Prevalence, Molecular Identification and Antibiogram Profile of Neisseria gonorrhoeae among Individuals in Yenagoa, Bayelsa State, South South, Nigeria

Main Article Content

Akpomedaye Salvage
Edobor Peter Kenneth Imarenezor
Vivian Ifeoma Anyiam
Ejiro Patrick Edafe

Abstract

Neisseria gonorrhoeae (N. gonorrhoeae), the bacterium causing gonorrhea, is a global public health concern, particularly in Nigeria, due to its increasing antibiotic resistance. Its often asymptomatic nature leads to under diagnosis, continued transmission, and severe complications like infertility and pelvic inflammatory disease. The objectives of this study are to investigate the prevalence, molecular identification and antibiogram profile N. gonorrhoeae among individuals in Yenagoa, Bayelsa State. A cross- sectional study was conducted with 288 participants from Federal Medical Centre and Silhouette Diagnostics Consultants, both in Yenagoa. Urethral swab from males and endocervical swab from females were collected for identification of the organism. Antibiotic susceptibility was tested using the Kirby-Bauer method. The results showed a 2.78% prevalence, with higher prevalence in males (4.76%) than in females (1.64%). Antibiogram results demonstrated high resistance to penicillin (100%), tetracycline (75%), and erythromycin (62.5%), while susceptibility was highest to ceftriaxone (100%), cefixime (87.5%), and azithromycin (62.5%). Molecular analysis identified the PorA gene in all eight isolates. Key risk factors included previous sexually transmitted infections, multiple sexual partners, and transactional sex. The conclusion emphasizes the need for new antibiotics and vaccines, improved diagnostics, safer sexual practices, and routine molecular surveillance to combat resistant strains. It recommends updating treatment protocols based on current antibiogram data and enhancing public health campaigns to raise awareness and prevent gonococcal infections.

Article Details

How to Cite
Salvage, A., Imarenezor, E. P. K., Anyiam, V. I., & Edafe, E. P. (2024). Prevalence, Molecular Identification and Antibiogram Profile of Neisseria gonorrhoeae among Individuals in Yenagoa, Bayelsa State, South South, Nigeria. African Journal of Medicine, Surgery and Public Health Research, 1(1), 66-78. https://doi.org/10.58578/ajmsphr.v1i1.4037

References

Belcher, T., Rollier, C. S., Dold, C., Ross, J. D. C., & MacLennan, C. A. (2023). Immune responses to Neisseria gonorrhoeae and implications for vaccine development. Frontiers in Immunology, 14. https://doi.org/10.3389/FIMMU.2023.1248613

Belga, S., Gratrix, J., Smyczek, P., Bertholet, L., Read, R., Roelofs, K., & Singh, A. E. (2019). Gonococcal conjunctivitis in adults: Case report and retrospective review of cases in Alberta, Canada, 2000-2016. Sexually Transmitted Diseases, 46(1), 47–51. https://doi.org/10.1097/OLQ.0000000000000897

Bozzini, A. B., Bauer, A., Maruyama, J., Simões, R., & Matijasevich, A. (2021). Factors associated with risk behaviors in adolescence: a systematic review. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil : 1999), 43(2), 210–221. https://doi.org/10.1590/1516-4446-2019-0835

Dolange, V., Churchward, C. P., Christodoulides, M., & Snyder, L. A. S. (2018). The Growing Threat of Gonococcal Blindness. Antibiotics (Basel, Switzerland), 7(3). https://doi.org/10.3390/ANTIBIOTICS7030059

Gobezie, M. Y., Tesfaye, N. A., Solomon, T., Demessie, M. B., Kassa, T. D., Wendie, T. F., Alemayehu, E., & Hassen, M. (2024). Neisseria gonorrhea in Ethiopia, prevalence among STI suspected patients and its antimicrobial susceptibility: a systematic review and meta-analysis. Frontiers in Microbiology, 15. https://doi.org/10.3389/FMICB.2024.1390001

Golparian, D., Rose, L., Lynam, A., Mohamed, A., Bercot, B., Ohnishi, M., Crowley, B., & Unemo, M. (2018). Multidrug-resistant Neisseria gonorrhoeae isolate, belonging to the internationally spreading Japanese FC428 clone, with ceftriaxone resistance and intermediate resistance to azithromycin, Ireland, August 2018. Euro Surveillance : Bulletin Europeen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin, 23(47). https://doi.org/10.2807/1560-7917.ES.2018.23.47.1800617

Guerrero-Torres, M. D., Menéndez, M. B., Guerras, C. S., Tello, E., Ballesteros, J., Clavo, P., Puerta, T., Vera, M., Ayerdi, O., Carrio, J. C., Mozo, I., Del Romero, J., Vázquez, J. A., & Abad, R. (2019). Epidemiology, molecular characterisation and antimicrobial susceptibility of Neisseria gonorrhoeae isolates in Madrid, Spain, in 2016. Epidemiology and Infection, 147, e274. https://doi.org/10.1017/S095026881900150X

Hjelmevoll, S. O., Olsen, M. E., Sollid, J. U. E., Haaheim, H., Melby, K. K., Moi, H., Unemo, M., & Skogen, V. (2008). Clinical validation of a real-time polymerase chain reaction detection of Neisseria gonorrheae porA pseudogene versus culture techniques. Sexually Transmitted Diseases, 35(5), 517–520. https://doi.org/10.1097/OLQ.0B013E3181644BC9

