This paper is only available as a PDF. To read, Please Download here.
Strains of gonococci isolated from 383 episodes of infection in women were classified serologically by means of two independently developed panels (Pharmacia (Ph) and Genetic Sytems (GS)) of monoclonal coagglutination reagents. Strains isolated from two groups of patients — those with concomitant genital and rectal infection (Group R) and those with genital infection in the absence of rectal infection (Group G) — were compared in order to determine whether certain strains of gonococci are isolated more often from women with concomitant rectal infection. Group R patients accounted for 126 (33 %) episodes and Group G patients accounted for 223 (58%) episodes. Strains belonging to serogroup WII/III accounted for 61 (48%) Group R infections and 86 (39 %) Group G infections. The difference was not statistically significant (0·1 > P > 0·05). Strains of serogroup WI could be resolved into 7 Ph- and 10 GS-serovars while strains of serogroup WII/III could be resolved into 19 Ph- and 14 GS-serovars. One GS-serovar, Bajk, was isolated from 34 (27%) Group R patients compared with 39 (17 %) Group G patients. This difference was statistically significant (P = 0·05). Compared with non-Bajk isolates, Bajk strongly correlated with reduced susceptibility to penicillin: 60 (92%) Bajk isolates had minimum inhibitory concentrations (MIC) ⩾ 0·06 mg/l penicillin compared with 81 (33 %) non-Bajk isolates (P < 0·001). The GS-serovar Bacejk, however, was significantly less susceptible to penicillin than was serovar Bajk: 26 (90%) Bacejk isolates had MICs ⩾ 0·12 mg/l penicillin compared with 29 (44%) Bajk isolates (P < 0·001). Therefore decreased susceptibility to penicillin does not lead in itself to rectal colonisation.
It was concluded that certain gonococcal strains are more likely to cause concomitant rectal infection than others and that their reduced susceptibility to penicillin suggests that rectal test-of-cure cultures are essential in those women treated for anogenital infection.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Infection
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Anorectal venereal disease.in: Proc R Soc Med. 57. 1964: 179-180
- Prevalence of rectal and pharyngeal infection in women with gonorrhoea in Sheffield.Br J Vener Dis. 1979; 55: 408-410
- Anorectal gonorrhoea in women: Is it more difficult to cure?.Sex Transm Dis. 1986; 13: 97-101
- Observations on the culture diagnosis of gonorrhoea in women.JAMA. 1969; 210: 312-314
- The rectal culture as a test of cure of gonorrhoea in the female.J Infect Dis. 1972; 125: 499-503
- Diagnosis of gonorrhoea in women: Role of the rectal sample.Br J Vener Dis. 1974; 50: 109-112
- Gonococcal anogenital infection.Clin Obstet Gynecol. 1975; 18: 103-119
- Anorectal gonococcal infection.Ann Intern Med. 1977; 86: 340-346
- Gonococcal sensitivity to fecal lipids can be mediated by an mtr-independent mechanism.J Clin Microbiol. 1983; 18: 121-127
- Inhibitory action of fatty acids on the growth of Neisseria gonorrhoeae.Infect Immun. 1977; 17: 303-312
- Inheritance of low-level resistance to penicillin, tetracycline and chloramphenicol in Neisseria gonorrhoeae.J Bacteriol. 1975; 124: 740-749
- Identification of drug resistance loci in various clinical isolates of Neisseria gonorrhoeae.Antimicrob Agents Chemother. 1977; 12: 444-446
- Gonococcal strains from homosexual men have outer membranes with reduced permeability to hydrophobic molecules.Infect Immun. 1982; 37: 432-438
- Correlation of cell envelope phenotypes with site of infection and serogroup.J Med Microbiol. 1985; 20: 379-386
- Serology of Neisseria gonorrhoeae: Coagglutination serogroups WI and WII/III correspond to different outer membrane protein I molecules.Infect Immun. 1982; 38: 462-470
