PRO/EDR> Gonococcal disease – Sweden: pharynx, treatment failure, 2013-2014

Gonorrhea, Antibiotic resistance — Worldwide/Unknown
[Authors: Golparian D, Ohlsson AK, Janson H, Lidbrink P, Richtner T, Ekelund O, Fredlund H, Unemo M]
Abstract
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We describe 4 cases in Sweden of verified treatment failures of pharyngeal gonorrhoea with ceftriaxone (500 mg; n=3) or cefotaxime (500 mg; n=1) monotherapy [2013-2014]. All the ceftriaxone treatment failures were caused by the internationally spreading multidrug-resistant gonococcal NG-MAST genogroup 1407 clone. Increased awareness of treatment failures is crucial