Prevalence of Neisseria meningitidis in urine from men in Ohio by molecular testing Article Swipe
Hannah Wang
,
Bethany Burns
,
Deborah Wilson
,
Kelly Marigney
,
David Plunkett
,
Vinh Dang
,
Marisa Tungsiripat
,
Daniel Rhoads
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofaf701
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofaf701
Background Meningococcal urethritis is recognized as an emerging disease. However, its contemporary prevalence is unknown, and no molecular diagnostic tests are commercially available. With the widespread transition to molecular methods for sexually transmitted infection screening, high-throughput well-validated molecular methods for Neisseria meningitidis detection in urine may be useful for surveillance and diagnosis. Methods We tested for N. meningitidis using polymerase chain reaction (PCR) in 1005 residual male urines submitted for standard-of-care gonorrhea/chlamydia testing. Subjects were designated “Symptomatic” if an ICD10 code matching urethritis, dysuria, or urethral discharge was noted or “Random” if not. A sodC-targeted PCR was adapted on the Panther Fusion (Hologic) for initial testing; an orthogonal metA-targeted PCR was used for confirmation of initial positive results. Results Overall prevalence (95% CI) of N. meningitidis was 1.5% (0.8-2.5%) when considering initial results, and 0.5% (0.2-1.2%) when considering only samples with successful confirmation. An initial detection of meningococcus more frequently confirmed as positive from subjects in the “Symptomatic” compared to “Random” cohort (100% vs. 9.1%, p=0.004). Positive and negative percent agreement (95% CI) of sodC PCR with metA PCR as reference was 100% (47.8-100%) and 91.7% (85.2-95.9%) respectively. Only 1 of 15 individuals who were sodC-positive was diagnosed with meningococcal urethritis by culture. Conclusions Our molecular prevalence study revealed meningococcal urethritis is likely underdiagnosed in Ohio men, with one case for every 4 to 11 men with urogenital gonorrhea. With further optimization and validation, molecular testing may become a viable diagnostic or surveillance method for meningococcal urethritis.
Related Topics
Concepts
Neisseria meningitidis
Medicine
Urethritis
Urine
Polymerase chain reaction
Cohort
Internal medicine
Molecular diagnostics
Molecular epidemiology
Meningococcal Infections
Prevalence
Virology
TaqMan
Neisseria gonorrhoeae
Serotype
Proband
Genitourinary system
Neisseria
Meningococcal disease
Cohort study
Gynecology
Population
Chlamydia trachomatis
Immunology
Metadata
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- Language
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- Landing Page
- https://doi.org/10.1093/ofid/ofaf701
- OA Status
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W7105975045Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ofid/ofaf701Digital Object Identifier
- Title
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Prevalence of Neisseria meningitidis in urine from men in Ohio by molecular testingWork title
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articleOpenAlex work type
- Language
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enPrimary language
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2025Year of publication
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2025-11-14Full publication date if available
- Authors
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Hannah Wang, Bethany Burns, Deborah Wilson, Kelly Marigney, David Plunkett, Vinh Dang, Marisa Tungsiripat, Daniel RhoadsList of authors in order
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https://doi.org/10.1093/ofid/ofaf701Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1093/ofid/ofaf701Direct OA link when available
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| publication_year | 2025 |
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