title: Associations between serotype and susceptibility to antibiotics of Neisseria gonorrhoeae.
abstract: A serological classification scheme for Neisseria gonorrhoeae was used to investigate the epidemiological associations between gonococcal serotype and other bacterial and host characters. Six hundred and fifty clinical isolates of non-penicillinase producing N gonorrhoeae from the Praed Street Clinic, St Mary's Hospital, were included in this study. The strains collected represented 41 serovars, although 485 (75%) of the 650 strains belonged to five serovars. Strains of serovar IA-1/2 were commonly isolated from the cervix and tended to be sensitive to penicillin and moderately resistant to erythromycin. Strains of serovar IB-1 showed bimodal patterns of susceptibility to both penicillin and erythromycin and were obtained equally from all anatomical sites. Strains of serovar IB-2 were isolated more often from the rectum and were associated with homosexually acquired infections, whereas those of serovar IB-3 were sensitive to erythromycin and were rarely isolated from the rectum. Strains of IB-5/7 were more resistant to penicillin and erythromycin than strains of other serovars. The serological classification of N gonorrhoeae is thus a powerful tool that may be used to study biological characteristics of the gonococcus, such as susceptibility to antimicrobials and site tropism.
authors.affiliation: Department of Medical Microbiology, Wright-Fleming Institute, St Mary's Hospital Medical School, London.
authors.forename: N
authors.initials: N
authors.lastname: Woodford
authors.forename: K M
authors.initials: KM
authors.lastname: Bindayna
authors.forename: C S
authors.initials: CS
authors.lastname: Easmon
authors.forename: C A
authors.initials: CA
authors.lastname: Ison
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D009344:Neisseria gonorrhoeae / Q000145:classification* / Q000187:drug effects; D012703:Serotyping; D012725:Sexual Behavior
chemical_list: D000900:Anti-Bacterial Agents