Sunday, September 20, 2015

Better Prevention be the goal than the Treatment of Drug Resistant Gonorrhoea

It has been published in The Guardian that a multi-drug resistant Gonorrhoea strain has been detected in 15 cases by Public Health England since March; the British Association for Sexual Health and HIV reported. It has triggered an unprecedented national public health alert in England.
Gonorrhoea is caused by a bacterium called Neisseria gonorrhoeae. It has become resistant to penicillin, tetracycline, quinolones and many more groups of drugs, finally is being treated with Ceftrixone in combination with azithromycin.
Neisseria Gonorrhoeae

Now, it has been reported that several cases are not responding to azithromycin and some cases have become resistant to ceftrixone too.
News of the British cases comes less than a day after the European Centre for Disease Prevention and Control (ECDC) reported gonorrhoea rates in Europe had gone up by 79% since 2008, particularly among men. The UK reported 61% of all cases in Europe. It has risen by 19 per cent in 2014 amongst heterosexuals and a whopping 32 per cent in gay men.
There were almost 35,000 cases of gonorrhoea reported in England last year. It is the second most common bacterial sexually transmitted infection in the UK after Chlamydia, with the bacteria transmitted through discharge from the penis and vagina.
It’s a clever little bug that doesn’t always show symptoms and patients carry the infection without even realizing it, called carriers.
The main causes of resistance to the antibiotics are inadequate/inappropriate treatment and emergence of mutated strains of bacteria.
Hence, it is better to emphasize on prevention than to go for treatment of Drug Resistant Gonorrhoea.
Gonorrhea: Protect Yourself- According to the recommendations of CDC:

It is critical that individuals protect themselves against infection.
Prevention strategies include:
(1)                         Abstinence or mutual monogamy— The surest way  to avoid transmission of gonorrhea is to abstain from sexual intercourse, or to be in a long-term, mutually monogamous relationship with a partner who has been  tested and is known to be uninfected.
(2)                         Condoms— When used consistently and correctly, condoms can reduce the risk of transmission of gonorrhea.
(3)                         Regular screening— Screening for those at greatest risk is critical. CDC recommends that sexually active gay and bisexual men and high-risk sexually active women be tested for gonorrhea at least once a year.
(4)                         Prompt and effective treatment— Anyone who becomes infected should get treated with a ceftriaxone injection and either azithromycin or doxycycline right away to cure the infection and prevent transmission to others. Patients receiving a treatment other than dual therapy that includes ceftriaxone should be tested one week after completing treatment to confirm that the infection has been cured.
Prevention is better than cure, “A stitch in time prevents none.”


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