Persistence of an outbreak of gonorrhoea with high-level resistance to azithromycin in England, November 2014‒May 2018

Author:

Smolarchuk Christa12,Wensley Adrian13,Padfield Simon3,Fifer Helen4,Lee Andrew5,Hughes Gwenda2

Affiliation:

1. These authors contributed equally to this work and share first authorship

2. HIV & STI Department, Public Health England, Colindale, London, United Kingdom

3. Field Epidemiology Service, Public Health England, Leeds, United Kingdom

4. Bacteriology Reference Department, National Infection Service, Public Health England, Colindale, London, United Kingdom

5. Public Health England, Yorkshire and Humber, Leeds

Abstract

Between November 2014 and May 2018, 118 laboratory-confirmed cases of high-level azithromycin resistant Neisseria gonorrhoeae were identified in England. Cases emerged among heterosexuals in Leeds but spread across England and into sexual networks of men who have sex with men as the outbreak progressed. The few epidemiological links identified indicate substantial under-diagnosis of cases and this, along with the upturn in cases in 2017, highlights the difficulties in controlling the outbreak.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference21 articles.

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