Human/animal reservoir
Contaminated water
Often travel related
Outbreaks - e.g. Daycare
Infectious colitis - dysenteric
HUS
Reactive Arthritis
Bacteremia
Intra-abdominal abscess
Most require treatment.
Lab will provide sensitivity results.
The CDC has put forward a concern about increased number of Shigella isolates that test within the susceptible range for ciprofloxacin (MIC 0.12-1mg/L) but harbour one or more resistance mechanisms.
CDC is concerned about the potential for clinical failures with fluoroquinolone treatment.
Suggest consult with lab director/pharmacy or antimicrobial stewardship team.
Food handlers require proof of clearance before return to work.
