{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T18:17:44Z","timestamp":1781288264905,"version":"3.54.1"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"Supplement_5","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We describe the detection and early response to identified cases of cephalosporin-nonsusceptible Neisseria gonorrhoeae in Massachusetts and provide a rationale for the necessity of surveillance beyond sentinel STI clinics. Regulatory change nearly a decade prior set the stage for statewide laboratory surveillance, which in turn lead to the detection of cephalosporin nonsusceptible cases found through culture surveillance, not through treatment failure. We detail critical collaborations necessary to assure absence of circulating cephalosporin-resistant cases and implications for how public health surveillance systems can contribute to antimicrobial resistance prevention.<\/jats:p>","DOI":"10.1093\/cid\/ciaf608","type":"journal-article","created":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T12:54:26Z","timestamp":1763211266000},"page":"S256-S261","source":"Crossref","is-referenced-by-count":1,"title":["How Public Health Surveillance Systems Can Contribute to Antimicrobial Resistance Prevention: The Massachusetts Experience"],"prefix":"10.1093","volume":"81","author":[{"given":"Katherine K","family":"Hsu","sequence":"first","affiliation":[{"name":"Massachusetts Department of Public Health, Bureau of Infectious Disease and Laboratory Sciences , Jamaica Plain, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caryn","family":"Ivanof","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Bureau of Infectious Disease and Laboratory Sciences , Jamaica Plain, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3547-7146","authenticated-orcid":false,"given":"Megan C","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Hartford HealthCare , Hartford, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7760-9848","authenticated-orcid":false,"given":"Daniel P","family":"Worrall","sequence":"additional","affiliation":[{"name":"Sexual Health Clinic, Massachusetts General Hospital , Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily L","family":"Perriello","sequence":"additional","affiliation":[{"name":"Sexual Health Clinic, Massachusetts General Hospital , Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine M","family":"Brown","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Bureau of Infectious Disease and Laboratory Sciences , Jamaica Plain, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"2026010808425024300_ciaf608-B1","doi-asserted-by":"crossref","first-page":"100030","DOI":"10.1016\/j.ssmhs.2024.100030","article-title":"Core components of infectious disease outbreak response","volume":"3","author":"Moore","year":"2024","journal-title":"SSM Health Syst"},{"key":"2026010808425024300_ciaf608-B2","doi-asserted-by":"crossref","first-page":"3538","DOI":"10.1128\/AAC.00325-11","article-title":"Is Neisseria gonorrhoeae initiating a future era of untreatable gonorrhea?: detailed characterization of the first strain with high-level resistance to ceftriaxone","volume":"55","author":"Ohnishi","year":"2011","journal-title":"Antimicrob Agents Chemother"},{"key":"2026010808425024300_ciaf608-B3","author":"Massachusetts DPH"},{"key":"2026010808425024300_ciaf608-B4","author":"Centers for Disease Control and Prevention"},{"key":"2026010808425024300_ciaf608-B5","doi-asserted-by":"crossref","first-page":"e149","DOI":"10.1016\/S1473-3099(23)00785-5","article-title":"Novel strain of multidrug non-susceptible Neisseria gonorrhoeae in the USA","volume":"24","author":"Reimche","year":"2024","journal-title":"Lancet Infect Dis"},{"key":"2026010808425024300_ciaf608-B6","author":"Massachusetts DPH"},{"key":"2026010808425024300_ciaf608-B7","author":"Massachusetts DPH"},{"key":"2026010808425024300_ciaf608-B8","author":"Massachusetts DPH"},{"key":"2026010808425024300_ciaf608-B9","doi-asserted-by":"crossref","first-page":"21501319241303609","DOI":"10.1177\/21501319241303609","article-title":"The role of emergency and primary care in combating the rise of gonorrhea: another purview paradox?","volume":"15","author":"Allan-Blitz","year":"2024","journal-title":"J Prim Care Community Health"},{"key":"2026010808425024300_ciaf608-B10","author":"Massachusetts DPH"},{"key":"2026010808425024300_ciaf608-B11","author":"Centers for Disease Control and Prevention"},{"key":"2026010808425024300_ciaf608-B12","first-page":"mgen001006","article-title":"Genomic analysis of 1710 surveillance-based Neisseria gonorrhoeae isolates from the USA in 2019 identifies predominant strain types and chromosomal antimicrobial-resistance determinants","volume":"9","author":"Reimche","year":"2023","journal-title":"Microb Genom"},{"key":"2026010808425024300_ciaf608-B13","doi-asserted-by":"crossref","first-page":"2200803","DOI":"10.2807\/1560-7917.ES.2022.27.46.2200803","article-title":"Detection of 10 cases of ceftriaxone-resistant Neisseria gonorrhoeae in the United Kingdom, December 2021 to June 2022","volume":"27","author":"Day","year":"2022","journal-title":"Euro Surveill"},{"key":"2026010808425024300_ciaf608-B14","doi-asserted-by":"crossref","first-page":"2861","DOI":"10.1093\/aje\/kwae455","article-title":"Estimating the undetected burden and the likelihood of strain persistence of drug-resistant Neisseria gonorrhoeae","volume":"194","author":"Oliveira Roster","year":"2024","journal-title":"Am J Epidemiol"},{"key":"2026010808425024300_ciaf608-B15"},{"key":"2026010808425024300_ciaf608-B16","author":"Centers for Disease Control and Prevention"},{"key":"2026010808425024300_ciaf608-B17","doi-asserted-by":"publisher","author":"Helekal","DOI":"10.1101\/2025.02.03.636319"},{"key":"2026010808425024300_ciaf608-B18","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1128\/CMR.00010-14","article-title":"Antimicrobial resistance in Neisseria gonorrhoeae in the 21st century: past, evolution, and future","volume":"27","author":"Unemo","year":"2014","journal-title":"Clin Microbiol Rev"}],"container-title":["Clinical Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/cid\/article-pdf\/81\/Supplement_5\/S256\/66307189\/ciaf608.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/cid\/article-pdf\/81\/Supplement_5\/S256\/66307189\/ciaf608.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T13:42:59Z","timestamp":1767879779000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/cid\/article\/81\/Supplement_5\/S256\/8417258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":18,"journal-issue":{"issue":"Supplement_5","published-online":{"date-parts":[[2026,1,8]]},"published-print":{"date-parts":[[2026,1,8]]}},"URL":"https:\/\/doi.org\/10.1093\/cid\/ciaf608","relation":{},"ISSN":["1058-4838","1537-6591"],"issn-type":[{"value":"1058-4838","type":"print"},{"value":"1537-6591","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12,15]]},"published":{"date-parts":[[2025,12,15]]}}}