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Forum Category: Ask the Doctors, and Other Medical Related Topics
 Originator Date Posted 
   Almost-Untreatable Gonorrhea: Proof That It’s Here - Thoughts?  

7/4/2013 00:11
Posted By:  - SAN FRANCISCO, CA  
Date Posted: 7/4/2013 00:11
I read Superbug, just so I cannot sleep at night! Antibiotic resistant bacteria are a serious, SERIOUS threat. This might put a crimp on Swinging. Any thoughts from the doctors?

I have one thought: Those nutbags that hate vaccines so much have helped make vaccine research a litigious backwater of medicine. So nobody is working on such things as Gonnorhea vaccines. So thank your anti vaccine friends for helping this to be on our doorstep. (I guess others could argue that if nobody had recreational sex, there would be no Gonnorhea..... and if dogs did not chase cats.....)

The concern is this: Treatment of STDs in infected people, and programs that aim to keep STDs from spreading from those people to others, rely on drugs that are inexpensive to buy, simple to administer, and work after a single dose and clinic visit. Since the late 1990s, there have been only two drugs that fulfill those criteria: an oral drug called cefixime and an injectable called ceftriaxone (both belonging to the same broader drug family called third-generation cephalosporins). Since the early 2000s, there have simultaneously been signs that resistance to cefixime has been spreading from the Pacific Rim — Japan and Hawaii — to North America, Europe and the rest of the world.
The earliest signs of this were spotted in California in 2008, and in the rest of the US in 2011. Last June, the World Health Organization called the situation an emergency; in August, the European CDC alerted its member countries to cases in Europe; and also in August, the US CDC advised doctors here that they should stop using that oral drug and stick only to the injectable.

And the bigger picture here:

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