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 in its inaugural 2013 report on antibiotic resistance threats in the United States, the CDC identified resistant non-typhoidal "Salmonella" and "Campylobacter" as "serious threats" and called for improved surveillance and intervention in food production moving forward. There are other bacteria as well, where research is evolving and revealing that bacterial resistance acquired through use in livestock may be contributing to disease in humans. Examples of these include Enterococcus (including "E. coli" 0157) and "Staphylococcus aureus". For foodborne illness from "E. coli", which is still not typically treated with antibiotics because of associated risk of renal failure, increasing rates of antibiotic-resistant