HIV/AIDS and STI

Gonorrhoea Antimicrobial Surveillance Programme (GASP)


Gonococcal resistance pattern in the Western Pacific Region

A high proportion of penicillin and/or quinolone resistance has been reported in Asia. Lower rates of penicillin resistance and little quinolone resistance have been reported by Pacific island countries.

Penicillin resistance in 9048 strains of N. gonorrhoeae isolated in 17 countries and jurisdictions in the WHO WPR and five countries in *SEAR in 2008

COUNTRY n Penicillinase-producing Neisseria gonorrhoeae Chromosomally mediated resistant Neisseria gonorrhoeae All Penicillin resistance
No. % No. % No. %
Australia 3110 373 12 994 32 1367 44
*#Bhutan 161 161 100
Brunei Darussalam 351 201 70.5 44 12.5 245 69.8
China 1403 543 38.7 ND^
Fiji 320 20 6.3 11 3.4 31 9.7
Hong Kong (China) 1393 434 31.2 169 12.1 603 43.3
*India 60 20 33.3 5 8.3 25 41.7
Japan 328 2 0.6 88 26.8 90 27.4
Republic of Korea 141 18 12.8 77 54.6 95 67.4
#Lao PDR 9 7# 78
Malaysia 43 23 53.5 0 0 23 53.5
Mongolia 91 3 3.3 3 3.3
*Myanmar 12 2 16.7 8 66.7 10 83.3
New Caledonia 152 0 0 2 1.3 2 1.3
New Zealand 258 6 2.3 57 22.1 63 24.4
Papua New Guinea 32 20 62.5 2 6.3 22 68.8
Philippines 84 76 90.5 0 0 76 90.5
*Sri Lanka 34 18 52.9 1 2.9 19 55.9
Singapore 160 90 56.3 12 7.5 102 63.8
*@Thailand 733 592 80.8 45/53 84.9
Tonga 14 1 7.1 0 0 1 7.1
Viet Nam 153 40 26.1 9 5.9 49 32
ND^ GC in China were examined for penicillinase production only
#Bhutan, Laos - mechanism of penicillin resistance not specified
@Thailand, a subset of 53 non-PPNG strains were tested for chromosomal resistance
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