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- Title
Decreased Susceptibility to Azithromycin in Clinical Shigella Isolates Associated with HIV and Sexually Transmitted Bacterial Diseases, Minnesota, USA, 2012-2015.
- Authors
Eikmeier, Dana; Talley, Pamela; Bowen, Anna; Leano, Fe; Dobbins, Ginette; Jawahir, Selina; Gross, Annastasia; Huspeni, Dawn; La Pointe, Allison; Meyer, Stephanie; Smith, Kirk
- Abstract
Shigellosis outbreaks caused by Shigella with decreased susceptibility to azithromycin (DSA-Shigella) among men who have sex with men (MSM) have been reported worldwide. We describe sexual health indicators and antimicrobial drug resistance for shigellosis cases in Minnesota, USA. We analyzed a sample of isolates received during 2012-2015 and cross-referenced cases with the Minnesota Department of Health Sexually Transmitted Disease Database to ascertain patients' HIV status and recent chlamydia, gonorrhea, and syphilis infections. Of 691 Shigella isolates, 46 (7%) were DSA-Shigella; 91% of DSA-Shigella patients were men, of whom 60% were living with HIV. Among men, those with DSA-Shigella infection had greater odds of living with HIV, identifying as MSM, or having a recent diagnosis of a sexually transmitted disease. DSA-Shigella was associated with MSM, HIV infection, and recent sexually transmitted disease. To decrease spread of DSA-Shigella, interventions targeted at communities at high risk are needed.
- Subjects
MINNESOTA; BACTERIAL diseases; SHIGELLOSIS; SEXUALLY transmitted diseases; MINNESOTA. Dept. of Health; AZITHROMYCIN; HIV infections; SHIGELLA
- Publication
Emerging Infectious Diseases, 2020, Vol 26, Issue 4, p667
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid2604.191031