Artículo
Emergence of resistance to ciprofloxacin in Neisseria meningitidis in Brazil
Registro en:
10.1099/jmm.0.000685
Autor
Gorla, María Cecilia
Cassiolato, Ana Paula
Pinhata, Juliana Maira Watanabe
de Moraes, Camile
Corso, Alejandra
Gagetti, Paula
Lemos, Ana Paula
Resumen
Fil: Gorla, Maria Cecília. Adolfo Lutz Institute. Bacteriology Department; Brasil. Fil: Cassiolato, Ana Paula. Adolfo Lutz Institute. Bacteriology Department; Brasil. Fil: Pinhata, Juliana Maira Watanabe. Adolfo Lutz Institute. Bacteriology Department; Brasil. Fil: de Moraes, Camile. Ministry of Health. Secretariat of Health Surveillance; Brasil. Fil: Corso, Alejandra. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Gagetti, Paula. ANLIS Dr.C.G.Malbrán. Instituto Nacional de Enfermedades Infecciosas; Argentina. Fil: Lemos, Ana Paula. Adolfo Lutz Institute. Bacteriology Department; Brasil. To prevent secondary invasive meningococcal disease (IMD) cases and outbreaks, antimicrobial prophylaxis of high-risk contacts is indicated. This study reports two ciprofloxacin-resistant Neisseria meningitidis strains in Brazil. The 3523 N. meningitidis isolates collected throughout Brazil from 2009 to 2016 were evaluated for antimicrobial resistance. Meningococcal isolates showing minimal inhibitory concentrations, MICs≥0.125µg ml-1 to ciprofloxacin, were analysed to determine the presence of mutations in the quinolone resistance-determining regions (QRDRs) of gyrA and parC genes. Two ciprofloxacin-resistant N. meningitidis isolates were found, both presenting a single mutation in the quinolone resistance-determining region of the gyrA gene. These results confirmed that ciprofloxacin is still a first-line drug for chemoprophylaxis. However, we highlight the importance of continued surveillance to monitor the trends of N. meningitidis susceptibility profiles to the antimicrobials recommended for chemoprophylaxis and IMD treatment.