Multidrug-resistant and extensively drug-resistant Neisseria gonorrhoeae in Canada, 2012–2016

BACKGROUND: . OBJECTIVE: circulating in Canada between 2012 and 2016. METHODS: (XDR-GC) definitions. RESULTS: Between 2012 and 2016, the proportion of MDR-GC increased from 6.2% to 8.9% and a total of 19 cases of XDR-GC were identified in Canada (0.1%, 19/18,768). The proportion of isolates with decreased susceptibility to cephalosporins declined between 2012 and 2016 from 5.9% to 2.0% while azithromycin resistance increased from 0.8% to 7.2% in the same period. CONCLUSION: is necessary to inform treatment guidelines and mitigate the impact of resistant gonorrhea.