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Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection among Men Who Have Sex with Men, United States, 2011-2015.
Emerg Infect Dis. 2016 09; 22(9):1613-6.EI

Abstract

Shigella spp. cause ≈500,000 illnesses in the United States annually, and resistance to ciprofloxacin, ceftriaxone, and azithromycin is emerging. We investigated associations between transmission route and antimicrobial resistance among US shigellosis clusters reported during 2011-2015. Of 32 clusters, 9 were caused by shigellae resistant to ciprofloxacin (3 clusters), ceftriaxone (2 clusters), or azithromycin (7 clusters); 3 clusters were resistant to >1 of these drugs. We observed resistance to any of these drugs in all 7 clusters among men who have sex with men (MSM) but in only 2 of the other 25 clusters (p<0.001). Azithromycin resistance was more common among MSM-associated clusters than other clusters (86% vs. 4% of clusters; p<0.001). For adults with suspected shigellosis, clinicians should culture feces; obtain sex histories; discuss shigellosis prevention; and choose treatment, when needed, according to antimicrobial drug susceptibility. Public health interviews for enteric illnesses should encompass sex practices; health messaging for MSM must include shigellosis prevention.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

27533624

Citation

Bowen, Anna, et al. "Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection Among Men Who Have Sex With Men, United States, 2011-2015." Emerging Infectious Diseases, vol. 22, no. 9, 2016, pp. 1613-6.
Bowen A, Grass J, Bicknese A, et al. Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection among Men Who Have Sex with Men, United States, 2011-2015. Emerging Infect Dis. 2016;22(9):1613-6.
Bowen, A., Grass, J., Bicknese, A., Campbell, D., Hurd, J., & Kirkcaldy, R. D. (2016). Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection among Men Who Have Sex with Men, United States, 2011-2015. Emerging Infectious Diseases, 22(9), 1613-6. https://doi.org/10.3201/eid2209.160624
Bowen A, et al. Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection Among Men Who Have Sex With Men, United States, 2011-2015. Emerging Infect Dis. 2016;22(9):1613-6. PubMed PMID: 27533624.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection among Men Who Have Sex with Men, United States, 2011-2015. AU - Bowen,Anna, AU - Grass,Julian, AU - Bicknese,Amelia, AU - Campbell,Davina, AU - Hurd,Jacqueline, AU - Kirkcaldy,Robert D, PY - 2016/8/18/entrez PY - 2016/8/18/pubmed PY - 2018/2/2/medline KW - Shigella KW - United States KW - antimicrobial resistance KW - azithromycin KW - bacteria KW - ceftriaxone KW - fluoroquinolones KW - men who have sex with men KW - shigellosis SP - 1613 EP - 6 JF - Emerging infectious diseases JO - Emerging Infect. Dis. VL - 22 IS - 9 N2 - Shigella spp. cause ≈500,000 illnesses in the United States annually, and resistance to ciprofloxacin, ceftriaxone, and azithromycin is emerging. We investigated associations between transmission route and antimicrobial resistance among US shigellosis clusters reported during 2011-2015. Of 32 clusters, 9 were caused by shigellae resistant to ciprofloxacin (3 clusters), ceftriaxone (2 clusters), or azithromycin (7 clusters); 3 clusters were resistant to >1 of these drugs. We observed resistance to any of these drugs in all 7 clusters among men who have sex with men (MSM) but in only 2 of the other 25 clusters (p<0.001). Azithromycin resistance was more common among MSM-associated clusters than other clusters (86% vs. 4% of clusters; p<0.001). For adults with suspected shigellosis, clinicians should culture feces; obtain sex histories; discuss shigellosis prevention; and choose treatment, when needed, according to antimicrobial drug susceptibility. Public health interviews for enteric illnesses should encompass sex practices; health messaging for MSM must include shigellosis prevention. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/27533624/full_citation L2 - https://dx.doi.org/10.3201/eid2209.160624 DB - PRIME DP - Unbound Medicine ER -