Why Doctors Are Worried a New STI Could Be a Future Superbug

An STI that often gets misdiagnosed is in the spotlight this month as British health groups issue guidance to try to prevent the†infection from being the next superbug.

The British Association of Sexual Health and HIV (BASHH) issued the guidance†this past week†saying that the STI, known as† known as†Mycoplasma Genitalium or MG, has flown under the radar for too long, and that could be†dangerous.

“MG is treated with antibiotics, but as until recently there has been no commercially available test, it has often been misdiagnosed as Chlamydia and treated as such,”†BASHH spokesperson Paddy Horner, author of the new NICE-approved guidelines, is quoted†as saying. “This is not curing the infection and is causing antimicrobial resistance in MG patients. ”

The draft guidelines are meant to set a firm “best practice” for treatment. To understand why they are so important, it’s good to know a bit more about mycoplasma genitalium.

What is Mycoplasma Genitalium?

The infection may have been around since the 1980s or even earlier, but researchers first confirmed†it as†a sexually transmitted infection in 2015. Since then, clinicians have sought to understand the full scope of what mycoplasma genitalium can do and how it can affect our health.

Mycoplasmas are small organisms that live in a variety of places but are well-suited to colonizing our reproductive organs. As a result, unprotected sexual contact can pass them on.

The infection†can cause inflammation of the urethra in men that can be uncomfortable and even painful.†In women, however, the inflammation can be worse and may extend to the womb and fallopian tubes. It may result in pain and bleeding, and there is evidence of an infection raising the risk of reduced fertility or even complete infertility.

More general symptoms include pain when urinating, as well as discharge and extreme discomfort.

However, some people will have no symptoms whatsoever, and as a result may never need to seek treatment. It’s estimated that between one and two percent of the UK population may have mycoplasma genitalium.

Why Are Doctors Worried About Mycoplasma Genitalium Becoming a Superbug?

Until now there has been little standardized information on how to spot MG and how to treat it. This has led to doctors frequently misdiagnosing MG as other STIs, like chlamydia.

The disease is highly treatable with antibiotics, such as†doxycycline and†azithromycin. However, in recent years it started to show resistance to another antibiotic family,†macrolides.† This, clinicians say, is a result of the infection being mistaken for other infections and treated with ineffective families of antibiotics.

Unfortunately, macrolide resistance is now at 40 percent†in some tests, with similar statistics echoed across the globe. In essence, this family of antibiotics is failing, and it won’t be too long before it†becomes too ineffective to have clinical worth.

Dr. Peter Greenhouse, sexual health consultant, characterizes this as a pressing concern: “MG is rapidly becoming the new ‘superbug’: itís already increasingly resistant to most of the antibiotics we use to treat Chlamydia and changes its pattern of resistance during treatment so itís like trying to hit a moving target.”

The BASHH guidelines also make clear that misdiagnosis isn’t the only problem clinicians face. They say†that “seven in ten sexual health experts” have reported that they have not yet been given the resources for the diagnostics tests for MG.

While clinics can send off samples to Public Health England for testing, due to time and resources, this is not a viable option for most clinics, particularly if they want a quick turn around.

The BASHH guidelines say all this needs rectifying, with public health spending allowing people to get tested as part of routine sexual health checkups. It is also imperative that sexually active people are aware of the symptoms.

Talking about superbugs can sound alarming, but sensationalism is not what this warning is about. Rather, BASHH is trying to get ahead of antibiotics resistance to make sure that MG doesn’t become a major infertility problem. Fortunately, the steps to treating MG are relatively easy. Now, government health spending must help support this drive to ensure MG is kept in check.

Photo credit: Thinkstock.

39 comments

Paulo R
Paulo R22 days ago

ty

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Celine R
Celine Russo28 days ago

A little bit of infertility might be a need actually considering overpopulation...

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Ann B
Ann Babout a month ago

we all should be worried

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Ellen J
Ellen Jabout a month ago

Thanks for the article.

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Marija M
Marija Mabout a month ago

Tks for sharing.

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Winn A
Winn Aabout a month ago

Thanks

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Cindy S
Cindy Smithabout a month ago

thanks

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Leo C
Leo Cabout a month ago

thank you for sharing!

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Latoya B
Latoya Brookinsabout a month ago

I can't even handle the flu or a cold. Anything that leads to mucus.

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Chad Anderson
Chad Andersonabout a month ago

Thank you!

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