Abstract
Gonorrhea is a common sexually transmitted disease that, if untreated, can cause reproductive health complications. Gonorrhea treatment has been repeatedly jeopardized by antimicrobial resistance. To ensure effective treatment, the Centers for Disease Control and Prevention (CDC) periodically updates treatment guidelines based on resistance trends. In 2010 and following declining cephalosporin susceptibility in several countries, CDC updated its treatment recommendation from single-dose cephalosporin (injectable ceftriaxone or oral cefixime) to intensified combination therapy of either ceftriaxone (at a higher dose than previously recommended) or cefixime, plus a second antimicrobial.1 CDC again updated guidelines in 2012 to recommend ceftriaxone-based combination therapy as the single recommended therapy.1 We describe recent gonococcal cephalosporin susceptibility trends emphasizing changes following publication of these guidelines.
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