Data on more than 1.4 millions incarcerated individuals in 43 countries shows STI rates are particularly high in adolescents and women.
The report is in response to a continent-wide surge in STIs since 2014.
Zoliflodacin and gepotidacin are the first new antibiotics approved for treating gonorrhea in decades.
Study findings show that a single oral dose of zoliflodacin is noninferior to the standard treatment regimen for uncomplicated gonorrhea.
Data from a new surveillance report show rising resistance to ceftriaxone and cefixime, the two antibiotics currently recommended for gonorrhea treatment.
High-level tetracycline resistance and reduced susceptibility to cefixime was found in gonorrhea bacteria from doxyPEP users.
The finding suggests that doxycycline post-exposure prophylaxis is unlikely to reduce the region's rate of the sexually transmitted infection.
Reported cases of chlamydia, gonorrhea, and syphilis declined for the third straight year in 2024, but cases of newborn syphilis were up by 2%.
The findings indicate that expanding gonorrhea and chlamydia screening in emergency departments may be warranted, the authors say.
The FDA has agreed to fast-track its review of gepotidacin, an oral antibiotic already approved for urinary tract infections, for the treatment of uncomplicated gonorrhea.
