Surveillance of antibiotic susceptibility of Neisseria gonorrhoeae in the WHO Western Pacific Region 1992-4

被引:0
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作者
Tapsall, JW
Rahim, N
Ye, SZ
Chen, P
Shah, M
Singh, KP
Kumazawa, J
Shin, KH
Lee, K
Chong, Y
Cheong, YM
Yasin, RMD
Duval, P
Gentile, B
Brett, M
Seaward, L
Igo, J
Roy, J
Saniel, M
Carlos, CC
Ling, AE
Nadarajah, M
Lucas, R
Sale, H
Kalorib, D
机构
[1] ANAK SALEHA HOSP, BRUNEI TOWN, BRUNEI
[2] CHINESE ACAD SCI, INST DERMATOL, NANJING, PEOPLES R CHINA
[3] COLONIAL WAR MEM HOSP, SUVA, FIJI
[4] SAI YING PUN POLYCLIN, PUBL HLTH LAB, HONG KONG, HONG KONG
[5] KYUSHU UNIV, FUKUOKA 812, JAPAN
[6] KANAGAWA PREFECTURAL PUBL HLTH LAB, YOKOHAMA, KANAGAWA, JAPAN
[7] YONSEI UNIV, COLL MED, SEOUL, SOUTH KOREA
[8] INST MED RES, KUALA LUMPUR 50588, MALAYSIA
[9] INST PASTEUR NOUVELLE CALEDONIE, NOUMEA, NEW CALEDONIA
[10] COMMUNICABLE DIS CTR, ANTIBIOT REFERENCE LAB, WELLINGTON, NEW ZEALAND
[11] AUCKLAND HOSP, DEPT CLIN MICROBIOL, AUCKLAND, NEW ZEALAND
[12] CANTERBURY HLTH LTD, CANTERBURY HLTH LABS, CHRISTCHURCH, NEW ZEALAND
[13] PORT MORESBY HOSP, PORT MORESBY, PAPUA N GUINEA
[14] RES INST TROP MED, MANILA, PHILIPPINES
[15] SINGAPORE GEN HOSP, DEPT PATHOL, SINGAPORE 0316, SINGAPORE
[16] HONIARA CENT HOSP, HONIARA, SOLOMON ISLANDS
[17] CENT PUBL HLTH LAB, TOFOA, TONGA
[18] DEPT HLTH, PORT VILA, VANUATU
[19] BACH MOI HOSP, HANOI, VIETNAM
来源
GENITOURINARY MEDICINE | 1997年 / 73卷 / 05期
关键词
Neisseria gonorrhoeae; antibiotic susceptibility; surveillance;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To describe the establishment and outcomes of a regional programme of continuing long term surveillance of antibiotic susceptibility of Neisseria gonorrhoeae over the period 1992-4. Methods: Laboratories in 17 countries in the WHO Western Pacific Region participated in a continuing programme of surveillance of the susceptibility of gonococci to an agreed group of antibiotics over 3 years. Established techniques were used and these included quality control and proficiency testing systems. Results: About 20 000 gonococci were examined over a 3 year period. Resistance to the penicillins through beta lactamase production or chromosomal mechanisms was widespread, with further changes evident over the 3 years. Spectinomycin resistance was infrequently encountered but high level tetracycline resistance was present in most participating centres, with some having high proportions of tetracycline resistant organisms. Quinolone resistance increased and became widespread throughout the region in the 3 years, ultimately involving all but one centre. Both the number and minimum inhibitory concentrations of quinolone resistant isolates increased markedly. Conclusions: Patterns of gonococcal resistance to antibiotics continue to evolve, at times rapidly, and have the potential for wide and rapid dissemination. Regional surveillance programmes can be developed by using and expanding existing resources. Data thus derived were applied to the development of appropriate treatment regimens in the region, and emphasised further the need for a global expansion of the programme of integrated surveillance of gonococcal resistance.
引用
收藏
页码:355 / 361
页数:7
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