Skip to main content
Top
Published in: Antimicrobial Resistance & Infection Control 1/2018

Open Access 01-12-2018 | Research

Neisseria Gonorrhoae and their antimicrobial susceptibility patterns among symptomatic patients from Gondar town, north West Ethiopia

Authors: Addisu Gize Yeshanew, Rozina Ambachew Geremew

Published in: Antimicrobial Resistance & Infection Control | Issue 1/2018

Login to get access

Abstract

Background

Neisseria gonorrhoeae, the causative agent of gonorrhoea, is a Gram negative, coffee-bean shaped facultative intracellular diplococcus bacterium, the classical sexually transmitted bacteria. Nowadays, N. gonorrhoeae has developed high-level resistance to all traditional antimicrobials used for the treatment of gonorrhoea and makes the treatment complicated. So, the aim of this study was to determine magnitude and antimicrobial resistance patterns of N. gonorrhoeae.

Methods

A cross sectional study was conducted between April and August 2016 among STI clinic clients in Gondar town hospitals and health centers. Urethral swab and cervical swab specimens were inoculated to Thayer Martin media (OXOID, UK) plates. Observation of Gram-negative intracellular diplococcic was a presumptive diagnosis of gonococcal infection. Finally, antimicrobial susceptibility was assessed by using a modified Kirby-Bauer disk diffusion test, with results indicating susceptible, intermediate or resistant. Data were entered and analyzed using SPSS version 20.

Results

The overall prevalence of laboratory confirmed N. gonorrhoeae was 25(20.8%). The isolated N. gonorrhoeae was resistant 100% to tetracycline, penicillin and 80% percent was multidrug resistant.

