Evidence map›Paper›PMID 38889110›Full record

ArticleThe Journal of antimicrobial chemotherapy2024

The novel 2024 WHO Neisseria gonorrhoeae reference strains for global quality assurance of laboratory investigations and superseded WHO N. gonorrhoeae reference strains-phenotypic, genetic and reference genome characterization.

Magnus Unemo, Leonor Sánchez-Busó, Daniel Golparian, Susanne Jacobsson, Ken Shimuta, Pham Thi Lan, David W Eyre, Michelle Cole, Ismael Maatouk, Teodora Wi and 1 more

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Antimicrobial Resistance inMedicina (Kaunas, Lithuania) · 2026
    Pooled it
  2. Article
  3. An antibody-drug conjugate active against antibiotic-resistantProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Rapid detection of ceftriaxone-resistantMicrobiology spectrum · 2026
    Article
  5. Trends and risk factors of antimicrobial resistance of Neisseria gonorrhoeae in Catalonia, Spain, 2022-2023.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Diversity and evolution of a phase-variable multi-locus antigen inbioRxiv : the preprint server for biology · 2026
    Article
  10. Article
  11. Article
  12. Repurposing epetraborole to combatAntimicrobial agents and chemotherapy · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Autochthonous transmission of extensively drug-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  20. 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

11 authors.

Magnus UnemoDepartment of Laboratory Medicine, Faculty of Medicine and Health, WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Microbiology, Örebro University, Örebro, Sweden.ORCID 0000-0003-1710-2081
Leonor Sánchez-BusóJoint Research Unit 'Infection and Public Health', FISABIO-University of Valencia, Institute for Integrative Systems Biology (I2SysBio), Valencia, Spain.
Daniel GolparianDepartment of Laboratory Medicine, Faculty of Medicine and Health, WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Microbiology, Örebro University, Örebro, Sweden.
Susanne JacobssonDepartment of Laboratory Medicine, Faculty of Medicine and Health, WHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Microbiology, Örebro University, Örebro, Sweden.
Ken ShimutaDepartment of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.
Pham Thi LanHanoi Medical University, National Hospital of Dermatology and Venereology, Hanoi, Vietnam.
David W EyreBig Data Institute, University of Oxford, Oxford, UK.
Michelle ColeUK Health Security Agency (UKHSA), London, UK.
Ismael MaatoukDepartment of the Global HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.ORCID 0000-0003-1008-7413
Teodora WiDepartment of the Global HIV, Hepatitis and STI Programmes, WHO, Geneva, Switzerland.
Monica M LahraWHO Collaborating Centre for Sexually Transmitted Infections and Antimicrobial Resistance, New South Wales Health Pathology, Microbiology, Randwick, NSW, Australia.

Funding

Conselleria de Sanitat Universal i Salut PúblicaSpanish Ministry of Science and Innovation PID2020-120113RA-I00/AEI/10.13039/501100011033WHOWorld Health Organization 001
6 · The paper itself

Abstract

objectivesMDR and XDR Neisseria gonorrhoeae strains remain major public health concerns internationally, and quality-assured global gonococcal antimicrobial resistance (AMR) surveillance is imperative. The WHO global Gonococcal Antimicrobial Surveillance Programme (GASP) and WHO Enhanced GASP (EGASP), including metadata and WGS, are expanding internationally. We present the phenotypic, genetic and reference genome characteristics of the 2024 WHO gonococcal reference strains (n = 15) for quality assurance worldwide. All superseded WHO gonococcal reference strains (n = 14) were identically characterized. MATERIAL AND

methodsThe 2024 WHO reference strains include 11 of the 2016 WHO reference strains, which were further characterized, and four novel strains. The superseded WHO reference strains include 11 WHO reference strains previously unpublished. All strains were characterized phenotypically and genomically (single-molecule PacBio or Oxford Nanopore and Illumina sequencing).

resultsThe 2024 WHO reference strains represent all available susceptible and resistant phenotypes and genotypes for antimicrobials currently and previously used (n = 22), or considered for future use (n = 3) in gonorrhoea treatment. The novel WHO strains include internationally spreading ceftriaxone resistance, ceftriaxone resistance due to new penA mutations, ceftriaxone plus high-level azithromycin resistance and azithromycin resistance due to mosaic MtrRCDE efflux pump. AMR, serogroup, prolyliminopeptidase, genetic AMR determinants, plasmid types, molecular epidemiological types and reference genome characteristics are presented for all strains.

conclusionsThe 2024 WHO gonococcal reference strains are recommended for internal and external quality assurance in laboratory examinations, especially in the WHO GASP, EGASP and other GASPs, but also in phenotypic and molecular diagnostics, AMR prediction, pharmacodynamics, epidemiology, research and as complete reference genomes in WGS analysis.

Indexed as

Anti-Bacterial AgentsGenome, BacterialGonorrheaMicrobial Sensitivity TestsNeisseria gonorrhoeaePhenotypeDrug Resistance, BacterialGenotypeHumansQuality Assurance, Health CareReference StandardsWhole Genome SequencingWorld Health OrganizationAnti-Bacterial Agents

Identifiers

PMID38889110
PMCPMC11290888

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.