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Men had higher expression of antimicrobial resistance genes, a finding that may have implications for the growing threat of resistant gonorrhea.
The results show a wide diversity of gonorrhea strains both within and among nations.
The cases indicate a need for action to preserve the last remaining effective treatment.
The isolate shows high-level resistance to azithromycin and resistance to ceftriaxone.
A separate paper details ceftriaxone-resistant gonorrhea cases in Australia.
The CDC issued a foreboding warning, noting that all progress made toward STD elimination in the United States has lost traction.
New data raise the specter of completely resistant Neisseria gonorrhoeae strains, and options are few.
Syphilis cases jumped 19%, gonorrhea increased by 12.8%, and chlamydia by 5.9% from 2014.
A cluster in Hawaii involves bacteria with high resistance to azithromycin and reduced susceptibility to ceftriaxone.
Data from 2014 showed that resistance to the antibiotic azithromycin quadrupled from 2013.
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