Conclusion

Prevalence and drug resistance of N. gonorrhoeae were high in the study area. A large study is needed in order to know the magnitude in the community as well as to increase awareness of both regional health bureaus and the Ministry of Health about the treatment guide-lines.
Literature
1.
go back to reference Ali S, Sewunet T, Sahlemariam Z, Kibru G. Neisseria gonorrhoeae among suspects of sexually transmitted infection in Gambella hospital, Ethiopia: risk factors and drug resistance. BMC Res Notes. 2016 Sep 13;9(1):439.CrossRefPubMedPubMedCentral Ali S, Sewunet T, Sahlemariam Z, Kibru G. Neisseria gonorrhoeae among suspects of sexually transmitted infection in Gambella hospital, Ethiopia: risk factors and drug resistance. BMC Res Notes. 2016 Sep 13;9(1):439.CrossRefPubMedPubMedCentral
2.
go back to reference Hailemariam M, Abebe T, Mihret A, Lambiyo T. Prevalence of Neisseria gonorrhoeae. And their antimicrobial susceptibility patterns among symptomatic women attending gynecology outpatient department in Hawassa Referral Hospital, Hawassa, Ethiopia. Ethiop J Health Sci. 2013 Jan 1;23(1):10–8.PubMedPubMedCentral Hailemariam M, Abebe T, Mihret A, Lambiyo T. Prevalence of Neisseria gonorrhoeae. And their antimicrobial susceptibility patterns among symptomatic women attending gynecology outpatient department in Hawassa Referral Hospital, Hawassa, Ethiopia. Ethiop J Health Sci. 2013 Jan 1;23(1):10–8.PubMedPubMedCentral
3.
go back to reference Fingerhuth SM, Bonhoeffer S, Low N, Althaus CL. Antibiotic-resistant Neisseria gonorrhoeae spread faster with more treatment. Not More Sexual Partners PLoS Pathog. 2016 May;12(5):e1005611.CrossRefPubMed Fingerhuth SM, Bonhoeffer S, Low N, Althaus CL. Antibiotic-resistant Neisseria gonorrhoeae spread faster with more treatment. Not More Sexual Partners PLoS Pathog. 2016 May;12(5):e1005611.CrossRefPubMed
4.
go back to reference Kirkcaldy RD, Harvey A, Papp JR, Del Rio C, Soge OO, Holmes KK, et al. Neisseria gonorrhoeae Antimicrobial Susceptibility Surveillance - The Gonococcal Isolate Surveillance Project, 27 Sites, United States, 2014. Morb Mortal Wkly Rep Surveill Summ Wash DC 2002. 2016 Jul 15;65(7):1–19. Kirkcaldy RD, Harvey A, Papp JR, Del Rio C, Soge OO, Holmes KK, et al. Neisseria gonorrhoeae Antimicrobial Susceptibility Surveillance - The Gonococcal Isolate Surveillance Project, 27 Sites, United States, 2014. Morb Mortal Wkly Rep Surveill Summ Wash DC 2002. 2016 Jul 15;65(7):1–19.
7.
go back to reference Kidd S, Moore PC, Kirkcaldy RD, Philip SS, Wiesenfeld HC, Papp JR, et al. Comparison of antimicrobial susceptibility of urogenital Neisseria gonorrhoeae isolates obtained from women and men. Sex Transm Dis. 2015 Aug;42(8):434–9.CrossRefPubMedPubMedCentral Kidd S, Moore PC, Kirkcaldy RD, Philip SS, Wiesenfeld HC, Papp JR, et al. Comparison of antimicrobial susceptibility of urogenital Neisseria gonorrhoeae isolates obtained from women and men. Sex Transm Dis. 2015 Aug;42(8):434–9.CrossRefPubMedPubMedCentral
8.
go back to reference Martin IMC, Hoffmann S, Ison CA. European surveillance of sexually transmitted infections (ESSTI): the first combined antimicrobial susceptibility data for Neisseria gonorrhoeae in Western Europe. J Antimicrob Chemother. 2006 Sep 1;58(3):587–93.CrossRefPubMed Martin IMC, Hoffmann S, Ison CA. European surveillance of sexually transmitted infections (ESSTI): the first combined antimicrobial susceptibility data for Neisseria gonorrhoeae in Western Europe. J Antimicrob Chemother. 2006 Sep 1;58(3):587–93.CrossRefPubMed
9.
go back to reference Ohnishi M, Golparian D, Shimuta K, Saika T, Hoshina S, Iwasaku K, et al. Is Neisseria gonorrhoeae initiating a future era of untreatable gonorrhea?: detailed characterization of the first strain with high-level resistance to ceftriaxone. Antimicrob Agents Chemother. 2011 Jul 1;55(7):3538–45.CrossRefPubMedPubMedCentral Ohnishi M, Golparian D, Shimuta K, Saika T, Hoshina S, Iwasaku K, et al. Is Neisseria gonorrhoeae initiating a future era of untreatable gonorrhea?: detailed characterization of the first strain with high-level resistance to ceftriaxone. Antimicrob Agents Chemother. 2011 Jul 1;55(7):3538–45.CrossRefPubMedPubMedCentral
10.
12.
go back to reference Wkler MA, Cockerill FR, Bush K, Dudely MN, Etiopoule GM, Hardy DJ, et al. Clinical and Laboratory Standard Institute. Performance standards for antimicrobial disc susceptibility tests; Approved standard, 10th edn. Available from: http://www.clsi.org/source/orders/free/ m02-a10.pdf. Wkler MA, Cockerill FR, Bush K, Dudely MN, Etiopoule GM, Hardy DJ, et al. Clinical and Laboratory Standard Institute. Performance standards for antimicrobial disc susceptibility tests; Approved standard, 10th edn. Available from: http://​www.​clsi.​org/​source/​orders/​free/​ m02-a10.pdf.
14.
go back to reference Zimba TF, Apalata T, Sturm WA, Moodley P. Aetiology of sexually transmitted infections in Maputo. Mozambique J Infect Dev Ctries. 2010;5(01):041–7.CrossRef Zimba TF, Apalata T, Sturm WA, Moodley P. Aetiology of sexually transmitted infections in Maputo. Mozambique J Infect Dev Ctries. 2010;5(01):041–7.CrossRef
15.
go back to reference Ali F, Aziz AA, Helmy MF, Mobdy AA, Darwish M. Prevalence of certain sexually transmitted diseases in Egypt. J Egypt Public Health Assoc. 1995;71(5–6):553–75. Ali F, Aziz AA, Helmy MF, Mobdy AA, Darwish M. Prevalence of certain sexually transmitted diseases in Egypt. J Egypt Public Health Assoc. 1995;71(5–6):553–75.
