Evidence map›Paper›PMID 31802195›Full record

ReviewMedical microbiology and immunology2020

Multiresistant Neisseria gonorrhoeae: a new threat in second decade of the XXI century.

Beata Młynarczyk-Bonikowska, Anna Majewska, Magdalena Malejczyk, Grażyna Młynarczyk, Sławomir Majewski

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Medical microbiology and immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 3% 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, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Global status of Azithromycin and Erythromycin Resistance Rates inThe Yale journal of biology and medicine · 2022
    Pooled it
  4. The Prevalence of Antimicrobial ResistantInternational journal of environmental research and public health · 2022
    Pooled it
  5. Article
  6. Article
  7. Clonal Expansion ofInfection and drug resistance · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Tetracycline-resistantJAC-antimicrobial resistance · 2025
    Review
  13. Article
  14. Microorganisms · 2025
    Article
  15. Fighting Antimicrobial Resistance: Innovative Drugs in Antibacterial Research.Angewandte Chemie (International ed. in English) · 2025
    Review
  16. Nanomaterials (Basel, Switzerland) · 2025
    Review
  17. Prevalence ofFrontiers in cellular and infection microbiology · 2025
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Beata Młynarczyk-BonikowskaDepartment of Diagnostics of Sexually Transmitted Diseases, Medical University of Warsaw, 82a Koszykowa Str, 02-008, Warsaw, Poland.
Anna MajewskaDepartment of Medical Microbiology, Medical University of Warsaw, 5 Chalubinskiego Str, 02-004, Warsaw, Poland. anna.majewska@wum.edu.pl.ORCID http://orcid.org/0000-0001-9036-7452
Magdalena MalejczykDepartment of Diagnostics of Sexually Transmitted Diseases, Medical University of Warsaw, 82a Koszykowa Str, 02-008, Warsaw, Poland.
Grażyna MłynarczykDepartment of Medical Microbiology, Medical University of Warsaw, 5 Chalubinskiego Str, 02-004, Warsaw, Poland.
Sławomir MajewskiDepartment of Dermatology and Venereology, Medical University of Warsaw, 82a Koszykowa Str, 02-008, Warsaw, Poland.
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neisseria gonorrhoeae is an etiologic agent of gonorrhoea, one of the most common sexually transmitted diseases caused by bacteria. For many years, infections caused by N. gonorrhoeae were considered to be relatively easy to treat; however, resistance has emerged successively to all therapeutic agents used in treatment of the disease, e.g., penicillin, ciprofloxacin or azithromycin. Currently, the global problem is the emergence and a threat of spread of N. gonorrhoeae strains resistant to extended-spectrum cephalosporins (ESC), such as injectable ceftriaxone and oral-used cefixime. Especially, dangerous are multi-resistant strains resistant simultaneously to ESC and azithromycin. Three strains with high-level resistance to azithromycin and resistant to ESC were first time isolated in 2018. Moreover, in 2018, the first ESBL was described in N. gonorrhoeae and that makes the threat of appearing the ESBL mechanism of resistance in N. gonorrhoeae more real, even though the strain was sensitive to ceftriaxone. Molecular typing revealed that variants resistant to ESC occurred also among strains belonging to epidemic clonal complex CC1 (genogroup G1407) distinguished in NG-MAST typing system. The G1407 genogroup, in particular the ST1407 sequence type, is currently dominant in most European countries. The presence of different mechanisms of drug resistance significantly affects clinical practice and force changes in treatment regimens and introduction of new drugs.

Indexed as

Anti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneCiprofloxacinDrug Resistance, Multiple, BacterialEuropeGenotypeGonorrheaHumansNeisseria gonorrhoeaePenicillinsAnti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneCiprofloxacinPenicillinsEpidemic clones NG-MASTGonorrhoeaMechanisms of antibiotic resistanceMultiresistant Neisseria gonorrhoeae

Identifiers

PMID31802195
PMCPMC7125254
OpenAlexW2993797120

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.