- Gonorrhoea in men with homosexual contacts: Serogroups of isolated gonococcal strains related to antibiotic susceptibility, site of infection, and symptoms.Br J Vener Dis. 1981; 57: 320-324
- Serogrouping Neisseria gonorrhoeae: Correlation of coagglutination serogroup WII with homosexually acquired infection.Br J Vener Dis. 1984; 60: 302-305
- Serological classification of Neisseria gonorrhoeae with monoclonal antibodies.Infect Immun. 1982; 36: 1042-1053
- Evaluation of a new set of Neisseria gonorrhoeae serogroup W-specific monoclonal antibodies for serovar determination.in: Schoolnik GK Brooks GF Falkow S The pathogenic Neisseriae. American Society for Microbiology, London1985: 26-30
- Gonococcal serovar distribution in Stockholm with special reference to multiple infections and infected partners.Acta Pathol Microbiol Immunol Scand (B). 1985; 93: 225-232
- Serological classification of Neisseria gonorrhoeae: Serovars associated with homosexually acquired infection.in: Poolman JT Gonococci and meningococci. Kluwer, Washington DC1988: 63-72
- Cultural diagnosis of gonorrhoea with modified New York City (MNYC) medium.Br J Vener Dis. 1978; 54: 36-40
- Rapid carbohydrate utilisation test for the identification of Neisseria gonorrhoeae.Br J Vener Dis. 1976; 52: 172-175
- The utility of monoclonal antibody coagglutination identification of Neisseria gonorrhoeae.Genitourin Med. 1989; 65: 8-13
- Neisseria gonorrhoeae I. Virulence genetically linked to colonial variation.J Bacteriol. 1963; 85: 1274-1279
- Serological classification of Neisseria gonorrhoeae with monoclonal antibody coagglutination reagents.Genitourin Med. 1987; 63: 225-232
- Comparison of two different sets of monoclonal antibodies for the serological classification of Neisseria gonorrhoeae.in: Schoolnik GK Brooks GF Falkow S The pathogenic Neisseriae. American Society for Microbiology, Dordrecht1985: 31-36
- Gonococcal W serogroups in Scandinavia: A study with polyclonal and monoclonal antibodies.Acta Pathol Microbiol Immunol Scand (B). 1983; 91: 293-305
- Antigenic drift of gonococcal protein I as judged by serovar determination.in: Schoolnik GK Brooks GF Falkow S The pathogenic Neisseriae. American Society for Microbiology, Washington DC1985: 13-19
- Experience with a selective medium in the routine diagnosis of gonorrhoea in women.Acta Pathol Microbiol Immunol Scand. 1966; 67: 563-568
- Mutations to increased antibiotic sensitivity to naturally occurring gonococci.Nature. 1978; 271: 242-244
- Protein I of Neisseria gonorrhoeae outer membrane is a porin.FEMS Microbiol Lett. 1981; 12: 305-309
- Protein IA and IB exhibit different surface exposures and orientations in the outer membranes of Neisseria gonorrhoeae.Infect Immun. 1984; 44: 565-568
- Antibiotic susceptibility of Neisseria gonorrhoeae in relation to serogroups.Acta Pathol Microbiol Immunol Scand (B). 1981; 89: 227-237
- Genetic linkage between serogroup specificity and antibiotic resistance in Neisseria gonorrhoeae.Acta Pathol Microbiol Immunol Scand (B). 1982; 90: 243-250
- Some aspects of gonorrhoea in the female — with special reference to infection of the rectum.Br J Vener Dis. 1948; 24: 26-39
- Some observations on the diagnosis of rectal gonorrhoea in both sexes using a selective culture medium.Br J Vener Dis. 1966; 42: 103-106
- Gonorrhoea in heterosexual men.in: Correlation between gonococcal W serogroup, Chlamydia trachomatis infection and objective symptoms. Acta Derm Venereol. 66. 1986: 453-456
Accepted: August 18, 1988
This work was supported by a Scottish Home and Health Department grant (research grant no. K/MRS/50.C785).
© 1989 The British Society for the Study of Infection. Published by Elsevier Inc.