Evidence map›Paper›PMID 39601904›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

Management and prevention of Neisseria meningitidis and Neisseria gonorrhoeae infections in the context of evolving antimicrobial resistance trends.

Helen S Marshall, Jean-Michel Molina, Valérie Berlaimont, Aruni Mulgirigama, Woo-Yun Sohn, Béatrice Berçot, Shravani Bobde

Abstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Susceptibility ofPathogens (Basel, Switzerland) · 2025
    Article
  5. PreclinicalFrontiers in immunology · 2025
    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

7 authors.

Helen S MarshallVaccinology and Immunology Research Trials Unit, Women's and Children's Health Network and Robinson Research Institute and Adelaide Medical School, The University of Adelaide, Adelaide, Australia.ORCID http://orcid.org/0000-0003-2521-5166
Jean-Michel MolinaUniversité Paris Cité, INSERM UMR 944, Paris, France.ORCID http://orcid.org/0000-0001-8684-2214
Valérie BerlaimontGSK, Singapore, Singapore.ORCID http://orcid.org/0000-0003-3850-4477
Aruni MulgirigamaGSK, Brentford, United Kingdom.ORCID http://orcid.org/0000-0003-4777-7098
Woo-Yun SohnGSK, Rockville, MD, USA.ORCID http://orcid.org/0000-0002-4034-4735
Béatrice BerçotUniversité Paris Cité, INSERM1137, IAME, Paris, France.ORCID http://orcid.org/0000-0003-1603-3635
Shravani BobdeGSK, Rockville, MD, USA. shravani.s.bobde@gsk.com.ORCID http://orcid.org/0009-0006-9480-5521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the relationships between Neisseria meningitidis (NM) and Neisseria gonorrhoeae (NG) at genetic, population, and individual levels; to review historical trends in antimicrobial resistance (AMR); to review the treatment and preventive landscapes and explore their potential impact on AMR.

methodsA narrative literature search was conducted in PubMed, with searches restricted to 2003-2023 and additional articles included based on expertise.

resultsNM and NG are closely related bacterial pathogens causing invasive meningococcal disease (IMD) and gonorrhea, respectively. NM can currently be treated with most antibiotics and generally has a wild-type susceptibility profile, whereas NG is increasingly resistant even in the first line of treatment. These pathogens share 80-90% genetic identity and can asymptomatically cohabit the pharynx. While AMR has historically been rare for NM, recent reports show this to be an emerging clinical concern. Extensively drug-resistant NG are reported globally, with data available from 73 countries, and can lead to treatment failure. Importantly, Neisseria commensals within the normal microbiota in the pharynx can act as a genetic reservoir of resistance to extended-spectrum cephalosporins. Novel oral antibiotics are urgently needed to treat a growing threat from antibiotic-resistant NG, recognized as a major global concern to public health by the World Health Organization. Numerous vaccines are available to prevent IMD, but none are approved for gonorrhea. Research to identify suitable candidates is ongoing.

conclusionHolistic management of AMR in IMD and gonorrhea should couple judicious use of existing antibiotics, optimization of vaccination programs, and development of novel antibiotics and vaccines.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialGonorrheaMeningococcal InfectionsNeisseria gonorrhoeaeNeisseria meningitidisHumansAnti-Bacterial AgentsAntibioticsAntimicrobial resistanceGonorrheaMeningitisVaccines

Identifiers

PMID39601904
PMCPMC11754362

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.