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One less treatment option.

A rapidly increasing proportion of gonorrhea cases among men who have sex with men are resistant to a class of antibiotics commonly used to treat gonococcal infection, prompting the Centers for Disease Control and Prevention (CDC) to recommend that these drugs, fluoroquinolones, no longer be given as first-line treatment for this population. (1) According to a CDC study based on data from clinics in 23 cities, the proportion of men with gonorrhea whose infection was fluoroquinolone-resistant doubled overall between 2002 and 2003, but tripled among men who have sex with men. The rate for that group (5%) was 12 times the rate for men reporting only heterosexual behavior. In place of the oral antibiotics, the CDC is now recommending injectable alternatives for treating gonorrhea in men who have sex with men.

(1.) Centers for Disease Control and Prevention (CDC), Increasing cases of drug resistant gonorrhea prompt new treatment recommendation for gay and bisexual men, news release, Atlanta: CDC, Apr. 29, 2004.

FYI is compiled and written by Dore Hollander, executive editor of Perspectives on Sexual and Reproductive Health.
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Title Annotation:FYI
Author:Hollander, Dore
Publication:Perspectives on Sexual and Reproductive Health
Geographic Code:1USA
Date:Jul 1, 2004
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