Evidence map›Paper›PMID 30909883›Full record

ArticleBMC infectious diseases2019

Ten years of external quality assessment (EQA) of Neisseria gonorrhoeae antimicrobial susceptibility testing in Europe elucidate high reliability of data.

Michelle J Cole, Nerteley Quaye, Susanne Jacobsson, Michaela Day, Elizabeth Fagan, Catherine Ison, Rachel Pitt, Shila Seaton, Neil Woodford, Angelika Stary and 31 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Systematic review of surveillance systems for AMR in Africa.The Journal of antimicrobial chemotherapy · 2022
    Pooled it
  2. Article
  3. Antimicrobial resistance inThe Lancet regional health. Europe · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. The European response to control and manage multi- and extensively drug-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Comparison of deferred and bedside culture ofIranian journal of microbiology · 2020
    Article
  12. Review
  13. Article
  14. 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

41 authors at 20 institutions in 23 countries.

Michelle J ColeAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK. michelle.cole@phe.gov.uk.ORCID http://orcid.org/0000-0002-6707-6910
Nerteley QuayeNational Mycobacterium Reference Service, National Infection Service, Public Health England, London, UK.
Susanne JacobssonWHO Collaborating Centre for Gonorrhoea and other STIs, Örebro University, Örebro, Sweden.
Michaela DayAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Elizabeth FaganUnited Kingdom National External Quality Assessment Service (UK NEQAS), National Infection Service, Public Health England, London, UK.
Catherine IsonSexually Transmitted Bacteria Reference Unit (retired), Public Health England, London, UK.
Rachel PittAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Shila SeatonUnited Kingdom National External Quality Assessment Service (UK NEQAS), National Infection Service, Public Health England, London, UK.
Neil WoodfordAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Angelika StaryOutpatients` Centre for the Diagnosis of Infectious Venero-Dermatological Diseases, Vienna, Austria.
Sonja PleiningerNational Reference Centre for Gonococci, Austrian Agency for Health and Food Safety, Vienna, Austria.
Tania CrucittiInstitute of Tropical Medicine, Antwerp, Belgium.
Blaženka HunjakCroatian Institute of Public Health, Zagreb, Croatia.
Panayiota MaikantiMicrobiology Department, Nicosia General Hospital, Nicosia, Cyprus.
Steen HoffmannDepartment for Bacteria, Parasites and Fungi Infectious Diseases Preparedness, Statens Serum Institut, Copenhagen, Denmark.
Jelena ViktorovaCentral Laboratory of Communicable Diseases, Tallinn, Estonia.
Susanne BuderLaboratory for Gonococci, Vivantes Klinikum, South, Berlin, Germany.
Peter KohlLaboratory for Gonococci, Vivantes Klinikum, South, Berlin, Germany.
Eva TzelepiNational Reference Centre for N. gonorrhoeae, Laboratory of Bacteriology of the Hellenic Pasteur Institute, Athens, Greece.
Eirini SiatravaniNational Reference Centre for N. gonorrhoeae, Laboratory of Bacteriology of the Hellenic Pasteur Institute, Athens, Greece.
Eszter BallaBacterial STI Reference Laboratory, National Public Health Institute, Budapest, Hungary.
Guðrún Svanborg HauksdóttirLandspitali University Hospital, Reykjavik, Iceland.
Lisa RoseNational Gonococcal Reference Laboratory, St James's Hospital, Dublin, Ireland.
Paola StefanelliDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Anna CarannanteDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Gatis PakarnaNational Microbiology Reference Laboratory, Latvian Centre of Infectious Diseases, Riga East University Hospital, Riga, Latvia.
Francesca MifsudBacteriology Laboratory, Mater Dei Hospital, Msida, Malta.
Rosann Zammit CassarBacteriology Laboratory, Mater Dei Hospital, Msida, Malta.
Ineke LindeStreeklaboratorium/Bacteriologie, GGD Amsterdam, Amsterdam, The Netherlands.
Thea BergheimDepartment of Medical Microbiology, Oslo University Hospital, Oslo, Norway.
Martin SteinbakkNorwegian Institute of Public Health, Oslo, Norway.
Beata Mlynarczyk-BonikowskaDepartment of Diagnostics of Sexually Transmitted Diseases, Medical University of Warsaw, Warsaw, Poland.
Maria-José BorregoInstituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal.
Jill ShepherdScottish Bacterial Sexually Transmitted Infections Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.
Peter PavlikMedirex a.s., Bratislava, Slovakia.
Samo JevericaInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Julio VazquezReference Laboratory for Neisseria National Centre for Microbiology - Instituto de Salud Carlos III, Majadahonda, Spain.
Raquel AbadReference Laboratory for Neisseria National Centre for Microbiology - Instituto de Salud Carlos III, Majadahonda, Spain.
Sabrina WeissAntimicrobial Resistance and Healthcare Associated Infections (AMRHAI) Reference Unit, National Infection Service, Public Health England, London, UK.
Gianfranco SpiteriEuropean Centre for Disease Prevention and Control, Stockholm, Sweden.
Magnus UnemoWHO Collaborating Centre for Gonorrhoea and other STIs, Örebro University, Örebro, Sweden.
Public Health England · GBInstituto de Salud Carlos III · ESIstituto Superiore di Sanità · ITMater Dei Hospital · MTÖrebro University · SEPasteur Hellenic Institute · GRVivantes Klinikum · DEAustrian Agency for Health and Food Safety · ATAustrian Society of Dermatology and Venereology · ATEast Tallinn Central Hospital · EEEdinburgh Royal Infirmary · GBEuropean Centre for Disease Prevention and Control · SEGGD Amsterdam · NLHrvatski zavod za javno zdravstvo · HRInstituut voor Tropische Geneeskunde · BEMedical University of Warsaw · PLMedirex Group Academy · SKNational Institute of Health Dr. Ricardo Jorge · PTNational Public Health and Medical Officer Service · HUNicosia General Hospital · CY

