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Emerging infectious diseases

October 1, 2026 · via Europe PMC

Emergence of Macrolide-Resistant Bordetella pertussis, Peru, 2025.

Juscamayta-López E, Valdivia F, Rodríguez-Cueva C, +9 more, Da Costa AR

Journal ArticleAbstract only — full text under license

AI summary — for doctors, generated from the abstract only

Macrolide-resistant B. pertussis with the A2047G mutation was found in 31% of 68 cases in a Peruvian outbreak.

What was studied

Outbreak genomic investigation including whole-genome sequencing.

Key findings

  • 31% of 68 cases carried A2047G
  • WGS showed two genetically distinct groups
  • Findings suggest multiple introductions into Peru

Clinical relevance

Macrolide resistance could compromise first-line pertussis treatment and prophylaxis.

Who should care

Infectious Disease

Limitations

Small number of cases, one country.

Consider macrolide-resistant pertussis in treatment failure and obtain susceptibility testing where possible.

This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.

Abstract

We report the emergence of macrolide-resistant Bordetella pertussis during a pertussis outbreak in Peru. Among 68 cases, 31% carried the A2047G gene mutation, conferring resistance to macrolides. Whole-genome sequencing revealed 2 genetically distinct groups, indicating multiple introductions into Peru. Our findings support strengthening surveillance for macrolide-resistant pertussis to inform control strategies.

DOI

10.3201/eid3210.251477

PMID

42811428

Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.

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