Open AccessCould Intensive Screening for Gonorrhea/Chlamydia in Preexposure Prophylaxis Cohorts Select for Resistance? Historical Lessons From a Mass Treatment Campaign in Greenland
Author(s) -
Chris Kenyon,
Jolein Laumen,
Christophe Van Dijck
Publication year - 2019
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/olq.0000000000001092
Subject(s) - gonorrhea , medicine , incidence (geometry) , neisseria gonorrhoeae , chlamydia , antibiotic resistance , demography , immunology , antibiotics , microbiology and biotechnology , human immunodeficiency virus (hiv) , biology , physics , sociology , optics
Neisseria gonorrhoeae has developed resistance to all classes of antimicrobials used against it. Current strategies to prevent the emergence of pan-resistance include increased gonorrhea screening in high-prevalence populations such as men who have sex with men taking HIV preexposure prophylaxis. By increasing antimicrobial exposure, others have argued that intensive screening may inadvertently promote the emergence of antimicrobial resistance.