Unemo M, Brooks B, Cole M, Ross J D C, White J A, Patel R
World Health Organization Collaborating Centre for Gonorrhoea and Other Sexually Transmitted Infections, Örebro University Hospital, Örebro, Sweden.
Int J STD AIDS. 2013 Jun;24(6):423-6. doi: 10.1177/0956462412473383. Epub 2013 Jul 10.
Gonorrhoea is a major public health concern globally. Of particular grave concern is that resistance to the third generation cephalosporins has been identified during recent years. This paper summarises and discusses the results of the '2012 IUSTI European Collaborative Clinical Group (ECCG) report on the diagnosis and management of Neisseria gonorrhoeae infections in Europe'. Although high quality care was reported in many settings, in several other countries the testing, diagnostics, antimicrobial treatment and follow-up of gonorrhoea patients need to be optimized. This, together with increased access to and use of antimicrobial susceptibility testing, is crucial in controlling the emergent spread of cephalosporin-resistant and multidrug-resistant gonorrhoea.
淋病是全球主要的公共卫生问题。尤其令人严重关切的是,近年来已发现对第三代头孢菌素产生耐药性。本文总结并讨论了“2012年国际性传播感染联盟欧洲协作临床小组(ECCG)关于欧洲淋病奈瑟菌感染诊断与管理的报告”的结果。尽管在许多情况下报告了高质量的医疗服务,但在其他一些国家,淋病患者的检测、诊断、抗菌治疗及随访仍需优化。这一点,再加上增加抗菌药物敏感性检测的可及性和使用,对于控制头孢菌素耐药和多重耐药淋病的迅速传播至关重要。