The United Kingdom ’s chief aesculapian policeman has commit awarningto all doctors that the sexually transmitted disease gonorrhea could evolve to the point where it can not be do by , returning humanity to the pre - penicillin epoch . Such an outcome can be delayed , and possibly forbid entirely , if doctors dictate drugs correctly , Dame Sally Daviesclaimed . Sadly , this is not currently happening , at least not all the time .
It seems that just as medication starts to make gender dependable from one threat , another come up in its place . This is not exclusively coincidental . The comer ofbetter treatmentsfor HIV , at least in the highly-developed world , may have pass to an increased number of peoplebecoming blaséabout safe sex practices . This could explain thespiralingrates of diseases such as syphilis and chlamydia , particularly among a generation too unseasoned to remember when destruction from AIDS were coarse in the West .
For gonorrhea , increased opportunities for transmission are combining with the antibiotic resistance seenemergingacross many bacterial disease . In March this year , an outbreak of drug - resistant gonorrhea wasreportedin Leeds , with cases spreading to other north - England towns .
This is not the first sentence the bacteriumNeisseria gonorrhoeaehas develop resistance to antibiotics . However , at one time , a variety of spare drugs existed that could be pressed into table service when an one-time one no longer work . Those day may soon be over , monish infective disease specialists .
The advocate treatment for gonorrhea is to compound a ceftriaxone shot and an oral dose of azithromycin or doxycycline . This double hit of very different type of antibiotics almost always kills the bacterium , at least presently . accept only one of the antibiotics opens up the risk of resistance appear to first one drug and then the other .
therefore , the British Association for Sexual Health and HIV were concerned to detect that online pharmacies wereofferingazithromycin on its own , while some doctors are prescribingobsoleteantibiotics .
Most fair sex , and some men , infect with gonorrhea show no symptoms , although they can still broadcast it . For those who receive symptoms , the most vulgar are yellow or gullible genital release , bleeding between point and bother during sex or micturition . Rarer upshot include a20 percentage increasedrisk of prostate gland genus Cancer , and blindness in shaver born with the disease .
In 2009 , a stress of gonorrhea , calledH041 , was identified that was untreatable with all cephalosporin - class antibiotic , which includes Rocephin . However , only one caseful of H041 has been reported . Although case of two other Rocephin - resistant melodic phrase have beenpublished , it is clear that not every multidrug - repellent strain will disperse wildly . Nevertheless , with 16 case now known from the Leeds outbreak , warning signal are obvious .
The announcement that Truvada can prevent transmission with HIV when used as a “ break of the day after drug ” has sparked concerns that people will become even more slack about rubber use of goods and services , opening the door to other diseases . These fears aredebated , but have n’t been helped by card campaigns apparentlyadvocatingcondomless sex , as if HIV was the only threat .
