Aims: The purpose of this study was to determine pathogens associated with sexually transmitted infections and the antimicrobial resistance among Neisseria gonorrhoeae isolates. Methodology and results: Urethral, endocervical and anal-rectal swabs were tested for Chlamydia trachomatis, N. gonorrhoeae, Mycoplasma hominis and Ureaplasma urealyticum. The molecular characterization of some N. gonorrhoeae isolates was made using NG-MAST. The total positive infection rate for C. trachomatis, N. gonorrhoeae and Mycoplasmas on the screened samples was 13% (541/4140), 5.5% (506/9232) and 5.5% (504/9232), respectively. One of the N. gonorrhoeae isolates (ST 3158) was cefixime-resistant (MIC ≥ 0.25 µ/mL). Men are at more risk of U. urealyticum infection (p< 0.05) while women are at more risk of M. hominis infection (p< 0.05). Conclusion, significance and impact of study: We identified the first N. gonorrhoeae isolate with reduced susceptibility to ceftriaxone in the area served by our center. Further studies are needed in order to elucidate the relation between sex and ureaplasmal and mycoplasmal infection. Our findings are useful to draw local and national strategies to control the emergence of new STs related with treatment failure.
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