Evidence map›Paper›PMID 28481980›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Large Cluster of Neisseria meningitidis Urethritis in Columbus, Ohio, 2015.

Jose A Bazan, Abigail Norris Turner, Robert D Kirkcaldy, Adam C Retchless, Cecilia B Kretz, Elizabeth Briere, Yih-Ling Tzeng, David S Stephens, Courtney Maierhofer, Carlos Del Rio and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 67 citations in OpenAlex.

  1. Isolation ofMicroorganisms · 2026
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  3. Emergence ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  4. Prevalence ofOpen forum infectious diseases · 2025
    Article
  5. Article
  6. CommensalAnnual review of microbiology · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Antibiotic Susceptibility Profile for the USOpen forum infectious diseases · 2023
    Article
  12. Meningococcal Urethritis: Old and New.Journal of clinical microbiology · 2022
    Review
  13. Review
  14. Antibiotic Resistance inMicroorganisms · 2022
    Article
  15. Infection With the US Neisseria meningitidis Urethritis Clade Does Not Lower Future Risk of Urethral Gonorrhea.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  16. Review
  17. Article
  18. The Host-Pathogen Interactions and Epicellular Lifestyle ofFrontiers in cellular and infection microbiology · 2022
    Review
  19. Symptomatic Female Genital Tract Infections Due toDiagnostics (Basel, Switzerland) · 2021
    Article
  20. Review
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

18 authors at 6 institutions in 1 country.

Jose A BazanDivision of Infectious Diseases, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus.
Abigail Norris TurnerDivision of Infectious Diseases, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus.
Robert D KirkcaldyNational Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta GA.
Adam C RetchlessMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Cecilia B KretzMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth BriereMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Yih-Ling TzengDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
David S StephensDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Courtney MaierhoferDivision of Infectious Diseases, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus.
Carlos Del RioDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
A Jeanine AbramsNational Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta GA.
David L TreesNational Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta GA.
Melissa ErvinSexual Health Clinic, Columbus Public Health, Ohio.
Denisse B LiconSexual Health Clinic, Columbus Public Health, Ohio.
Karen S FieldsSexual Health Clinic, Columbus Public Health, Ohio.
Mysheika Williams RobertsSexual Health Clinic, Columbus Public Health, Ohio.
Amanda DennisonSTD & Hepatitis Prevention Program, Bureau of Infectious Diseases, Ohio Department of Health, Columbus.
Xin WangMeningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ohio Department of Health · USNational Center for Immunization and Respiratory Diseases · USNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USThe Ohio State University · USOffice of Infectious Diseases · USEmory University · US

Funding

Rapid antimicrobial susceptibility determination of bacterial pathogensR01AI107116 · NIAID · GEORGIA INSTITUTE OF TECHNOLOGY · PI DICKSON, ROBERT M, TZENG, YIH-LING · 2014 to 2017
$1.4M
Emergence of ST-11 Neisseria meningitidis as a sexually transmitted pathogenR21AI128313 · NIAID · EMORY UNIVERSITY · PI TZENG, YIH-LING · 2017 to 2018
$429k
NIAID NIH HHS R01 AI107116NIAID NIH HHS R21 AI128313
6 · The paper itself

Abstract

Background: Neisseria meningitidis (Nm) is a Gram-negative diplococcus that normally colonizes the nasopharynx and rarely infects the urogenital tract. On Gram stain of urethral exudates, Nm can be misidentified as the more common sexually transmitted pathogen Neisseria gonorrhoeae. Methods: In response to a large increase in cases of Nm urethritis identified among men presenting for screening at a sexually transmitted disease clinic in Columbus, Ohio, we investigated the epidemiologic characteristics of men with Nm urethritis and the molecular and phylogenetic characteristics of their Nm isolates. The study was conducted between 1 January and 18 November 2015. Results: Seventy-five Nm urethritis cases were confirmed by biochemical and polymerase chain reaction testing. Men with Nm urethritis were a median age of 31 years (interquartile range [IQR] = 24-38) and had a median of 2 sex partners in the last 3 months (IQR = 1-3). Nm cases were predominantly black (81%) and heterosexual (99%). Most had urethral discharge (91%), reported oral sex with a female in the last 12 months (96%), and were treated with a ceftriaxone-based regimen (95%). A minority (15%) also had urethral chlamydia coinfection. All urethral Nm isolates were nongroupable, ST-11 clonal complex (cc11), ET-15, and clustered together phylogenetically. Urethral Nm isolates were similar by fine typing (PorA P1.5-1,10-8, PorB 2-2, FetA F3-6), except 2, which had different PorB types (2-78 and 2-52). Conclusions: Between January and November 2015, 75 urethritis cases due to a distinct Nm clade occurred among primarily black, heterosexual men in Columbus, Ohio. Future urogenital Nm infection studies should focus on pathogenesis and modes of sexual transmission.

Indexed as

Neisseria meningitidisAdultAnti-Bacterial AgentsDisease OutbreaksFemaleHumansMaleMeningococcal InfectionsOhioUrethritisYoung AdultAnti-Bacterial AgentsGram stainNeisseria gonorrhoeaeNeisseria meningitidisurethritis

Identifiers

PMID28481980
PMCPMC5848337
OpenAlexW2612783178

What OpenQuestion holds

Textmetadata
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.