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Journal ArticleDOI

Emergence of Ciprofloxacin-Resistant Neisseria meningitidis in North America

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TLDR
In this paper, three cases of meningococcal disease caused by ciprofloxacin-resistant Neisseria meningitidis, one in North Dakota and two in Minnesota, were reported.
Abstract
We report on three cases of meningococcal disease caused by ciprofloxacin-resistant Neisseria meningitidis, one in North Dakota and two in Minnesota. The cases were caused by the same serogroup B strain. To assess local carriage of resistant N. meningitidis, we conducted a pharyngeal-carriage survey and isolated the resistant strain from one asymptomatic carrier. Sequencing of the gene encoding subunit A of DNA gyrase (gyrA) revealed a mutation associated with fluoroquinolone resistance and suggests that the resistance was acquired by means of horizontal gene transfer with the commensal N. lactamica. In susceptibility testing of invasive N. meningitidis isolates from the Active Bacterial Core surveillance system between January 2007 and January 2008, an additional ciprofloxacin-resistant isolate was found, in this case from California. Ciprofloxacin-resistant N. meningitidis has emerged in North America.

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Book ChapterDOI

Neisseria meningitidis: biology, microbiology, and epidemiology.

TL;DR: The biology, microbiology, and epidemiology of this exclusive human pathogen, which causes significant morbidity and mortality in children and young adults worldwide through epidemic or sporadic meningitis and/or septicemia is described.
Journal ArticleDOI

Advances in treatment of bacterial meningitis

TL;DR: This challenge, with a focus on strategies to optimise antibiotic efficacy in view of increasingly drug-resistant bacteria, is reviewed, and the role of current and future adjunctive therapies is discussed.
Journal ArticleDOI

Microbial Communities of the Upper Respiratory Tract and Otitis Media in Children

TL;DR: Increased understanding of upper respiratory tract microbial communities will contribute to the development of otitis media treatment and prevention strategies and lead to new ways to prevent middle ear infections, including probiotics.
References
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Journal ArticleDOI

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