Kahsay, A. G., Mezgebo, T. A., Gebrekidan, G. B., Desta, B. L., Mihretu, H. G., & Dejene, T. A. (2023). Prevalence, Antibiotic Resistance and Associated Factors of Neisseria gonorrhoeae Among Patients Attending Non-Profitable Private Clinics in Mekelle, Tigrai, Ethiopia. Infection and Drug Resistance, 16, 4065–4072. https://doi.org/10.2147/IDR.S416344

Kennedy, W. T., & Ibinabo, O. L. (n.d.). Prevalence of Neisseria Gonorrhoea among Under Graduate Female Students of University Of Port Harcpurt Using Strand Displacement and Amplification (Sda) Technique. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN, 7(4), 76–79. Retrieved January 4, 2024, from www.iosrjournals.orgwww.iosrjournals.org76%7C

Kreisel, K. M., Spicknall, I. H., Gargano, J. W., Lewis, F. M. T., Lewis, R. M., Markowitz, L. E., Roberts, H., Johnson, A. S., Song, R., St. Cyr, S. B., Weston, E. J., Torrone, E. A., & Weinstock, H. S. (2021). Sexually Transmitted Infections Among US Women and Men: Prevalence and Incidence Estimates, 2018. Sexually Transmitted Diseases, 48(4), 208–214. https://doi.org/10.1097/OLQ.0000000000001355

Lewis, D. A. (2010). The Gonococcus fights back: is this time a knock out? Sexually Transmitted Infections, 86(6), 415–421. https://doi.org/10.1136/STI.2010.042648

Mahapure, K., & Singh, A. (2023). A Review of Recent Advances in Our Understanding of Neisseria gonorrhoeae. Cureus, 15(8), e43464. https://doi.org/10.7759/cureus.43464

Nsofor, C. A., & Eletuoh, J. (2017). Low prevalence of neisseria gonorrhoeae in owerri, Nigeria. MOJ Cell Science & Report, Volume 4(Issue 2). https://doi.org/10.15406/MOJCSR.2017.04.00083

Okonko, I. O., Alli, J. A. O., Okonko, I. O., Odu, N. N., & Kolade, A. F. (2011). Detection and Prevalence of Genital Pathogens among Attendees of Sti Clinic of a Tertiary Care Hospital in Ibadan, Southwestern Nigeria. World Journal of Medical Sciences, 6(3), 152–161.

Pollock, E. D., Clay, P. A., Kreisel, K. M., & Spicknall, I. H. (2023). Estimated Incidence and Prevalence of Gonorrhea in the United States, 2006-2019. Sexually Transmitted Diseases, 50(4), 188–195. https://doi.org/10.1097/OLQ.0000000000001763

Rodríguez-Planas, N., Sanz-de-Galdeano, A., & Terskaya, A. (2022). Gender norms in high school: Impacts on risky behaviors from adolescence to adulthood. Journal of Economic Behavior & Organization, 196, 429–456. https://doi.org/10.1016/J.JEBO.2022.01.015

Shim, B. S. (2011). Current concepts in bacterial sexually transmitted diseases. Korean Journal of Urology, 52(9), 589–597. https://doi.org/10.4111/KJU.2011.52.9.589

Springer, C., & Salen, P. (2023). Gonorrhea. Medizinische Monatsschrift Fur Pharmazeuten, 44(9), 342–345. https://doi.org/10.5005/jp/books/11938_30

Takuva, S., Mugurungi, O., Mutsvangwa, J., Machiha, A., Mupambo, A. C., Maseko, V., Cham, F., Mungofa, S., Mason, P., & Lewis, D. A. (2014). Etiology and antimicrobial susceptibility of pathogens responsible for urethral discharge among men in Harare, Zimbabwe. Sexually Transmitted Diseases, 41(12), 713–717. https://doi.org/10.1097/OLQ.0000000000000204

Unemo, M., del Rio, C., & Shafer, W. M. (2016). Antimicrobial Resistance Expressed by Neisseria gonorrhoeae: A Major Global Public Health Problem in the 21st Century. Microbiology Spectrum, 4(3). https://doi.org/10.1128/MICROBIOLSPEC.EI10-0009-2015

Unemo, M., Golparian, D., Nicholas, R., Ohnishi, M., Gallay, A., & Sednaouie, P. (2012). High-level cefixime- and ceftriaxone-resistant Neisseria gonorrhoeae in France: novel penA mosaic allele in a successful international clone causes treatment failure. Antimicrobial Agents and Chemotherapy, 56(3), 1273–1280. https://doi.org/10.1128/AAC.05760-11

Wang, A., Research Online, G., Wang, B. A., Seib C, K. L., & Marshall, H. A. (2024). The future role of vaccination in prevention of Neisseria gonorrhoeae Published 2024 Journal Title Microbiology Australia Rights statement The future role of vaccination in prevention of Neisseria gonorrhoeae. https://doi.org/10.1071/MA24034

Yellman, M. A., Bryan, L., Sauber-Schatz, E. K., & Brener, N. (2020). Transportation Risk Behaviors Among High School Students — Youth Risk Behavior Survey, United States, 2019. MMWR Supplements, 69(1), 77–83. https://doi.org/10.15585/MMWR.SU6901A9


Explore Our Journals
Find the most suitable journal for your research. If this journal does not fully align with the scope of your manuscript, we invite you to explore our wider portfolio of journals covering diverse fields of study. Please select one of the journals below to identify the most appropriate publication platform for your work.