Evidence map›Paper›PMID 34280016›Full record

ArticleAntimicrobial agents and chemotherapy2021

Antimicrobial Resistance Mechanisms, Multilocus Sequence Typing, and NG-STAR Sequence Types of Diverse Neisseria gonorrhoeae Isolates in KwaZulu-Natal, South Africa.

Nireshni Mitchev, Ravesh Singh, Mushal Allam, Stanford Kwenda, Arshad Ismail, Nigel Garrett, Veron Ramsuran, Abraham J Niehaus, Koleka P Mlisana

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Phenotypic and genotypic characterization ofJAC-antimicrobial resistance · 2026
    Article
  3. Microorganisms · 2025
    Article
  4. Article
  5. Antimicrobial susceptibility profile ofSexually transmitted infections · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. The Optimal Management ofMicroorganisms · 2022
    Review
  10. Review
  11. 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

9 authors.

Nireshni MitchevSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natalgrid.16463.36, Durban, South Africa.ORCID 0000-0002-0221-0808
Ravesh SinghSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natalgrid.16463.36, Durban, South Africa.
Mushal AllamSequencing Core Facility, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0002-9875-6716
Stanford KwendaSequencing Core Facility, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.
Arshad IsmailSequencing Core Facility, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.ORCID 0000-0003-4672-5915
Nigel GarrettCentre for the AIDS Programme of Research in South Africa, Durban, South Africa.
Veron RamsuranSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natalgrid.16463.36, Durban, South Africa.
Abraham J NiehausSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natalgrid.16463.36, Durban, South Africa.
Koleka P MlisanaSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natalgrid.16463.36, Durban, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is a major challenge to managing infectious diseases. Africa has the highest incidence of gonorrhoea, but there is a lack of comprehensive data from sparse surveillance programs. This study investigated the molecular epidemiology and AMR profiles of Neisseria gonorrhoeae isolates in KwaZulu-Natal province (KZN), South Africa. Repository isolates from patients attending public health care clinics for sexually transmitted infection (STI) care were used for phenotypic and genotypic analysis. An Etest was performed to determine antimicrobial susceptibility. Whole-genome sequencing (WGS) was used to determine epidemiology and to predict susceptibility by detecting resistance-associated genes and mutations. Among the 61 isolates, multiple sequence types were identified. Six isolates were novel, as determined by multilocus sequence typing. N. gonorrhoeae sequence typing for antimicrobial resistance (NG-STAR) determined 48 sequence types, of which 35 isolates had novel antimicrobial profiles. Two novel

Indexed as

GonorrheaNeisseria gonorrhoeaeAnti-Bacterial AgentsCeftriaxoneDrug Resistance, BacterialHumansMicrobial Sensitivity TestsMultilocus Sequence TypingSouth AfricaAnti-Bacterial AgentsCeftriaxoneAMRgonorrhoeasexually transmitted diseases

Identifiers

PMID34280016
PMCPMC8448096

What OpenQuestion holds

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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.