Evidence map›Paper›PMID 34978884›Full record

ArticleAntimicrobial agents and chemotherapy2022

Increasing Azithromycin Resistance in Neisseria gonorrhoeae Due to NG-MAST 12302 Clonal Spread in Canada, 2015 to 2018.

Pam Sawatzky, Walter Demczuk, Brigitte Lefebvre, Vanessa Allen, Mathew Diggle, Linda Hoang, Paul Van Caeseele, David Haldane, Jessica Minion, Michael R Mulvey and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-weighted citation impact, top 9% 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, 22 citations in OpenAlex.

  1. Article
  2. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2025
    Article
  3. Review
  4. Local emergence and global evolution ofAntimicrobial agents and chemotherapy · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2023
    Article
  10. Article
  11. Article
  12. Antimicrobial susceptibilities ofCanada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
  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

11 authors at 6 institutions in 1 country.

Pam SawatzkyNational Microbiology Laboratory, Public Health Agency of Canadagrid.415368.d, Winnipeg, Manitoba, Canada.
Walter DemczukNational Microbiology Laboratory, Public Health Agency of Canadagrid.415368.d, Winnipeg, Manitoba, Canada.ORCID 0000-0003-3723-9843
Brigitte LefebvreLaboratoire de Santé Publique du Québec, Québec City, Quebec, Canada.
Vanessa AllenPublic Health Ontariogrid.415400.4 Laboratories, Toronto, Ontario, Canada.
Mathew DiggleProvincial Laboratory for Public Health, Edmonton, Alberta, Canada.
Linda HoangBritish Columbia Centres for Disease Control Public Health Microbiology & Reference Laboratory, Vancouver, British Columbia, Canada.
Paul Van CaeseeleCadham Provincial Laboratory, Winnipeg, Manitoba, Canada.
David HaldaneQueen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Jessica MinionRoy Romanow Provincial Laboratory, Regina, Saskatchewan, Canada.
Michael R MulveyNational Microbiology Laboratory, Public Health Agency of Canadagrid.415368.d, Winnipeg, Manitoba, Canada.
Irene MartinNational Microbiology Laboratory, Public Health Agency of Canadagrid.415368.d, Winnipeg, Manitoba, Canada.ORCID 0000-0002-3941-5583
Public Health Agency of Canada · CABC Centre for Disease Control · CAInstitut National de Santé Publique du Québec · CAProvincial Laboratory of Public Health · CAQueen Elizabeth II Health Sciences Centre · CAToronto Public Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Azithromycin-resistant (AZIR) gonorrhea has been steadily increasing in Canada over the past decade, which is cause for alarm, as azithromycin (AZI) has been part of the combination therapy recommended by the Canadian Guidelines on Sexually Transmitted Infections (CGSTI) since 2012. Neisseria gonorrhoeae with AZI MICs ≥1 mg/L collected between 2015 and 2018 as part of the Gonococcal Antimicrobial Surveillance Program-Canada underwent antimicrobial susceptibility testing, molecular typing, and whole-genome sequencing. Regional, demographic, and clinical isolation site comparisons were made to aid in our understanding of AZI susceptibility trending. We identified 3,447 N. gonorrhoeae with AZI MICs of ≥1 mg/L in Canada, which increased from 6.3% in 2015 to 26.5% of isolates in 2018. Central Canada had the highest proportion, rising from 9.2% in 2015 to 31.2% in 2018. We identified 273 different N. gonorrhoeae multiantigen sequence types (NG-MAST) among these isolates, with ST-12302 the most prevalent (50.9%). Whole-genome sequencing identified the Neisseria lactamica-like mosaic

Indexed as

GonorrheaNeisseria gonorrhoeaeAnti-Bacterial AgentsAzithromycinCanadaDrug Resistance, BacterialHumansMicrobial Sensitivity TestsAnti-Bacterial AgentsAzithromycinazithromycin-resistant gonorrheaNG-MASTwhole-genome sequencing

Identifiers

PMID34978884
PMCPMC8923198
OpenAlexW4206524176

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.