WHO warns of resistant gonorrhea bacteria



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Increased spread of antibiotic-resistant gonorrhea bacteria

The World Health Organization (WHO) warns of the spread of antibiotic-resistant gonorrhea bacteria. According to the WHO, more than 100 million people worldwide are infected with gonorrhea every year. If the bacterial resistance to antibiotics continues to increase, there is a risk of a sharp increase in deaths, the WHO experts fear.

"Tripper is becoming a major public health problem because of the high incidence of infections and dwindling treatment options," said Dr. Manjula Lusti-Narasimhan of the Department of Reproductive Health and Research at WHO. In many countries, pathogens are resistant to the pathogen the broad-spectrum antibiotics previously used for the treatment have been observed. "Without the research of new antibiotics, effective treatment for the patients could soon no longer be available," emphasized Dr. Lusti-Narasimhan, at worst Tripper would be incurable.

Gipper bacteria develop increasing resistance While gonorrhea could previously be treated relatively effectively with simple penicillin, medication had to be switched to certain broad-spectrum antibiotics (cephalosporins) in the past due to the increasing resistance of gipper bacteria. But these too are increasingly losing their effect. In 2011, a gonococcal strain was discovered in Japan for the first time, which had developed resistance to all cephalosporins. According to the WHO, corresponding resistance to gonorrhea bacteria (gonococci or Neisseria gonorrhoeae) has been demonstrated in numerous other countries since then, such as Australia, France, Japan, Norway and Sweden. The WHO warns that if development continues, millions of infected people could no longer be cured. "We are very concerned about recent reports of treatment failure with the last effective treatment option (cephalosporin antibiotics) as no new therapeutic drugs are under development," said WHO expert Dr. Lusti-Narasimhan.

Global action plan to curb resistant gonorrhea The World Health Organization, in its guidelines on dealing with gonorrhea published on Wednesday, calls for "greater vigilance for the correct use of antibiotics and further research into alternative treatment methods for gonococcal infections." A global action plan is aimed at preventing the spread of the resistant gonorrhea. This includes increased monitoring of antibiotic resistance in Neisseria gonorrhoeae and "better prevention, diagnosis and control of gonococcal infections", reports the WHO in its press release. After the introduction of the Infection Protection Act in 2001, it was no longer recorded nationwide, but last year the RKI reported that a massive increase in the number of infections was observed in Saxony - where the data are still being collected. Here the infection rate more than doubled between 2003 and 2010. The extent to which possibly resistant gonorrhea bacteria played a role remains unclear.

Health risks of an untreatable gonorrhea infection As regards the health risks that an untreatable gonorrhea infection can pose, the WHO explained that health problems, such as infections of the urethra, uterus and rectum, are at risk. Tripper can also lead to infertility in men and women. In addition, "there is a significantly increased risk of HIV infection." Ectopic pregnancies, miscarriages, stillbirths and premature births are other possible consequences of the gonorrhea. In addition, according to the WHO, there is a 30 to 50 percent risk of gonorrhea infections during pregnancy that the babies will suffer from a severe eye infection from the gonococci at birth. Because the infection can generally spread from the genital organs to other organs, the worst case scenario is a fatal course of the disease. The WHO believes that the increase in resistance is extremely critical.

Development of antibiotic resistance in gonorrhea bacteria Regarding the development of antibiotic resistance in gonorrhea bacteria, the WHO explained that “this is caused by unimpeded access to antibiotics, the overuse and poor quality of antibiotics, and natural genetic mutations of the pathogens "A little more care when using antibiotics could therefore already counteract the spread of resistant gonorrhea. According to the experts, clear successes could also be achieved in the area of ​​infection prevention if more attention was paid to safe contraception during sexual intercourse. Even simple information measures could bring a significant improvement here. (fp)

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Antibiotic-resistant gonorrhea discovered in Japan
White blood cells in the urine

Image: Sebastian Karkus / pixelio.de

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Video: Drug-Resistant Gonorrhea: An Urgent Public Health Issue


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