Cases of drug resistant gonorrhoea found in Macclesfield

A nationwide alert has been issued following the discovery of a strain of drug-resistant gonorrhoea in Macclesfield .

Fifteen cases of the sexually transmitted disease have been found by Public Health England (PHE) in the north of the country so far, including Macclesfield and Oldham.

The British Association for Sexual Health and HIV have announced that infections highly resistant to antibiotics have previously been rare.

The outbreak, originally detected in Leeds in March, has now spread to Macclesfield, Oldham and Scunthorpe.

So far all of the cases involve heterosexual patients.

The association said: “An outbreak control team meeting has been convened and STBRU are currently performing next generation sequencing on these strains to better understand the molecular epidemiology.”

It added: “PHE is concerned that the effectiveness of current front-line dual therapy for gonorrhoea will be threatened if this resistant strain continues to spread unchecked.”

The number of infections detected may seem small, Peter Greenhouse, a consultant in sexual health based in Bristol said, but added there could be more undetected cases.

He told the BBC: “This azithromycin highly-resistant outbreak is the first one that has triggered a national alert. It doesn’t sound like an awful lot of people, but the implication is there’s a lot more of this strain out there and we need to stamp it out as quickly as possible. If this becomes the predominant strain in the UK we’re in big trouble, so we have to be really meticulous in making sure each of these individuals has all their contacts traced and treated.”

There were almost 35,000 cases of gonorrhoea reported in England last year – it is the second most common bacterial sexually transmitted infection in the UK after chlamydia.

The majority of cases affect people under the age of 25. Around 10% of men and almost half of women with the infection do not experience symptoms.