New guidelines by WHO for treatment of STIs

Strains of multidrug-resistant gonorrhoea that do not respond to any available antibiotics have been detected, World Health Organisation (WHO) said , as it urged national health authorities for updating their treatment for this common sexually transmitted infection (STI).

shreerupa

Shreerupa Mitra-Jha | September 1, 2016 | New Delhi


#antibiotics   #gonorrhoea   #WHO   #STIs  


The World Health Organisation (WHO) has issued new guidelines for the treatment of three common STIs - chlamydia, gonorrhoea and syphilis - as they are becoming more and more resistant to known treatments due to the over use and misuse of antibiotics. 

Gonorrhoea, that affects the genitals, rectum, and throat, has developed the strongest resistance of the three STIs with older antibiotics failing to treat the infection. WHO has directed countries not to use quinolones (a class of antibiotic) that has become resistant due to widespread use. The UN health agency has not prescribed any class of antibiotic leaving it to national authorities to track and understand local strains and advise doctors whichever pattern would be the most productive. 
 
The new WHO guideline, on the other hand, “strongly recommends” a single dose of benzathine penicillin - an intramuscular injection of antibiotics -which is more effective than oral doses to cure syphilis. 
 
Syphilis is spread by contact with a sore on the genitals, anus, rectum, lips or mouth, or from mother to child during pregnancy that caused an estimated 1,43,000 stillbirths, 62,000 neonatal deaths and 44,000 low-birth-weight babies globally in 2012. 
 
Benzathine penicillin is an essential medicine that has been in short supply for several years.
 
Chlamydia is the most common type of infection that usually occurs with gonorrhea. 
 
There are three new strategies that the WHO recommends: new guidelines for gonorrhea treatment, elimination of mother to child transmission of syphilis, and increasing the coverage of HPV and Hepatitis-B vaccine. 
 
The last guidelines were issued by WHO in 2003. 
 
STIs represent a very large burden not only in terms of the infection but also the consequences of the infections. In 2014, it was a staggering 1 million new cases of infection everyday, which is a total 357 million new cases of these curable infections. 
 
It is estimated that, each year, 131 million people are infected with chlamydia, 78 million with gonorrhoea, and 5.6 million with syphilis.
 
It affects people across age-groups and gender and is particularly harmful for infants – there is a high possibility that infants will be still born if the mother has an untreated STI. It is also the cause of cervical cancer and increases the probability of contracting HIV by two to three times. 
 
The new WHO guidelines reinforce the need to treat these STIs with the right antibiotic, at the right dose, and the right time to reduce their spread and improve sexual and reproductive health. To do that, national health services need to monitor the patterns of antibiotic resistance in these infections within their countries,” said Ian Askew, director of Reproductive Health and Research, WHO in a press statement.
 
The new guidelines recommended in the in the Global Health Sector Strategy for STIs (2016-2021) were endorsed by governments at the World Health Assembly in May 2016.
 

Comments

 

Other News

On A Personal note with musician Apache Indian

Renowned British singer, songwriter and reggae DJ, Apache Indian (originally known as Steven Kapoor) shot to fame with his style of music which came to be known as bhangramuffin (also called bhangragga) – a mix of bhangra, reggaemuffin and traditional dance hall in the early 1990s. His style changed

Traffic fines: Find the sweet spot between penalty and self-goal

When close to five lakh people are killed in road accidents every year in India, road transport minister Nitin Gadkari should have been complimented on his not-so-populist move to impose higher fines for traffic violations. Instead, many people are unhappy and several states – mostly ruled by the BJP

A unique project gives new life to a chaotic Mumbai fishing village

Traditional fishermen or Kolis; synonymous with feasting, song and dance; are the original inhabitants of Mumbai. For generations, they have loved their vocation and prided in it. But their work and lifestyle are facing threats from reclamation, land acquisition by builders, lack of sustainable fishing pra

Modi pledges higher target for degraded land restoration

Addressing the Conference of Parties (COP14) to the United Nations Convention to Combat Desertification (UNCCD), Prime Minister Narendra Modi on Monday announced that India would raise its target of the total area that would be restored from its land degradation status from 21 million hectares to 26 millio

How to enhance water security and also increase agri productivity

Scheduling irrigation, constructive use of water, proper crop selection and utilising modern irrigation technologies will help enhance water security while also ensuring a high agricultural productivity, says T. Mohapatra, director general of the Indian Council of Agricultural Research (ICAR).



Current Issue

Current Issue

Video

CM Nitish’s convoy attacked in Buxar

Opinion

Facebook    Twitter    Google Plus    Linkedin    Subscribe Newsletter

Twitter