Cluster of Neisseria gonorrhoeae Isolates With High-level Azithromycin Resistance and Decreased Ceftriaxone Susceptibility, Hawaii, 2016
Author(s) -
Alan R. Katz,
Alan Y Komeya,
Robert D. Kirkcaldy,
A. Christian Whelen,
Olusegun O. Soge,
John R. Papp,
Ellen N. Kersh,
Glenn M. Wasserman,
Norman P. O’Connor,
Pamela O'Brien,
Douglas T Sato,
Eloisa V. Maningas,
Gail Y. Kunimoto,
Juval E Tomas
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix485
Subject(s) - ceftriaxone , azithromycin , neisseria gonorrhoeae , medicine , microbiology and biotechnology , neisseriaceae , gonococcal infection , antibiotics , virology , sexually transmitted disease , biology , syphilis , human immunodeficiency virus (hiv)
The Centers for Disease Control and Prevention (CDC) currently recommends dual therapy with ceftriaxone and azithromycin for gonorrhea to ensure effective treatment and slow emergence of antimicrobial resistance. Since 2013, the prevalence of reduced azithromycin susceptibility increased in the United States; however, these strains were highly susceptible to cephalosporins. We identified a cluster of Neisseria gonorrhoeae isolates with high-level azithromycin resistance, several of which also demonstrated decreased ceftriaxone susceptibility.
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