HIV & STI Department, Public Health England, Colindale, London, United Kingdom.
These authors contributed equally to this work and share first authorship.
Euro Surveill. 2018 Jun;23(23). doi: 10.2807/1560-7917.ES.2018.23.23.1800287.
Between November 2014 and May 2018, 118 laboratory-confirmed cases of high-level azithromycin resistant were identified in England. Cases emerged among heterosexuals in Leeds but spread across England and into sexual networks of men who have sex with men as the outbreak progressed. The few epidemiological links identified indicate substantial under-diagnosis of cases and this, along with the upturn in cases in 2017, highlights the difficulties in controlling the outbreak.
2014 年 11 月至 2018 年 5 月期间，在英国发现了 118 例实验室确诊的高水平阿奇霉素耐药病例。这些病例出现在利兹的异性恋者中，但随着疫情的发展，已扩散到英格兰各地以及男男性行为者的性网络中。所确定的少数流行病学联系表明，病例的漏诊情况严重，这与 2017 年病例的增加一起，突显了控制疫情的困难。
