Drug-Resistant Gonorrhea Spreading Inside Europe, Health Officials Warn
Key Points:
- European health authorities report domestic transmission of ceftriaxone-resistant gonorrhea strains across 12 countries, marking a shift from previous cases mostly linked to travel in South-East Asia.
- Cases have clustered within countries such as Sweden, Germany, France, Britain, and Norway, with infections spreading among people with no recent international travel history.
- Gonorrhea infections in Europe have surged, with 106,331 confirmed cases in 2024 and a 303% increase since 2015, although resistant strains still represent a small but growing fraction.
- Treatment failures, particularly involving pharyngeal infections, have occurred in Britain, requiring stronger antibiotics like ertapenem, highlighting the narrowing options for effective therapy.
- ECDC warns of the risk of further escalation without control measures, emphasizing the need for improved culture-based testing, public awareness of asymptomatic infections, and preparation for new antibiotic alternatives.