With antibiotic resistance on the rise, it is becoming more and more difficult, and in some cases impossible to treat with antibiotics. Resistance to ciproflaxin and azithromycin are sky rocketing, these are the first line of defense for most doctors when treating the disease.
Currently, the WHO recommends treating gonorrhea with one gram of azithromycin as a single dose, with either a single intramuscular dose of ceftriaxone (250 mg), or 400 mg of cefixime orally as a single dose. But resistance to cefixime has been rising and in the U.S. the CDC no longer recommends it. Instead, for uncomplicated genital, rectal, or pharyngeal gonorrhea, the agency now suggests combination therapy with intramuscular ceftriaxone, with either azithromycin or doxycycline, at 100 mg orally twice daily for seven days.
The WHO is calling for a range of measures to slow the spread of drug-resistant gonorrhea, including:
- More vigilance. The agency argues that better surveillance will help officials get a grip on the issue.
- Timely release of information of resistance, when it's noticed.
- Education campaigns about safer sex.
- Screening to find asymptomatic patients. Some 40% of men and 80% of women do not display clinical signs and symptoms immediately.
- Tracing and treating sexual partners.
- The development of inexpensive point-of-care tests that would help stop the practice of syndromic treatment of sexually transmitted diseases, including empiric treatment for gonorrhea.
- The discovery and development of new antibiotics.
Conditions such as chlamydia, gonorrhea and syphilis incidence is up 19%. Now is the time to talk to your teens and make them aware.
Seek healthcare screenings at Planned Parenthood. They have knowledgeable non-judgmental staff who are experts at screening and treating sexually transmitted infections. Their website is informative in detail with education about this subject. Let's face it: it's a lot easier to get tested, treated and get the right information from the experts outside of your friends and family.
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