Elevated Risk for Antimicrobial Drug-Resistant Shigella Infection among Men Who Have Sex with Men, United States, 2011-2015

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 cluste...

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Veröffentlicht in:	Emerging infectious diseases 2016-09, Vol.22 (9), p.1613-1616
Hauptverfasser:	Bowen, Anna, Grass, Julian, Bicknese, Amelia, Campbell, Davina, Hurd, Jacqueline, Kirkcaldy, Robert D
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use antimicrobial drug resistance bacteria Ciprofloxacin Disease susceptibility Drug Resistance, Bacterial Drugs Dysentery, Bacillary - epidemiology Dysentery, Bacillary - history Dysentery, Bacillary - microbiology Dysentery, Bacillary - transmission Elevated Risk for Antimicrobial Drug–Resistant Female History, 21st Century Homosexuality, Male Humans Infection among Men Who Have Sex with Men, United States, 2011–2015 Male men who have sex with men Microbial drug resistance Microbial Sensitivity Tests Middle Aged Prevention Public health Risk Shigella Shigella - drug effects Shigella - genetics shigellosis United States United States - epidemiology Waterborne infections
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Zusammenfassung:	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
ISSN:	1080-6040 1080-6059
DOI:	10.3201/eid2209.160624