Antibiotic resistance in gonorrhea bacterial cell being inhibited. There is a possibility of future enzymes (made by the bacterium) that will be able to denature and inactivate the aminoglycosides. Antibiotic resistance in gonorrhea The Gonorrhea bacterium Neisseria gonorrhoeae has developed antibiotic resistance to many antibiotics. The bacteria was first identified in 1879, although some Biblical scholars believe that references to the disease can be found as early as Parshat Metzora of the Old Testament. In the 1940s effective treatment with penicillin became available, but by the 1970s resistant strains predominated. Resistance to penicillin has developed through two mechanisms: chromasomally mediated resistance (CMRNG) and penicillinase-mediated
Broad-spectrum antibiotic that lists the susceptibility of community-acquired and hospital-acquired bacteria is helpful in guiding empiric therapy. Many professional organizations (for example, the Infectious Disease Society of America) publish guidelines for empiric antibiotic therapy, as do hospitals, with their choices tailored for their specific resistance patterns. Many of these guidelines also offer guidance on antibiotic dose and duration of therapy. Once a specific species has been identified and its susceptibilities determined, antibiotics can be "narrowed" to a medication which targets a more specific range of bacteria. If no specific species are identified, patients may continue on the empiric regimen. There are an