First four failures of cefathiamidine to treat urogenital gonorrhoea in Guangzhou, China, 2014–15
Jingyao Liang A B C , Ridong Yang A B C , Xiaodong Li A B , Chao Bi A B , Xingdong Ye A B , Xibao Zhang A B D and Wenling Cao A B DA Institute of Dermatology, Guangzhou Medical University, Guangzhou 510095, 56 Hengfu Road, Guangzhou 510095, China.
B Department of Dermatology, Guangzhou Institute of Dermatology, 56 Hengfu Road, Guangzhou 510095, China.
C These two authors contributed equally to this work.
D Corresponding authors. Email: gzpfbfzs@yahoo.com; Cllaz@163.com
Sexual Health 14(3) 289-292 https://doi.org/10.1071/SH16087
Submitted: 18 May 2016 Accepted: 18 January 2017 Published: 7 April 2017
Abstract
Neisseria gonorrhoeae has a remarkable ability to develop resistance to all available therapeutic antimicrobials. This report describes the first four cases of verified failure to treat gonorrhoea using 1000 mg cefathiamidine intramuscularly in Guangzhou, China; for each case, the patient was clinically cured after treatment with 500 mg ceftriaxone intramuscularly. Enhanced monitoring of clinical treatment failures, finding new effective treatments and updating treatment guidelines are all of utmost importance to curb the spread of drug-resistant gonorrhoea.
Additional keywords: antimicrobial resistance, Neisseria gonorrhoeae, treatment failure.
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