Common Patterns and Unique Threats in Antimicrobial Resistance as Demonstrated by Global Gonococcal Surveillance
Adriana Le Van
, Nazia Rahman, Reuel Sandy, Nelson Dozier, Hunter J. Smith, Melissa J. Martin, Katelyn V. Bartlett, Krit Harncharoenkul, Anna Nanava, Tamar Akhvlediani, Paul Rios, Supriya D. Mehta, Walter Agingu, Denis K. Byarugaba, Fred Wabwire-Mangen, Hannah Kibuuka, Bernard Erima, Hope O. Kabatasi, Naiki Attram, Dutsadee Peerapongpaisarn, Wilawan Oransathit, Wirote Oransathit, Umaporn Suksawad, Woradee Lurchachaiwong, Somchai Sriplienchan, Nonlawat Boonyalai, Maneerat Somsri, Nithinart Chaitaveep, Ann Jerse, and Eric Garges
Author affiliation: Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA (A. Le Van, R. Sandy); Uniformed Services University, Bethesda (A. Le Van, R. Sandy, N. Dozier, A. Jerse, E. Garges); Cherokee Nation Strategic Programs, Tulsa, Oklahoma, USA (N. Rahman); Global Emerging Infections Surveillance Branch, Armed Forces Health Surveillance Division, Silver Spring, Maryland, USA (N. Rahman, H.J. Smith); Multidrug Resistant Organism Repository and Surveillance Network, Walter Reed Army Institute of Research, Silver Spring (M.J. Martin, K.V. Bartlett); Walter Reed Army Institute of Research, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand (K. Harncharoenkul, D. Peerapongpaisarn, Wilawan Oransathit, Wirote Oransathit, U. Suksawad, W. Lurchachaiwong, S. Sriplienchan, N. Boonyalai, M. Somsri, N. Chaitaveep); Walter Reed Army Institute of Research Europe-Middle East, Tbilisi, Georgia (A. Nanava, T. Akhvlediani); US Naval Medical Research Unit SOUTH, Lima, Peru (P. Rios); Rush University College of Medicine, Chicago, Illinois, USA (S.D. Mehta); Walter Reed Army Institute of Research-Africa, Kisumu, Kenya (W. Agingu); Makerere University Walter Reed Project, Kampala, Uganda (D.K. Byarugaba); Makerere University College of Veterinary Medicine, Kampala (D.K. Byarugaba, F. Wabwire-Mangen, H. Kibuuka, B. Erima, H.O. Kabatasi); US Naval Medical Research Unit EURAFCENT, Accra, Ghana (N. Attram); Walter Reed Army Institute of Research-Africa, Nairobi, Kenya (E. Garges)
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Figure 1
Figure 1. Distribution of most prevalent NG-MAST, MLST, and NG-STAR schemes in Global Emerging Infections Surveillance isolates of Neisseria gonorrhoeae received at Uniformed Services University, Bethesda, Maryland, USA, from sites outside the United States (n = 962) in study of common patterns and unique threats in antimicrobial resistance as demonstrated by global gonococcal surveillance. A) Percentage of isolates assigned to the most common NG-MAST types in each region. B) Percentage of isolates assigned to the most common MLST types in each region. C) Percentage of isolates assigned to the most common NG-STAR types in each region. MLST, multilocus sequence typing; NG-MAST, N. gonorrhoeae multiantigen sequence typing; NG-STAR, N. gonorrhoeae sequence typing for antimicrobial resistance.
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