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Journal of Antimicrobial Chemotherapy, Vol 42, 303-307, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy


ORIGINAL ARTICLES

The detection of penicillin insensitivity in Neisseria meningitidis by polymerase chain reaction

AF Maggs, JM Logan, PE Carter and TH Pennington
Department of Medical Microbiology, University of Dundee Medical School, Ninewells Hospital, UK.

Strains of penicillin-sensitive and -insensitive Neisseria meningitidis were examined using a range of polymerase chain reaction (PCR) primers directed at the meningococcal penicillin-binding protein 2 gene. DNA from isolates whose penicillin MIC was <0.2 mg/L yielded a product of the expected size with all the primers, but many amplification patterns were seen with DNA from isolates whose MIC was above this level. All strains whose MIC was >0.25 mg/L failed to produce a product of the expected size with at least one of the primers used. The changes seen in penicillin-insensitive strains were consistent with horizontal gene transfer from Neisseria flavescens in some isolates, although the source for others remains unknown. PCR-based methods for the detection of antibiotic resistance are becoming increasingly important with the expanding use of molecular techniques for bacteriological diagnosis.
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A. Antignac, J.-M. Alonso, and M.-K. Taha
Nonculture Prediction of Neisseria meningitidis Susceptibility to Penicillin
Antimicrob. Agents Chemother., December 1, 2001; 45(12): 3625 - 3628.
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