Antimicrobial resistance in Shigella spp. causing traveller's diarrhoea (1995–2010): A retrospective analysis

Pons, María J.; Gomes, Cláudia; Martínez-Puchol, Sandra; Ruiz, Lı́dia; Mensa, Laura; Vila, Jordi; Gascón, Joaquím; Ruiz, Joaquı́m

doi:10.1016/j.tmaid.2013.06.010

Cited by 39 publications

(31 citation statements)

References 10 publications

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“…In general, there appears to be a low failure rate with the use of empiric anti-microbial therapy, especially with the fl uoroquinolones and macrolides (55)(56)(57)(58)(59)(60)(61)(62). Anti-microbial susceptibility testing will continue to have a role in the outbreak setting and for ongoing surveillance of local trends in resistance patterns and mechanisms (63)(64)(65).…”

Section: Diagnosismentioning

confidence: 99%

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Riddle

DuPont

Connor

2016

American Journal of Gastroenterology

305

237

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Acute diarrheal infections are a common health problem globally and among both individuals in the United States and traveling to developing world countries. Multiple modalities including antibiotic and non-antibiotic therapies have been used to address these common infections. Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings. Am J Gastroenterol 2016; 111:602-622; doi: 10.1038/ajg.2016 A follow-up survey where 3,568 respondents (median age 51) were asked at random about illness in the previous 7 days or previous month found that recall bias had an important eff ect on estimates of acute gastrointestinal illness ( 10 ). Using a 7-day exposure window, the estimated incidence of acute diarrhea was 1.6 episodes per person-year, compared with 0.9 episodes per person-year if asked about illness within the preceding month. Other population-based studies from Canada and western European countries using varied methodologies estimate annual incidence between 0.1 to 3.5 episodes per person-year ( 11 18. Antibiotic chemoprophylaxis has moderate to good effectiveness and may be considered in high-risk groups for short-term use. (Strong recommendation, high level of evidence) TD, traveler's diarrhea.

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Section: Diagnosismentioning

confidence: 99%

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Riddle

DuPont

Connor

2016

American Journal of Gastroenterology

305

237

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show abstract

“…Nonetheless, the aetiological agents of diarrhoea vary greatly depending on the geographical origin. In addition, the clinical relevance of each specific pathogen also differs (Kotloff et al, 2013;Lanata et al, 2013;Pons et al, 2013;Prère et al, 2006) and, thus, a clear understanding of the prevalent locally specific aetiologies is essential for the design of specific prevention and control measures targeting the main causes.…”

Section: Introductionmentioning

confidence: 99%

Aetiology, epidemiology and clinical characteristics of acute moderate-to-severe diarrhoea in children under 5 years of age hospitalized in a referral paediatric hospital in Rabat, Morocco

Benmessaoud

Jroundi

Mouane³

et al. 2015

Journal of Medical Microbiology

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“…These data are in concordance with other studies. 26,30 However, other authors have described the opposite: higher resistance rates for S. sonnei compared with S. flexneri.…”

Section: Discussionmentioning

confidence: 97%

“…Pons and others found a decrease in the number of cases of TD due to Shigella in Spain in recent times (1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010). 26 One plausible explanation may be the improvement in the hygiene measures in the travelers' destinations. 27 More studies will be needed over time to confirm whether this declining trend will continue in the future.…”

Section: Discussionmentioning

confidence: 99%

Shigellosis in Subjects with Traveler's Diarrhea Versus Domestically Acquired Diarrhea: Implications for Antimicrobial Therapy and Human Immunodeficiency Virus Surveillance

Toro¹,

Arroyo²,

Sarria³

et al. 2015

The American Journal of Tropical Medicine and Hygiene

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Abstract. An increase of sexually transmitted shigellosis is currently being reported in developed countries. In addition, travel-related shigellosis can introduce resistant strains that could be disseminated within this new scenario. Epidemiological features and antimicrobial susceptibility of shigellosis depending on where infection was acquired were investigated. From 2008 to 2013, subjects with shigellosis were studied. Patients were classified according to acquisition of Shigella as traveler's diarrhea (TD) or domestically acquired diarrhea (DAD). Ninety cases of shigellosis were identified: 76 corresponding to the TD group and 14 to the DAD group. In the DAD group, most of patients were human immunodeficiency virus (HIV)-positive men who have sex with men (MSM), being shigellosis associated to male sex (P = 0.007) and HIV infection (P < 0.0001). S. sonnei (47.8%) and S. flexneri (42.2%) were the predominant species. The highest resistance was detected for trimethoprim/sulfamethoxazole (SXT) (81.8%), followed by ampicillin (AMP) (37.8%) and ciprofloxacin (CIP) (23.3%). Resistant Shigella strains were more frequent in subjects with TD than those with DAD, although only for CIP the difference was significant (P = 0.034). Continuous monitoring of patients with shigellosis is necessary to control the spread of resistant Shigella strains and for effective therapy. Men with shigellosis who have not traveled to an endemic area should be screened for HIV infection.

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Antimicrobial resistance in Shigella spp. causing traveller's diarrhoea (1995–2010): A retrospective analysis

Cited by 39 publications

References 10 publications

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Aetiology, epidemiology and clinical characteristics of acute moderate-to-severe diarrhoea in children under 5 years of age hospitalized in a referral paediatric hospital in Rabat, Morocco

Shigellosis in Subjects with Traveler's Diarrhea Versus Domestically Acquired Diarrhea: Implications for Antimicrobial Therapy and Human Immunodeficiency Virus Surveillance

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