Antibiotic resistance in gonorrhea 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 resistance (PPNG). CMRNG involves step wise mutation of penA, which codes for the penicillin-binding protein (PBP-2); mtr, which encodes an efflux pump that removes penicillin
Antibiotic use in livestock cover all these areas and instead focuses on the use of antibiotics for growth promotion, which has been banned in Europe since 2006, and on legislation regarding antibiotic use in farm animals in the USA. In 2013, the CDC finalized and released a report detailing antibiotic resistance and classified the top 18 resistant bacterium as either being urgent, serious or concerning threats. Of those organisms, three ("C. diff", carbapanem-resistant enterobacteriaceae, and "Neisseria gonorrhoeae") have been classified as urgent threats and require more monitoring and prevention. In the US alone, more than 2 million people are diagnosed with antibiotic-resistant infections and