Decreased Susceptibility to Azithromycin in Clinical Shigella Isolates Associated with HIV and Sexually Transmitted Bacterial Diseases, Minnesota, USA, 2012-2015

被引：12

作者：

Eikmeier, Dana ^{[1
]}

Talley, Pamela ^{[2
]}

Bowen, Anna ^{[2
]}

Leano, Fe ^{[1
]}

Dobbins, Ginette ^{[1
]}

Jawahir, Selina ^{[1
]}

Gross, Annastasia ^{[1
]}

Huspeni, Dawn ^{[1
]}

La Pointe, Allison ^{[1
]}

Meyer, Stephanie ^{[1
]}

Smith, Kirk ^{[1
]}

机构：

[1] Minnesota Dept Hlth, Orville L Freeman Bldg,625 N Robert St, St Paul, MN 55155 USA

[2] Ctr Dis Control & Prevent, Atlanta, GA USA

来源：

EMERGING INFECTIOUS DISEASES | 2020年 / 26卷 / 04期

关键词：

MINNEAPOLIS-ST PAUL; UNITED-STATES; MEN; SEX; OUTBREAK; SONNEI; INFECTION; ENGLAND; CANADA; TRANSMISSION;

D O I：

10.3201/eid2604.191031

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

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.

引用

页码：667 / 674

页数：8

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