Evidence map›Paper›PMID 27337478›Full record

ReviewMicrobiology spectrum2016

Antimicrobial Resistance Expressed by Neisseria gonorrhoeae: A Major Global Public Health Problem in the 21st Century.

Magnus Unemo, Carlos Del Rio, William M Shafer

Open access · greenAbstract readReview
In one paragraph

Review in Microbiology spectrum, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 153 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 4 pooled it
22.2field-weighted citation impact, top 1% 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

153 citing papers in PubMed, 4 syntheses or guidelines pooled it, 236 citations in OpenAlex.

  1. Pooled it
  2. The frequency of mutations in theFrontiers in microbiology · 2024
    Pooled it
  3. Pooled it
  4. Interventions for preventing ophthalmia neonatorum.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Trial
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  8. Article
  9. Article
  10. Review
  11. Review
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  17. Review
  18. Detection of non-travel-associated, ceftriaxone non-susceptibleCanada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  19. Article
  20. Article

93 more citing papers are in PubMed but not listed here.

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

3 authors at 3 institutions in 2 countries.

Magnus UnemoWHO Collaborating Centre for Gonorrhoea and Other STIs, Department of Laboratory Medicine, Microbiology, Örebro University Hospital, SE-701 85 Örebro, Sweden.
Carlos Del RioHubert Department of Global Health, Rollins School of Public Health of Emory University and Department of Medicine, Division of Infectious Diseases.
William M ShaferDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322.
Emory University · USÖrebro University Hospital · SEVeterans Health Administration · US

Funding

Gonococci: Genetics of Resistance to PMN ProteinsR37AI021150 · NIAID · EMORY UNIVERSITY · PI SHAFER, WILLIAM MAURICE · 2010 to 2019
$3.9M
THE EMORY ATLANTA GONOCOCCAL ISOLATE SURVEILLANCE PROJECTH25PS004311 · PS · EMORY UNIVERSITY · PI DEL RIO, CARLOS · 2014 to 2016
$351k
Gonococcal Mechanisms to Evade Host DefensesI01BX000112 · VA · VETERANS HEALTH ADMINISTRATION · PI SHAFER, WILLIAM MAURICE · 2009 to 2017
–
BLRD VA I01 BX000112NCHHSTP CDC HHS H25 PS004311NIAID NIH HHS R37 AI021150
6 · The paper itself

Abstract

Neisseria gonorrhoeae is a strictly human pathogen that is typically transmitted by sexual contact. The associated disease gonorrhea has plagued humankind for thousands of years, with a current estimated incidence of 78 million cases per year. Advances in antimicrobial discovery in the 1920s and 1930s leading to the discovery of sulfonamides and penicillin begun the era of effective antimicrobial treatment of gonorrhea. Unfortunately, the gonococcus developed decreased susceptibility or even resistance to these initially employed antibiotics, a trend that continued over subsequent decades with each new antibiotic that was brought into clinical practice. As this pattern of resistance has continued into the 21st century, there is now reason for great concern, especially in an era when few new antibiotics have prospects for use as treatment of gonorrhea. Here, we review the history of gonorrhea treatment regimens and gonococcal resistance to antibiotics, the mechanisms of resistance, resistance monitoring schemes that exist in different international settings, global responses to the challenge of resistance, and prospects for future treatment regimens in the 21st century.

Indexed as

Anti-Bacterial AgentsDrug Resistance, Multiple, BacterialGonorrheaHumansMicrobial Sensitivity TestsNeisseria gonorrhoeaePublic HealthAnti-Bacterial Agents

Identifiers

PMID27337478
PMCPMC4920088
OpenAlexW2463322101

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.