Funding

European Centre for Disease Prevention and Control ECDC/2013/015
6 · The paper itself

Abstract

backgroundConfidence in any diagnostic and antimicrobial susceptibility testing data is provided by appropriate and regular quality assurance (QA) procedures. In Europe, the European Gonococcal Antimicrobial Susceptibility Programme (Euro-GASP) has been monitoring the antimicrobial susceptibility in Neisseria gonorrhoeae since 2004. Euro-GASP includes an external quality assessment (EQA) scheme as an essential component for a quality-assured laboratory-based surveillance programme. Participation in the EQA scheme enables any problems with the performed antimicrobial susceptibility testing to be identified and addressed, feeds into the curricula of laboratory training organised by the Euro-GASP network, and assesses the capacity of individual laboratories to detect emerging new, rare and increasing antimicrobial resistance phenotypes. Participant performance in the Euro-GASP EQA scheme over a 10 year period (2007 to 2016, no EQA in 2013) was evaluated.

methodsAntimicrobial susceptibility category and MIC results from the first 5 years (2007-2011) of the Euro-GASP EQA were compared with the latter 5 years (2012-2016). These time periods were selected to assess the impact of the 2012 European Union case definitions for the reporting of antimicrobial susceptibility.

resultsAntimicrobial susceptibility category agreement in each year was ≥91%. Discrepancies in susceptibility categories were generally because the MICs for EQA panel isolates were on or very close to the susceptibility or resistance breakpoints. A high proportion of isolates tested over the 10 years were within one (≥90%) or two (≥97%) MIC log

conclusionsThe high level of comparability of results in this EQA scheme indicates that high quality data are produced by the Euro-GASP participants and gives confidence in susceptibility and resistance data generated by laboratories performing decentralised testing.

Indexed as

Anti-Bacterial AgentsDisk Diffusion Antimicrobial TestsDrug Resistance, BacterialEuropeLaboratoriesMicrobial Sensitivity TestsNeisseria gonorrhoeaeQuality ControlReproducibility of ResultsAnti-Bacterial AgentsEUCASTEuro-GASPEuropean economic area (EEA)European Union (EU)Gonorrhoea

Identifiers

PMID30909883
PMCPMC6434634
OpenAlexW2942980926

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Registered trials

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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.