This analysis demonstrates the link between antibiotic consumption and gonococcal resistance in Norway, indicating important implications for public health.
Even in a low-consumption European context, Norwegian antibiotic use appears to shape gonococcal resistance, possibly partly via gene uptake from commensal Neisseria. The SIPI and WIPI ratios describe susceptible-range MIC histogram shapes, and offer utility for AMR surveillance by capturing isolate flux.
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Patricia Campbell (2026) studied this question.
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