Reports ceftriaxone-resistant gonorrhea cases in Thailand, suggesting urgent surveillance needs.
We report 5 gonorrhea cases caused by ceftriaxone-resistant penA-60-carrying Neisseria gonorrhoeae bacteria during January-April 2025 in Thailand, successfully cured by ceftriaxone therapy. Most patients had prior over-the-counter antimicrobial drug exposure. Ceftriaxone-resistant gonococcal strains are spreading in Thailand, and strengthened gonorrhea and resistance surveillance and effective antimicrobial stewardship programs are needed.
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Kittiyaowamarn et al. (2026) studied this question.
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