Taking Charge of Your Health

Gonorrhea is a major
public health concern in the United States. More than 800,000 new
infections occur each year, but because many people
don’t have symptoms, fewer than half are
detected and reported to CDC. Untreated gonorrhea can cause
serious health problems. For women, it can
increase their risk for a life-threatening
ectopic pregnancy. And for men and women, the
infection can cause conditions that can lead to infertility. It can also increase a person’s
risk of getting or giving HIV. Medication to treat gonorrhea
has been around for decades, but the bacteria
has grown resistant to nearly every drug
ever used to treat it. In the 1980s, resistance
to penicillin and tetracycline grows and
they are no longer recommended to treat gonorrhea. Fluoroquinolones are the
leading drugs to treat gonorrhea in the 1990s…but the bacteria
was adapting to the drugs. By the 2000s, resistance to fluoroquinolones
steadily takes hold. CDC modifies treatment
recommendations throughout much of the decade to keep pace. In 2000, the drug is
no longer recommended to treat people infected in
Asia or the Pacific Islands. By 2002, this recommendation
extends to California. By 2004, CDC no longer
recommends it for men who have sex with men
in the United States. By 2007, resistance
is so widespread that CDC no longer recommends
fluoroquinolones to anyone in the U.S. to treat gonorrhea. Only one class of antibiotics,
known as cephalosporins, remains to treat the infection. There are two main
cephalosporins to treat gonorrhea:
the oral drug cefixime and the injection ceftriaxone. In 2010, CDC takes additional
measures to combat resistance, recommending dual treatment
with either cefixime OR an increased dose
of ceftriaxone AND azithromycin or doxycycline. But just two years
later, in 2012, CDC updates treatment
recommendations again in response to data suggesting
the oral cephalosporin, cefixime, is becoming less
effective, and Gonorrhea has become
harder and harder to treat. Today, we are down to one last
recommended treatment option- dual treatment with an
injection of ceftriaxone and an oral dose
of azithromycin. Little now stands between us
and untreatable gonorrhea. There are already
troubling signs with the last recommended
treatment. Abroad, infections resistant to ceftriaxone have been
detected in several countries. And within the U.S.,
while not common, resistance to azithromycin
has been found. The U.S. hasn’t seen
treatment failure when using these
two drugs together, but drug resistance is
rising and the pipeline for new drugs is shrinking. Our last treatment
option won’t last forever. We must keep drug-resistant
gonorrhea as a leading priority. Learn more at:

34 thoughts on “Drug-Resistant Gonorrhea: An Urgent Public Health Issue

  1. So what about the advice to public to how not be victim of Gonorreia?

    The Bacteria don`t go from A to B by air….

    Prevention maybe the key to extinguish the bacteria

  2. maybe this is the thing that will help with the rampant human population. it causes burning feelings in the male genitals and causes sterility in severe cases. as long as women take birth control /use protection, the risk of an ectopic pregnancy is greatly reduced.

  3. This is the tip of the iceberg, increasingly untreatable multiple-drug resistant diseases are on their way…..HIV, tuberculosis, syphilis, herpes, influenza, etc.

  4. Clinicians should effectively treat patients with gonorrhea with an awareness of local trends of drug resistance in N. gonorrhoeae, and should perform culture and antimicrobial susceptibility testing of those with persistent gonorrhea after treatment

  5. establish well-developed intentions and to purchase and keep condoms before they are in a sexual encounter, that is, before being sexually aroused. more likely to have used condoms where condoms were available Strategies that promote condom availability help to take advantage of this method to prevent STD.

  6. Gonorrhea will be the new AIDS crisis in the future, when the final fully antibiotic resistant strain emerges and starts killing people left and right and nothing you can do about it.

  7. Another reason why ALL reproductive clinics/screening needs to be more whyspread and Free. Regular screenings at residential homes/seniors has to become mandatory. You only need to have sex once, people. Your whole 'don't sleep around' solution doesn't work. Never has.

  8. Never been so happy to be a virgin in my life.
    This rise in STDs coupled with rise in mental illness also debunks the evolution model and supports the law of entropy

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