041 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BRILES, DAVID E · 1985 to 2008
$1.6M
NIAID NIH HHS T32 AI007041NIAID NIH HHS T32 AI007140
6 · The paper itself

Abstract

purpose of reviewThe proportion of Neisseria gonorrhoeae isolates with reduced susceptibility to extended-spectrum cephalosporins (ESCs) has increased rapidly since 2006. Clinicians, researchers, and public health officials need to be prepared for the possibility of an era of untreatable gonorrhea. This review focuses on the evidence for current gonorrhea treatment recommendations, potential future treatment options, and other methods to control gonorrhea. RECENT

findingsIn addition to an increase in isolates with decreased susceptibility to ESCs, there have been reported treatment failures to both cefixime and ceftriaxone. In response, some countries have increased the recommended cephalosporin dose, and most now recommend dual therapy with an ESC and azithromycin. The pharynx has been implicated as a site for acquiring resistance through transformation with commensal Neisseria species or induced resistance through subtherapeutic antimicrobial levels. Thus, appropriate screening of the pharynx and treatment with a regimen that eradicates gonorrhea from the pharynx is necessary. At present, several studies are evaluating various novel treatment regimens in preparation for an era of untreatable gonorrhea. SUMMARY: Screening for asymptomatic infections, maintaining culture capacity to monitor antimicrobial resistance, treating with ceftriaxone and azithromycin, and ensuring that all sexual partners are treated are among the best strategies to control gonorrhea in the current clime.

Indexed as

Anti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneCephalosporin ResistanceCephalosporinsDrug Administration ScheduleGonorrheaHumansMicrobial Sensitivity TestsNeisseria gonorrhoeaePharynxPopulation SurveillancePractice Guidelines as TopicPublic HealthTreatment FailureAnti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneCephalosporins

Identifiers

PMID24685549
PMCPMC4097387
OpenAlexW2006217231

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.