This is the first report of multi-drug-resistant Neisseria gonorrhoeae (high-level azithromycin resistance combined with resistance to ceftriaxone).
PHE reminded clinical laboratories to refer N. gonorrhoeae isolates with resistance to ceftriaxone (MIC >0.125 mg/L) or azithromycin (MIC >0.5 mg/L) to the PHE Reference Bacteriology at Colindale for confirmation; General Practitioners were reminded to refer all suspected cases of gonorrhoea to genitourinary medicine services for appropriate management according to PHE guidance.
from Public Health England - Activity on GOV.UK https://www.gov.uk/government/publications/multi-drug-resistant-gonorrhoea-in-england-2018
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