Gonorrhea is on the brink of becoming untreatable
Mounting evidence shows that Neisseria gonorrhoeae has grown resistant to successive classes of antibiotics, leaving few remaining treatment options and raising serious concerns about untreatable strains.
The retrieved papers consistently document the alarming rise of antimicrobial resistance in Neisseria gonorrhoeae across multiple decades and regions. With resistance established against nearly all historical antibiotic classes and rising resistance against the last remaining first-line option (ceftriaxone), the evidence robustly supports the claim that gonorrhea is facing a severe threat of becoming untreatable without new interventions.
Fan Yang, Jing Yan. Antibiotic Resistance and Treatment Options for Multidrug-Resistant Gonorrhea. 2020. https://doi.org/10.1097/im9.0000000000000024
Highlights that Neisseria gonorrhoeae has developed resistance to all past antimicrobials, leaving ceftriaxone as the last available first-line therapy while resistance levels continue to rise globally.
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Magnus Unemo, Daniel Golparian, David W Eyre. Antimicrobial Resistance in Neisseria gonorrhoeae and Treatment of Gonorrhea.. 2019. https://doi.org/10.1007/978-1-4939-9496-0_3
Notes that ceftriaxone-resistant strains and isolates with combined high-level resistance are spreading internationally, making new antimicrobials essential.
Lucy Fagan, Sarah Alexander, Helen Fifer. The Invisible Tide of Neisseria gonorrhoeae Treatment Failures: A Review and Commentary.. 2026. https://doi.org/10.1093/cid/ciaf532
Confirms that Neisseria gonorrhoeae has developed resistance to every historical class of antibiotics, undermining current therapeutic options and raising urgent concerns about future treatability.
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