1887

Abstract

Antimicrobial resistance (AMR) among is a global issue. Understanding the transmission dynamics of infection is an important factor in reducing the occurrence of AMR.

There is limited information on the genotyping and AMR traits of .

Single-locus sequence-based (SLSB) sequence typing and genetic diversity analyses of AMR isolated from patients in the Republic of Korea were performed to clarify the transmission dynamics and eludicate proper management.

Sanger sequencing of , 23S rRNA, and genes from a total of 103 . -positive specimens from 89 patients was carried out.

. Twenty-seven different genotypes (GTs) were identified; 12 had been reported previously and 15 had not. GT7 and GT8 occurred frequently (=38, 36.89 %, and =16, 15.53 %, respectively). The genetic diversity of the AMR-determining sites was randomly dispersed among the different GTs. However, these GTs were classified into two phylogenetically distinct clusters that were significantly correlated with patient age and genetic diversity at positions 2058 and 2059 in the 23S rRNA gene. The GTs of 20 consecutive samples from 6 patients were compared to investigate temporal changes in GTs. One specimen changed its GT during follow-up, suggesting a new infection.

. sequence typing can be a reliable tool for epidemiological studies. Two clusters have different characteristics in terms of genetic diversity. The cluster with genetic diversity in the AMR-determining site may be explained by the high prevalence of the specimens and subsequent antimicrobial exposure during the study period.

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2022-10-27
2024-05-02
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References

  1. Lis R, Rowhani-Rahbar A, Manhart LE. Mycoplasma genitalium infection and female reproductive tract disease: a meta-analysis. Clin Infect Dis 2015; 61:418–426 [View Article]
    [Google Scholar]
  2. Hamasuna R, Jensen JS, Osada Y. Antimicrobial susceptibilities of Mycoplasma genitalium strains examined by broth dilution and quantitative PCR. Antimicrob Agents Chemother 2009; 53:4938–4939 [View Article]
    [Google Scholar]
  3. Durukan D, Read TRH, Murray G, Doyle M, Chow EPF et al. Resistance-guided antimicrobial therapy using doxycycline-moxifloxacin and doxycycline-2.5 g azithromycin for the treatment of Mycoplasma genitalium infection: efficacy and tolerability. Clin Infect Dis 2020; 71:1461–1468 [View Article]
    [Google Scholar]
  4. Fookes MC, Hadfield J, Harris S, Parmar S, Unemo M et al. Mycoplasma genitalium: whole genome sequence analysis, recombination and population structure. BMC Genomics 2017; 18:993 [View Article]
    [Google Scholar]
  5. Wood GE, Iverson-Cabral SL, Gillespie CW, Lowens MS, Manhart LE et al. Sequence variation and immunogenicity of the Mycoplasma genitalium MgpB and MgpC adherence proteins during persistent infection of men with non-gonococcal urethritis. PLOS ONE 2020; 15:e0240626 [View Article]
    [Google Scholar]
  6. Jensen JS, Uldum SA, Søndergård-Andersen J, Vuust J, Lind K. Polymerase chain reaction for detection of Mycoplasma genitalium in clinical samples. J Clin Microbiol 1991; 29:46–50 [View Article]
    [Google Scholar]
  7. Dumke R, Spornraft-Ragaller P. Antibiotic resistance and genotypes of Mycoplasma genitalium during a resistance-guided treatment regime in a German University Hospital. Antibiotics 2021; 10:962 [View Article]
    [Google Scholar]
  8. Dumke R, Rust M, Glaunsinger T. MgpB types among Mycoplasma genitalium strains from men who have sex with men in Berlin, Germany, 2016–2018. Pathogens 2016; 9:12 [View Article]
    [Google Scholar]
  9. Sweeney EL, Tickner J, Bletchly C, Nimmo GR, Whiley DM. Genotyping of Mycoplasma genitalium suggests De Novo acquisition of antimicrobial resistance in Queensland, Australia. J Clin Microbiol 2020; 58:e00641-20 [View Article]
    [Google Scholar]
  10. Piñeiro L, Idigoras P, Cilla G. Molecular typing of Mycoplasma genitalium-positive specimens discriminates between persistent and recurrent infections in cases of treatment failure and supports contact tracing. Microorganisms 2019; 7:609 [View Article]
    [Google Scholar]
  11. Laumen JGE, van Alphen LB, Maduna LD, Hoffman CM, Klausner JD et al. Molecular epidemiological analysis of Mycoplasma genitalium shows low prevalence of azithromycin resistance and a well-established epidemic in South Africa. Sex Transm Infect 2021; 97:152–156 [View Article]
    [Google Scholar]
  12. Guiraud J, Lounnas M, Boissière A, Le Roy C, Elguero E et al. Lower mgpB diversity in macrolide-resistant Mycoplasma genitalium infecting men visiting two sexually transmitted infection clinics in Montpellier, France. J Antimicrob Chemother 2021; 76:43–47 [View Article]
    [Google Scholar]
  13. Fernández-Huerta M, Serra-Pladevall J, Esperalba J, Moreno-Mingorance A, Fernández-Naval C et al. Single-locus-sequence-based typing of the mgpB gene reveals transmission dynamics in Mycoplasma genitalium. J Clin Microbiol 2020; 58:e01886-19 [View Article]
    [Google Scholar]
  14. Kikuchi M, Ito S, Yasuda M, Tsuchiya T, Hatazaki K et al. Remarkable increase in fluoroquinolone-resistant Mycoplasma genitalium in Japan. J Antimicrob Chemother 2014; 69:2376–2382 [View Article]
    [Google Scholar]
  15. Seo Y, Park H, Lee G. Molecular mechanisms of macrolide and fluoroquinolone resistance among Korean isolates of Mycoplasma genitalium over a period of five years 2014-2019. J Med Microbiol 2021; 70: [View Article]
    [Google Scholar]
  16. Herrmann R, Reiner B. Mycoplasma pneumoniae and Mycoplasma genitalium: a comparison of two closely related bacterial species. Curr Opin Microbiol 1998; 1:572–579 [View Article]
    [Google Scholar]
  17. Kenri T, Suzuki M, Sekizuka T, Ohya H, Oda Y et al. Periodic genotype shifts in clinically prevalent Mycoplasma pneumoniae strains in Japan. Front Cell Infect Microbiol 2020; 10:385 [View Article]
    [Google Scholar]
  18. Jensen JS, Bradshaw CS, Tabrizi SN, Fairley CK, Hamasuna R. Azithromycin treatment failure in Mycoplasma genitalium-positive patients with nongonococcal urethritis is associated with induced macrolide resistance. Clin Infect Dis 2008; 47:1546–1553 [View Article]
    [Google Scholar]
  19. Mahlangu MP, Müller EE, Da Costa Dias B, Venter JME, Kularatne RS. Molecular characterization and detection of macrolide and luoroquinolone resistance determinants in Mycoplasma genitalium in South Africa, 2015 to 2018. Sex Transm Dis 2022; 49:511–516 [View Article]
    [Google Scholar]
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