Antimicrobial resistance in Neisseria gonorrhoeae infections is highly prevalent in communities that feature dense sexual connectivity networks and high rates of antimicrobial exposure, such as men who have sex with men (MSM), according to a study published in Emerging Infectious Diseases. Screening and containment of the infection, as well as education on the importance of reducing the number of sexual partners, represent the best methods for eradicating the infection in these communities.
“In our study, we reviewed various lines of evidence which suggest that the frequent screening for Chlamydia trachomatis and N gonorrhoeae in MSM is contributing to the emergence of antimicrobial resistance in this population,” Chris Kenyon, PhD, of the Institute of Tropical Medicine Antwerp told Contagion®.
The rise of antimicrobial resistance as well as N gonorrhoeae in MSM has several possible explanations, including the higher prevalence of antimicrobial drug use in this population compared with men who have sex with women. Additionally, MSM who have HIV are also more likely to demonstrate antimicrobial resistance compared with patients without the infection. Higher sexual connectivity, or densely connected sexual networks, may also partially explain the association between MSM and N gonorrhoeae antimicrobial resistance.
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