Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative
- Autores
- Feng, Ye; Chiu, Cheng-Hsun; Heininger, Ulrich; Hozbor, Daniela Flavia; Tan, Tina Q.; Wirsing von König, Carl-Heinz
- Año de publicación
- 2021
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Whooping cough, or pertussis, is a highly communicable infectious disease caused by the bacterium Bordetella pertussis. Vaccination once reduced the incidence of the disease, but a global resurgence of the infection happened during the past two decades, likely due to the waning immunity of vaccination. Macrolides such as erythromycin and azithromycin are the drugs of primary choice for treatment. In this personal view, we call for attention to macrolide-resistant B. pertussis (MRBP), which has emerged and prevailed in mainland China for years and are exclusively mediated by mutations in the 23S rRNA gene. Whether the prevalence of MRBP in China results from overuse of azithromycin in clinical medicine remains unknown. The incidence of MRBP is low in other countries, but this could be a technical illusion since China employs culture as the mainstream diagnostic method whereas nucleic-acid amplification test being widely used in other countries fail to test antimicrobial susceptibility. Given the increasingly frequent global travel that facilitates microbial transmission worldwide, there is a pressing need to perform international surveillance on MRBP to prevent the potential circulation of the organism. Finding alternative agents that possess good activity against B. pertussis is also urgently required.
Instituto de Biotecnologia y Biologia Molecular - Materia
-
Biología
Pertussis
Macrolide
Resistance - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- http://creativecommons.org/licenses/by-nc-nd/4.0/
- Repositorio
- Institución
- Universidad Nacional de La Plata
- OAI Identificador
- oai:sedici.unlp.edu.ar:10915/128427
Ver los metadatos del registro completo
id |
SEDICI_70db15029a1c4bd0c6d61ba153c59502 |
---|---|
oai_identifier_str |
oai:sedici.unlp.edu.ar:10915/128427 |
network_acronym_str |
SEDICI |
repository_id_str |
1329 |
network_name_str |
SEDICI (UNLP) |
spelling |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiativeFeng, YeChiu, Cheng-HsunHeininger, UlrichHozbor, Daniela FlaviaTan, Tina Q.Wirsing von König, Carl-HeinzBiologíaPertussisMacrolideResistanceWhooping cough, or pertussis, is a highly communicable infectious disease caused by the bacterium Bordetella pertussis. Vaccination once reduced the incidence of the disease, but a global resurgence of the infection happened during the past two decades, likely due to the waning immunity of vaccination. Macrolides such as erythromycin and azithromycin are the drugs of primary choice for treatment. In this personal view, we call for attention to macrolide-resistant B. pertussis (MRBP), which has emerged and prevailed in mainland China for years and are exclusively mediated by mutations in the 23S rRNA gene. Whether the prevalence of MRBP in China results from overuse of azithromycin in clinical medicine remains unknown. The incidence of MRBP is low in other countries, but this could be a technical illusion since China employs culture as the mainstream diagnostic method whereas nucleic-acid amplification test being widely used in other countries fail to test antimicrobial susceptibility. Given the increasingly frequent global travel that facilitates microbial transmission worldwide, there is a pressing need to perform international surveillance on MRBP to prevent the potential circulation of the organism. Finding alternative agents that possess good activity against B. pertussis is also urgently required.Instituto de Biotecnologia y Biologia Molecular2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArticulohttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttp://sedici.unlp.edu.ar/handle/10915/128427enginfo:eu-repo/semantics/altIdentifier/issn/2666-6065info:eu-repo/semantics/altIdentifier/doi/10.1016/j.lanwpc.2021.100098info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)reponame:SEDICI (UNLP)instname:Universidad Nacional de La Platainstacron:UNLP2025-09-29T11:30:57Zoai:sedici.unlp.edu.ar:10915/128427Institucionalhttp://sedici.unlp.edu.ar/Universidad públicaNo correspondehttp://sedici.unlp.edu.ar/oai/snrdalira@sedici.unlp.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:13292025-09-29 11:30:57.943SEDICI (UNLP) - Universidad Nacional de La Platafalse |
dc.title.none.fl_str_mv |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
title |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
spellingShingle |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative Feng, Ye Biología Pertussis Macrolide Resistance |
