Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-24909
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dc.contributor.authorCadosch, Dominique-
dc.contributor.authorGarcia, Victor-
dc.contributor.authorJensen, Jørgen S.-
dc.contributor.authorLow, Nicola-
dc.contributor.authorAlthaus, Christian L.-
dc.date.accessioned2022-04-29T15:31:58Z-
dc.date.available2022-04-29T15:31:58Z-
dc.date.issued2020-06-16-
dc.identifier.issn2167-8359de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/24909-
dc.description.abstractBackground: The rapid spread of azithromycin resistance in sexually transmitted Mycoplasma genitalium infections is a growing concern. It is not yet clear to what degree macrolide resistance in M. genitalium results from the emergence of de novo mutations or the transmission of resistant strains. Methods: We developed a compartmental transmission model to investigate the contribution of de novo macrolide resistance mutations to the spread of antimicrobial-resistant M. genitalium. We fitted the model to resistance data from France, Denmark and Sweden, estimated the time point of azithromycin introduction and the rates at which infected individuals receive treatment, and projected the future spread of resistance. Results: The high probability of de novo resistance in M. genitalium accelerates the early spread of antimicrobial resistance. The relative contribution of de novo resistance subsequently decreases, and the spread of resistant infections in France, Denmark and Sweden is now mainly driven by transmitted resistance. If treatment with single-dose azithromycin continues at current rates, macrolide-resistant M. genitalium infections will reach 25% (95% confidence interval, CI [9–30]%) in France, 84% (95% CI [36–98]%) in Denmark and 62% (95% CI [48–76]%) in Sweden by 2025. Conclusions: Blind treatment of urethritis with single-dose azithromycin continues to select for the spread of macrolide resistant M. genitalium. Clinical management strategies for M. genitalium should limit the unnecessary use of macrolides.de_CH
dc.language.isoende_CH
dc.publisherPeerJde_CH
dc.relation.ispartofPeerJde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectAntibiotic resistancede_CH
dc.subjectMathematical modelde_CH
dc.subjectMycoplasma genitaliumde_CH
dc.subjectSexually transmitted infectionde_CH
dc.subject.ddc616: Innere Medizin und Krankheitende_CH
dc.titleUnderstanding the spread of de novo and transmitted macrolide-resistance in Mycoplasma genitaliumde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementLife Sciences und Facility Managementde_CH
zhaw.organisationalunitInstitut für Computational Life Sciences (ICLS)de_CH
dc.identifier.doi10.7717/peerj.8913de_CH
dc.identifier.doi10.21256/zhaw-24909-
dc.identifier.pmid32292658de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.starte8913de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume8de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedApplied Mathematical Biologyde_CH
zhaw.funding.zhawExploring the silent fitness landscapede_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Life Sciences und Facility Management

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Cadosch, D., Garcia, V., Jensen, J. S., Low, N., & Althaus, C. L. (2020). Understanding the spread of de novo and transmitted macrolide-resistance in Mycoplasma genitalium. PeerJ, 8, e8913. https://doi.org/10.7717/peerj.8913
Cadosch, D. et al. (2020) ‘Understanding the spread of de novo and transmitted macrolide-resistance in Mycoplasma genitalium’, PeerJ, 8, p. e8913. Available at: https://doi.org/10.7717/peerj.8913.
D. Cadosch, V. Garcia, J. S. Jensen, N. Low, and C. L. Althaus, “Understanding the spread of de novo and transmitted macrolide-resistance in Mycoplasma genitalium,” PeerJ, vol. 8, p. e8913, Jun. 2020, doi: 10.7717/peerj.8913.
CADOSCH, Dominique, Victor GARCIA, Jørgen S. JENSEN, Nicola LOW und Christian L. ALTHAUS, 2020. Understanding the spread of de novo and transmitted macrolide-resistance in Mycoplasma genitalium. PeerJ. 16 Juni 2020. Bd. 8, S. e8913. DOI 10.7717/peerj.8913
Cadosch, Dominique, Victor Garcia, Jørgen S. Jensen, Nicola Low, and Christian L. Althaus. 2020. “Understanding the Spread of de Novo and Transmitted Macrolide-Resistance in Mycoplasma Genitalium.” PeerJ 8 (June): e8913. https://doi.org/10.7717/peerj.8913.
Cadosch, Dominique, et al. “Understanding the Spread of de Novo and Transmitted Macrolide-Resistance in Mycoplasma Genitalium.” PeerJ, vol. 8, June 2020, p. e8913, https://doi.org/10.7717/peerj.8913.


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