Increased rate of penicillin non-susceptible strains of N. meningitidis in Naples, Italy

J Chemother. 2017 Dec;29(6):389-390. doi: 10.1080/1120009X.2017.1351730. Epub 2017 Jul 20.

Abstract

Neisseria meningitidis is a causative agent of community-acquired sepsis and meningitis in humans. These diseases are associated with high mortality and morbidity if treatment is not started promptly. The empiric antibiotic treatment depends on patient factors and local epidemiology. In the past years, an increased number meningococcal strain with reduced susceptibility to penicillin has also been described. We analysed the susceptibility pattern of 11 N. meningitidis strains isolated between 2013 and 2016. Only three (27%) strains were fully susceptible to penicillin, suggesting that a third-generation cephalosporin, instead of penicillin, as empiric therapy is more reliable when an invasive meningococcal disease is suspected.

Keywords: Meningitis; Neisseria meningitides; Penicillin resistance; Sepsis.

MeSH terms

  • Humans
  • Italy / epidemiology
  • Meningococcal Infections / epidemiology*
  • Microbial Sensitivity Tests
  • Neisseria meningitidis
  • Penicillin Resistance*