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The threat of untreatable gonorrhoea

Implications and Consequences for Reproductive and Sexual Morbidity

Bibliographic Data

ID3973122
AuthorsFrancis Ndowa (0000-0003-2162-4237, World Health Organization), Manjula Lusti-Narasimhan, Manjulaa Narasimhan (0000-0003-0598-6887, World Health Organization)
Year2012
Volume20
Issue40
Pages76-82
Publication date2012-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueReproductive Health Matters (JOURNAL)
Journal identifiersISSN: 0968-8080 • E-ISSN: 1460-9576
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(12)40653-x
PMID23245412
OpenAlexW2006528342
LanguageEN
Citations received4
References cited29

Gonorrhoea (caused by the organism Neisseria gonorrhoeae) is one of the most commonly reported sexually transmitted infections (STIs), with 106 million new cases per year globally, according to 2008 estimates by the World Health Organization (WHO). There is growing global concern about antimicrobial resistance in N. gonorrhoeae. Only third-generation cephalosporins, the last available class of antibiotics to treat this condition, currently remain as the recommended first line treatment. If gonococcal infections become untreatable, they will cause a wide range of reproductive morbidities, including pelvic inflammatory disease, infertility and neonatal blindness. Furthermore, infection with N. gonorrhoeae facilitates the transmission of HIV. Thus, there is an urgent need to contain the threat of untreatable gonorrhoea within the framework of WHO's policy package to combat antimicrobial resistance, launched in April 2011. Interventions should take cognisance of sexual networks, international travel and reproductive commodity supplies, e.g. male and female condoms. There is also an urgent need for the identification of alternative effective treatment regimens for gonococcal infections; concerted efforts to prescribe antibiotics appropriately and ensure treatment compliance; strengthened programmes for primary prevention of STIs, including the importance of protected oral sex (fellatio); enhanced screening; development of affordable and accurate screening tests; and better surveillance and monitoring of resistance

Antibiotic resistance · Antibiotics · Biology · Environmental health · Family medicine · Gonorrhea · Gynecology · Human immunodeficiency virus (HIV · Intensive care medicine · Men who have sex with men · Neisseria gonorrhoeae · Population · Psychological intervention · Reproductive health · Syphilis · Adolescent Sexual and Reproductive Health · Medicine · Nursing · Reproductive Health and Contraception · Reproductive tract infections research · Microbiology

  • Trends and determinants of condomless sex in gonorrhoea patients diagnosed in France through the sentinel surveillance network ResIST, 2005–2014

    Open Access•Referents for the Regional Offices of the French National Public Health…•BMC Public Health•2020

  • Men Aged 15–44 in Need of Preconception Care

    Open Access•Ifta Choiriyyah, Freya L Sonenstein et al.•Maternal and Child Health Journal•2015

  • Australian Sexual Health Service Users’ Perspectives on Reducing the Oral Transmission of Bacterial STIs

    Open Access•Alicia J King, Jade Bilardi et al.•The Journal of Sex Research•2023

  • Multipurpose prevention technologies for reproductive and sexual health

    Alan Stone•Reproductive Health Matters•2014

  • From epidemiological synergy to public health policy and practice

    Douglas T Fleming, Judith N Wasserheit•Sexually Transmitted Infections•1999

  • Gonorrhea in the Male and Female

    Walter Clarke, W D Clarke•American Journal of Public Health…•1940

Unique citing works4
Citations per year0,33
Citation span2014 - 2023 (10)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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