title_short |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
title_full |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
title_fullStr |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
title_full_unstemmed |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
title_sort |
Emerging macrolide resistance in Bordetella pertussis in mainland China: findings and warning from the global pertussis initiative |
dc.creator.none.fl_str_mv |
Feng, Ye Chiu, Cheng-Hsun Heininger, Ulrich Hozbor, Daniela Flavia Tan, Tina Q. Wirsing von König, Carl-Heinz |
author |
Feng, Ye |
author_facet |
Feng, Ye Chiu, Cheng-Hsun Heininger, Ulrich Hozbor, Daniela Flavia Tan, Tina Q. Wirsing von König, Carl-Heinz |
author_role |
author |
author2 |
Chiu, Cheng-Hsun Heininger, Ulrich Hozbor, Daniela Flavia Tan, Tina Q. Wirsing von König, Carl-Heinz |
author2_role |
author author author author author |
dc.subject.none.fl_str_mv |
Biología Pertussis Macrolide Resistance |
topic |
Biología Pertussis Macrolide Resistance |
dc.description.none.fl_txt_mv |
Whooping cough, or pertussis, is a highly communicable infectious disease caused by the bacterium Bordetella pertussis. Vaccination once reduced the incidence of the disease, but a global resurgence of the infection happened during the past two decades, likely due to the waning immunity of vaccination. Macrolides such as erythromycin and azithromycin are the drugs of primary choice for treatment. In this personal view, we call for attention to macrolide-resistant B. pertussis (MRBP), which has emerged and prevailed in mainland China for years and are exclusively mediated by mutations in the 23S rRNA gene. Whether the prevalence of MRBP in China results from overuse of azithromycin in clinical medicine remains unknown. The incidence of MRBP is low in other countries, but this could be a technical illusion since China employs culture as the mainstream diagnostic method whereas nucleic-acid amplification test being widely used in other countries fail to test antimicrobial susceptibility. Given the increasingly frequent global travel that facilitates microbial transmission worldwide, there is a pressing need to perform international surveillance on MRBP to prevent the potential circulation of the organism. Finding alternative agents that possess good activity against B. pertussis is also urgently required. Instituto de Biotecnologia y Biologia Molecular |
description |
Whooping cough, or pertussis, is a highly communicable infectious disease caused by the bacterium Bordetella pertussis. Vaccination once reduced the incidence of the disease, but a global resurgence of the infection happened during the past two decades, likely due to the waning immunity of vaccination. Macrolides such as erythromycin and azithromycin are the drugs of primary choice for treatment. In this personal view, we call for attention to macrolide-resistant B. pertussis (MRBP), which has emerged and prevailed in mainland China for years and are exclusively mediated by mutations in the 23S rRNA gene. Whether the prevalence of MRBP in China results from overuse of azithromycin in clinical medicine remains unknown. The incidence of MRBP is low in other countries, but this could be a technical illusion since China employs culture as the mainstream diagnostic method whereas nucleic-acid amplification test being widely used in other countries fail to test antimicrobial susceptibility. Given the increasingly frequent global travel that facilitates microbial transmission worldwide, there is a pressing need to perform international surveillance on MRBP to prevent the potential circulation of the organism. Finding alternative agents that possess good activity against B. pertussis is also urgently required. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Articulo http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://sedici.unlp.edu.ar/handle/10915/128427 |
url |
http://sedici.unlp.edu.ar/handle/10915/128427 |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/issn/2666-6065 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.lanwpc.2021.100098 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-nd/4.0/ Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:SEDICI (UNLP) instname:Universidad Nacional de La Plata instacron:UNLP |
reponame_str |
SEDICI (UNLP) |
collection |
SEDICI (UNLP) |
instname_str |
Universidad Nacional de La Plata |
instacron_str |
UNLP |
institution |
UNLP |
repository.name.fl_str_mv |
SEDICI (UNLP) - Universidad Nacional de La Plata |
repository.mail.fl_str_mv |
alira@sedici.unlp.edu.ar |
_version_ |
1844616189285761024 |
score |
13.070432 |