Persistence of an outbreak of gonorrhoea with high-level resistance to azithromycin in England, November 2014‒May 2018
- Resource Type
- Authors
- Gwenda Hughes; Christa Smolarchuk; Andrew Lee; Adrian Wensley; Helen Fifer; Simon Padfield
- Source
- Eurosurveillance
- Subject
- Adult
Male
0301 basic medicine
medicine.medical_specialty
Adolescent
Epidemiology
030106 microbiology
Microbial Sensitivity Tests
Azithromycin
medicine.disease_cause
Disease Outbreaks
Men who have sex with men
Persistence (computer science)
Gonorrhea
Young Adult
03 medical and health sciences
0302 clinical medicine
Antibiotic resistance
Virology
Drug Resistance, Bacterial
Humans
Medicine
antimicrobial resistance
030212 general & internal medicine
Homosexuality, Male
Heterosexuality
gonorrhoea
High level resistance
business.industry
Ceftriaxone
Public Health, Environmental and Occupational Health
Outbreak
Neisseria gonorrhoeae
MSM: men who have sex with men
Anti-Bacterial Agents
Treatment Outcome
England
Population Surveillance
Female
Contact Tracing
STI
business
Rapid Communication
Demography
medicine.drug
- Language
- English
- ISSN
- 1560-7917
Between November 2014 and May 2018, 118 laboratory-confirmed cases of high-level azithromycin resistant Neisseria gonorrhoeae were identified in England. Cases emerged among heterosexuals in Leeds but spread across England and into sexual networks of men who have sex with men as the outbreak progressed. The few epidemiological links identified indicate substantial under-diagnosis of cases and this, along with the upturn in cases in 2017, highlights the difficulties in controlling the outbreak.