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Distinguishing Importation From Diversification Of Quinolone-Resistant Neisseria Gonorrhoeae By Molecular Evolutionary Analysis, Keith A. Crandall, Marcos Perez-Losada, Margaret C. Bash, Michael Dan, Jonathan Zenilman, Raphael P. Viscidi
Distinguishing Importation From Diversification Of Quinolone-Resistant Neisseria Gonorrhoeae By Molecular Evolutionary Analysis, Keith A. Crandall, Marcos Perez-Losada, Margaret C. Bash, Michael Dan, Jonathan Zenilman, Raphael P. Viscidi
Faculty Publications
Distinguishing the recent introduction of quinolone resistant gonococci into a population from diversification of resistant strains already in the population is important for planning effective infection control strategies. We applied molecular evolutionary analyses to DNA sequences from 9 housekeeping genes and gyrA, parC and porB of 24 quinolone resistant N. gonorrhoeae (QRNG) and 24 quinolone sensitive isolates collected in Israel during 2000-2001. Results- Phylogenetic and eBURST analyses and estimates of divergence time indicated QRNG were introduced on 3 separate occasions and underwent limited diversification by mutation, deletion and horizontal gene transfer. Reconstruction of N. gonorrhoeae demography showed a slowly declining …