Intensified shigellosis epidemic associated with sexual transmission in men who have sex with men - Shigella flexneri and S. sonnei in England, 2004 to end of February 2015

I Simms; N Field; C Jenkins; T Childs; V L Gilbart; T J Dallman; P Mook; P D Crook; G Hughes

doi:10.2807/1560-7917.ES2015.20.15.21097

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Intensified shigellosis epidemic associated with sexual transmission in men who have sex with men - Shigella flexneri and S. sonnei in England, 2004 to end of February 2015
I Simms¹ , N Field^1,2 , C Jenkins³ , T Childs¹ , V L Gilbart¹ , T J Dallman³ , P Mook⁴ , P D Crook⁴ , G Hughes¹
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Affiliations: ¹ HIV and STI Department, Public Health England Health Protection Services, Colindale, United Kingdom ² Department of Infection and Population Health, University College London, London, United Kingdom ³ Gastrointestinal Bacteria Reference Unit, Public Health England Reference Microbiology Services, Colindale, United Kingdom ⁴ Public Health England Health Protection Field Epidemiology Services, London, United Kingdom

Correspondence:
N Field
nigel.field phe.gov.uk
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Citation style for this article: Simms I, Field N, Jenkins C, Childs T, Gilbart V L, Dallman T J, Mook P, Crook P D, Hughes G. Intensified shigellosis epidemic associated with sexual transmission in men who have sex with men - Shigella flexneri and S. sonnei in England, 2004 to end of February 2015. Euro Surveill. 2015;20(15):pii=21097. https://doi.org/10.2807/1560-7917.ES2015.20.15.21097 Received: 01 Apr 2015

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Abstract

Surveillance data suggest an intensification of the shigellosis epidemic associated with sexual transmission in men who have sex with men (MSM) in England with separate introductions into the population. In 2014, sexual transmission between MSM might have accounted for 97%, 89%, and 43% of non-travel associated Shigella flexneri 3a and S. flexneri 2a, and S. sonnei diagnoses. Clinicians should sensitively ascertain sexual history for men with enteric infections to facilitate prompt diagnosis and appropriate management.