Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1988 Jan;41(1):97–102. doi: 10.1136/jcp.41.1.97

Antimicrobial susceptibility testing of Neisseria gonorrhoeae: a trial organised as part of the United Kingdom national external quality assessment scheme for microbiology.

J J Snell 1, D F Brown 1
PMCID: PMC1141343  PMID: 2963836

Abstract

Six strains of Neisseria gonorrhoeae were distributed to 411 United Kingdom laboratories who were asked to test the susceptibility of the strains to penicillin, cefuroxime, tetracycline and spectinomycin and to test for production of beta-lactamase. Details of methods used were requested by means of a questionnaire. The number of reports recording sensitive strains as resistant was 5% for penicillin, 0.7% for cefuroxime, 3% for tetracycline and 4% for spectinomycin. The number of reports recording resistant strains as sensitive was 7% for penicillin (0.2% with beta-lactamase producing strains, 20% with non-beta-lactamase producing strains), 96% for cefuroxime, 76% for tetracycline and 8% for spectinomycin. There was an association between greater error rates and the use of high content discs for testing tetracycline, the use of low content discs for testing spectinomycin, failure to dilute the inoculum, and use of acidimetric methods rather than methods that use a chromogenic cephalosporin for detecting beta-lactamase.

Full text

PDF
101

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bollerup A. C. In vitro susceptibility of Neisseria gonorrhoeae to cefuroxime, penicillin, and tetracycline in Denmark-1979. Sex Transm Dis. 1984 Oct-Dec;11(4):308–311. doi: 10.1097/00007435-198410000-00009. [DOI] [PubMed] [Google Scholar]
  2. Brown S., Warnnissorn T., Biddle J., Panikabutra K., Traisupa A. Antimicrobial resistance of Neisseria gonorrhoea in Bangkok: is single-drug treatment passé. Lancet. 1982 Dec 18;2(8312):1366–1368. doi: 10.1016/s0140-6736(82)91271-5. [DOI] [PubMed] [Google Scholar]
  3. Easmon C. S., Forster G. E., Walker G. D., Ison C. A., Harris J. R., Munday P. E. Spectinomycin as initial treatment for gonorrhoea. Br Med J (Clin Res Ed) 1984 Oct 20;289(6451):1032–1034. doi: 10.1136/bmj.289.6451.1032. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Easmon C. S. Gonococcal resistance to antibiotics. J Antimicrob Chemother. 1985 Oct;16(4):409–412. doi: 10.1093/jac/16.4.409. [DOI] [PubMed] [Google Scholar]
  5. Guinan M. E., Biddle J., Thornsberry C., Reynolds G., Zaidi A., Wiesner P. The National Gonorrhea Therapy Monitoring Study: I. Review of treatment results and of in-vitro antibiotic susceptibility, 1972-1978. Sex Transm Dis. 1979 Apr-Jun;6(2 Suppl):93–102. [PubMed] [Google Scholar]
  6. Harkness R. A., Lund R. J. Cerebrospinal fluid concentrations of hypoxanthine, xanthine, uridine and inosine: high concentrations of the ATP metabolite, hypoxanthine, after hypoxia. J Clin Pathol. 1983 Jan;36(1):1–8. doi: 10.1136/jcp.36.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hilton J. M., Ison C. A., Easmon C. S. Testing sensitivity of Neisseria gonorrhoeae to spectinomycin. Genitourin Med. 1985 Aug;61(4):241–243. doi: 10.1136/sti.61.4.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Liebowitz L. D., Ballard R. C., Koornhof H. J. In vitro susceptibility and cross-resistance of South African isolates of Neisseria gonorrhoeae to 14 antimicrobial agents. Antimicrob Agents Chemother. 1982 Oct;22(4):598–603. doi: 10.1128/aac.22.4.598. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rice R. J., Biddle J. W., JeanLouis Y. A., DeWitt W. E., Blount J. H., Morse S. A. Chromosomally mediated resistance in Neisseria gonorrhoeae in the United States: results of surveillance and reporting, 1983-1984. J Infect Dis. 1986 Feb;153(2):340–345. doi: 10.1093/infdis/153.2.340. [DOI] [PubMed] [Google Scholar]
  10. Shannon K., Phillips I. beta-Lactamase detection by three simple methods: Intralactam, nitrocefin and acidimetric. J Antimicrob Chemother. 1980 Sep;6(5):617–621. doi: 10.1093/jac/6.5.617. [DOI] [PubMed] [Google Scholar]
  11. Slack M. P., Wheldon D. B., Turk D. C. A rapid test for beta-lactamase production by Haemophilus influenzae. Lancet. 1977 Oct 29;2(8044):906–906. doi: 10.1016/s0140-6736(77)90836-4. [DOI] [PubMed] [Google Scholar]
  12. Snell J. J., Brown D. F., Gardner P. S. An antibiotic susceptibility testing trial organised as part of the United Kingdom national external microbiological quality assessment scheme. J Clin Pathol. 1982 Nov;35(11):1169–1176. doi: 10.1136/jcp.35.11.1169. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Snell J. J., Brown D. F., Gardner P. S. Comparison of results from two antibiotic susceptibility testing trials that formed part of the United Kingdom national external quality assessment scheme. J Clin Pathol. 1984 Mar;37(3):321–328. doi: 10.1136/jcp.37.3.321. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Snell J. J., Brown D. F., Phua T. J. Antimicrobial susceptibility testing of Haemophilus influenzae: trial organised as part of United Kingdom national external quality assessment scheme for microbiology. J Clin Pathol. 1986 Sep;39(9):1006–1012. doi: 10.1136/jcp.39.9.1006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Snell J. J., De Mello J. V., Gardner P. S. The United Kingdom national microbiological quality assessment scheme. J Clin Pathol. 1982 Jan;35(1):82–93. doi: 10.1136/jcp.35.1.82. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Tupasi T., Crisologo L. B., Torres C. A., Calubiran O. V. Comparison of spectinomycin, cefuroxime, thiamphenicol, and penicillin G in the treatment of uncomplicated gonococcal infections in women. J Infect Dis. 1982 Apr;145(4):583–583. doi: 10.1093/infdis/145.4.583. [DOI] [PubMed] [Google Scholar]
  17. Wigfield A. S., Selkon J. B., Rich G. E. Single-session treatment of uncomplicated gonorrhoea in men, using penicillin combined with cotrimoxazole. Controlled trial comparing four different treatment schedules with observations on antibiotic sensitivities of gonococci and a review of the literature. Br J Vener Dis. 1973 Jun;49(3):277–290. doi: 10.1136/sti.49.3.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. de Hoop D., Nayyar K. C., van Klingeren B., Stolz E., Michel M. F. Infections with non-penicillinase-producing Neisseria gonorrhoeae treated with cefuroxime: treatment failures. Sex Transm Dis. 1982 Oct-Dec;9(4):200–201. doi: 10.1097/00007435-198210000-00007. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES