Evidence map›Paper›PMID 26357666›Full record

ArticleOpen forum infectious diseases2015

Population-Based Surveillance of Neisseria meningitidis Antimicrobial Resistance in the United States.

Brian H Harcourt, Raydel D Anderson, Henry M Wu, Amanda C Cohn, Jessica R MacNeil, Thomas H Taylor, Xin Wang, Thomas A Clark, Nancy E Messonnier, Leonard W Mayer

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Progression of antibiotic resistance inClinical microbiology reviews · 2025
    Review
  4. Management and prevention of Neisseria meningitidis and Neisseria gonorrhoeae infections in the context of evolving antimicrobial resistance trends.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  5. Article
  6. The Pan African medical journal · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Susceptibilities of invasiveJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2021
    Article
  15. Acquisition of Ciprofloxacin Resistance Among an Expanding Clade of β-Lactamase-Positive, Serogroup Y Neisseria meningitidis in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  16. Observational
  17. Antibiotic susceptibility and molecular analysis of invasive Neisseria meningitidis recovered in the Republic of Ireland, 1996 to 2016.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  18. Article
  19. Article
  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

10 authors.

Brian H HarcourtMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Raydel D AndersonMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Henry M WuMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Amanda C CohnMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Jessica R MacNeilMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Thomas H TaylorMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Xin WangMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Thomas A ClarkMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Nancy E MessonnierMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.
Leonard W MayerMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases , Centers for Disease Control and Prevention.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background.  Antimicrobial treatment and chemoprophylaxis of patients and their close contacts is critical to reduce the morbidity and mortality and prevent secondary cases of meningococcal disease. Through the 1990's, the prevalence of antimicrobial resistance to commonly used antimicrobials among Neisseria meningitidis was low in the United States. Susceptibility testing was performed to ascertain whether the proportions of isolates with reduced susceptibility to antimicrobials commonly used for N meningitidis have increased since 2004 in the United States. Methods.  Antimicrobial susceptibility testing was performed by broth microdilution on 466 isolates of N meningitidis collected in 2004, 2008, 2010, and 2011 from an active, population-based surveillance system for susceptibility to ceftriaxone, ciprofloxacin, penicillin G, rifampin, and azithromycin. The molecular mechanism of reduced susceptibility was investigated for isolates with intermediate or resistant phenotypes. Results.  All isolates were susceptible to ceftriaxone and azithromycin, 10.3% were penicillin G intermediate (range, 8% in 2008-16.7% in 2010), and <1% were ciprofloxacin, rifampin, or penicillin G resistant. Of the penicillin G intermediate or resistant isolates, 63% contained mutations in the penA gene associated with reduced susceptibility to penicillin G. All ciprofloxacin-resistant isolates contained mutations in the gyrA gene associated with reduced susceptibility. Conclusions.  Resistance of N meningitidis to antimicrobials used for empirical treatment of meningitis in the United States has not been detected, and resistance to penicillin G and chemoprophylaxis agents remains uncommon. Therapeutic agent recommendations remain valid. Although periodic surveillance is warranted to monitor trends in susceptibility, routine clinical testing may be of little use.

Indexed as

broth microdilutionciprofloxacinNeisseria meningitidispenicillin Gsusceptibility testing

Identifiers

PMID26357666
PMCPMC4561371
OpenAlexW2127931785

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.