![]() ![]() Although she had no symptoms, she said she had had unprotected sex with a man who had been to Ibiza that summer “and had links with the same sexual network as Case 1,” according to the journal. This woman initially received a single dose of intramuscular ceftriaxone (500 mg) and oral azithromycin (1g) in line with standard national guidelines, but tests conducted two weeks later showed that the bacteria were immune to the first antibiotic and showed intermediate resistance to the second one.Ī month later, another woman went in for a health screen at a different clinic in the UK. ![]() These partners were normally resident in the UK. The patient had had unprotected vaginal intercourse with more than one male partner while on holiday two months earlier in Ibiza. The first case was detected in October 2018 at a sexual health clinic in the UK, the public health journal reported. This proves that it is not reduced to a few countries, social groups or specific practices.” For years we have been warning about the rise in STI cases. “The strain emerged in Asia, arrived at a tourist destination, Ibiza, and was carried to the UK, where heterosexual women have been diagnosed with it. “This clearly illustrates how the problem we face is global,” said Adrià Curran, of the infectious disease unit at Vall d’Hebron hospital in Barcelona. The next step was alerting the regional government of the Balearic Islands, where none of the strains isolated in recent months at Ibiza’s Can Misses hospital or in the public health surveillance network have shown resistance to drugs, or any ties to the UK cases, said Núñez. “The British warned the European Center for Disease Prevention and Control (ECDC), which contacted us in January as a country that could potentially be affected,” said Julio Núñez, head of Spain’s National Microbiology Center. When British authorities concluded that all the cases were linked, they triggered European alert mechanisms. Health authorities in the Balearic Islands said they have no reports of FC428. But this is the first known instance of “sustained local transmission,” according to Eurosurveillance. The strain involved in these cases is the FC428 clone, which first emerged in South East Asia and had sporadically turned up in other parts of the world. In Spain, there were more than 5,000 recorded cases last year. The World Health Organization estimates that more than 106 million people contract it worldwide each year. The sexually transmitted infection (STI), which is caused by bacteria called Neisseria gonorrhoeae or gonococcus, can cause pain and discharge in the genital area, throat and rectum. The second woman had unprotected sex with a UK man who “had been in Ibiza and had links with the same sexual network as Case 1.” This man tested negative, but doctors believe he was probably the source of the second woman’s infection, and that “his own infection spontaneously cleared up.” The first woman had been to Ibiza on vacation, where she had intercourse with more than one male partner, none of whom have been located for testing. ![]() The first woman had been to Ibiza on vacation, where she had intercourse with more than one male partner, none of whom have been located for testing ![]()
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