16.
go back to reference Bersoff-Matcha SJ, Horgan MM, Fraser VJ, Mundy LM, Stoner BP. Sexually transmitted disease acquisition among women infected with human immunodeficiency virus type 1. J Infect Dis. 1998;178(4):1174–7.CrossRefPubMed Bersoff-Matcha SJ, Horgan MM, Fraser VJ, Mundy LM, Stoner BP. Sexually transmitted disease acquisition among women infected with human immunodeficiency virus type 1. J Infect Dis. 1998;178(4):1174–7.CrossRefPubMed
17.
go back to reference Tibebu M, Shibabaw A, Medhin G, Kassu A. Neisseria gonorrhoeae non-susceptible to cephalosporins and quinolones in Northwest Ethiopia. BMC Infect Dis. 2013 Sep 5;13:415.CrossRefPubMedPubMedCentral Tibebu M, Shibabaw A, Medhin G, Kassu A. Neisseria gonorrhoeae non-susceptible to cephalosporins and quinolones in Northwest Ethiopia. BMC Infect Dis. 2013 Sep 5;13:415.CrossRefPubMedPubMedCentral
18.
go back to reference Garland SM, Tabrizi SN, Chen S, Byambaa C, Davaajav K. Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, chlamydia trachomatis, trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar. Mongolia Infect Dis Obstet Gynecol. 2001;9(3):143–6.CrossRefPubMed Garland SM, Tabrizi SN, Chen S, Byambaa C, Davaajav K. Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, chlamydia trachomatis, trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar. Mongolia Infect Dis Obstet Gynecol. 2001;9(3):143–6.CrossRefPubMed
19.
go back to reference Kent CK, Chaw JK, Wong W, Liska S, Gibson S, Hubbard G, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhoeae. Detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis. 2005;41(1):67–74.CrossRefPubMed Kent CK, Chaw JK, Wong W, Liska S, Gibson S, Hubbard G, et al. Prevalence of rectal, urethral, and pharyngeal chlamydia and gonorrhoeae. Detected in 2 clinical settings among men who have sex with men: San Francisco, California, 2003. Clin Infect Dis. 2005;41(1):67–74.CrossRefPubMed
20.
go back to reference Ángel-Müller E, Rodríguez A, Núñez-Forero LM, Moyano LF, González P, Osorio E, et al. The prevalence of and factors associated with C. Trachomatis, N. Gonorrhoeae, t. Vaginalis, C. Albicans infection, syphilis, HIV and bacterial vaginosis in females suffering lower genital tract infection symptoms in three healthcare attention sites in Bogotá, Colombia, 2010. Rev Colomb Obstet Ginecol. 2012;63(1):14–24.CrossRef Ángel-Müller E, Rodríguez A, Núñez-Forero LM, Moyano LF, González P, Osorio E, et al. The prevalence of and factors associated with C. Trachomatis, N. Gonorrhoeae, t. Vaginalis, C. Albicans infection, syphilis, HIV and bacterial vaginosis in females suffering lower genital tract infection symptoms in three healthcare attention sites in Bogotá, Colombia, 2010. Rev Colomb Obstet Ginecol. 2012;63(1):14–24.CrossRef
21.
go back to reference Okonko IO, Okerentugba PO, Adejuwon AO, Onoh CC. Prevalence of sexually transmitted infections (STIs) among attendees of lead city university medical Centre in Ibadan, southwestern. Nigeria Arch Appl Sci Res. 2012;4(2):980–7. Okonko IO, Okerentugba PO, Adejuwon AO, Onoh CC. Prevalence of sexually transmitted infections (STIs) among attendees of lead city university medical Centre in Ibadan, southwestern. Nigeria Arch Appl Sci Res. 2012;4(2):980–7.
22.
go back to reference Taffa N, Bjune G, Sundby J, Gaustad P, Alestrøm A. Prevalence of gonococcal and chlamydial infections and sexual risk behavior among youth in Addis Ababa. Ethiopia Sex Transm Dis. 2002;29(12):828–33.CrossRefPubMed Taffa N, Bjune G, Sundby J, Gaustad P, Alestrøm A. Prevalence of gonococcal and chlamydial infections and sexual risk behavior among youth in Addis Ababa. Ethiopia Sex Transm Dis. 2002;29(12):828–33.CrossRefPubMed
23.
go back to reference Duncan ME, Reimann K, Tibaux G, Pelzer A, Mehari L, Lind I. Seroepidemiological study of gonorrhoea in Ethiopian women. 1. Prevalence and clinical significance. Genitourin Med. 1991;67(6):485–92.PubMedPubMedCentral Duncan ME, Reimann K, Tibaux G, Pelzer A, Mehari L, Lind I. Seroepidemiological study of gonorrhoea in Ethiopian women. 1. Prevalence and clinical significance. Genitourin Med. 1991;67(6):485–92.PubMedPubMedCentral
24.
go back to reference Workowski KA, Berman SM. Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines. Clin Infect Dis. 2007 Apr 1;Supplement_3(44):S73–6.CrossRef Workowski KA, Berman SM. Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines. Clin Infect Dis. 2007 Apr 1;Supplement_3(44):S73–6.CrossRef
25.
go back to reference Force USPST. Screening for gonorrhoeae: recommendation statement. Ann Fam Med. 2005 May 1;3(3):263–7.CrossRef Force USPST. Screening for gonorrhoeae: recommendation statement. Ann Fam Med. 2005 May 1;3(3):263–7.CrossRef
Metadata
Title
Neisseria Gonorrhoae and their antimicrobial susceptibility patterns among symptomatic patients from Gondar town, north West Ethiopia
Authors
Addisu Gize Yeshanew
Rozina Ambachew Geremew
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Antimicrobial Resistance & Infection Control / Issue 1/2018
Electronic ISSN: 2047-2994
DOI
https://doi.org/10.1186/s13756-018-0376-3

Other articles of this Issue 1/2018

Antimicrobial Resistance & Infection Control 1/2018 Go to the issue