1887
Rapid communication Open Access
Like 0

Abstract

We report on a cluster of shigellosis including 21 cases in refugees and two in local residents who worked in refugee transit centres, detected in Austria in 2015, between calendar weeks 29 and 47. The species isolated from the cluster cases, including one mixed infection, were (n = 13), (n = 10) and (n = 1). Eleven of 18 tested isolates were extended spectrum beta-lactamase (ESBL)-positive, including five of six ciprofloxacin-resistant and three azithromycin-resistant isolates.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2015.20.48.30081
2015-12-03
2017-11-22
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2015.20.48.30081
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/20/48/eurosurv-20-48-1.html?itemId=/content/10.2807/1560-7917.ES.2015.20.48.30081&mimeType=html&fmt=ahah

References

  1. Budget Service of the Republic of Austria. [Request reply of the Budget Service: Question by Mr Ing. Robert Lugar (club chairman Team Stronach) to the increasing number of refugees]. Vienna: Parliamentary Administration; 2015. German. Available from: https://www.parlament.gv.at/ZUSD/BUDGET/BD_-_Anfragebeantwortung_zu_steigenden_Fluechtlingszahlen.pdf
  2. Stürenburg E, Sobottka I, Noor D, Laufs R, Mack D. Evaluation of a new cefepime-clavulanate ESBL Etest to detect extended-spectrum beta-lactamases in an Enterobacteriaceae strain collection. J Antimicrob Chemother. 2004;54(1):134-8.  https://doi.org/10.1093/jac/dkh274  PMID: 15150168 
  3. Parry CM, Thieu NT, Dolecek C, Karkey A, Gupta R, Turner P, et al. Clinically and microbiologically derived azithromycin susceptibility breakpoints for Salmonella enterica serovars Typhi and Paratyphi A. Antimicrob Agents Chemother. 2015;59(5):2756-64.  https://doi.org/10.1128/AAC.04729-14  PMID: 25733500 
  4. Heymann DL. Control of Communicable Diseases manual. 20th Edition. American Public Health Association, Washington 2015.
  5. Gargouri N, Walke H, Belbeisi A, Hadadin A, Salah S, Ellis A, et al. Estimated burden of human Salmonella, Shigella, and Brucella infections in Jordan, 2003-2004. Foodborne Pathog Dis. 2009;6(4):481-6.  https://doi.org/10.1089/fpd.2008.0192  PMID: 19415972 
  6. Lichnevski M. Shigella dysentery and shigella infections. East Mediterr Health J. 1996;2(1):102-6.
  7. World Health Organization (WHO). Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae type 1. ISBN: 9241592330. Geneva: WHO. 2005. Available from: http://apps.who.int/iris/bitstream/10665/43252/1/924159330X.pdf?ua=1&ua=1
  8. Kjersem H, Jepsen S, Larsen L, Black F. Salmonella and Shigella carriers among refugees from the middle east and Sri Lanka in Denmark. Scand J Soc Med. 1990;18(3):175-8. PMID: 2237324 
  9. European Centre for Disease Prevention and Control (ECDC). Infectious diseases of specific relevance to newly-arrived migrants in the EU/EEA. Stockholm; ECDC: 19 Nov 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/Infectious-diseases-of-specific-relevance-to-newly-arrived-migrants-in-EU-EEA.pdf
  10. Benny E, Mesere K, Pavlin BI, Yakam L, Ford R, Yoannes M, et al. A large outbreak of shigellosis commencing in an internally displaced population, Papua New Guinea, 2013. Western Pac Surveill Response J. 2014;5(3):18-21.  https://doi.org/10.5365/wpsar.2014.5.2.003  PMID: 25648967 
  11. Bowen A, Eikmeier D, Talley P, Siston A, Smith S, Hurd J, et al. Centers for Disease Control and Prevention (CDC). Notes from the Field: Outbreaks of Shigella sonnei Infection with Decreased Susceptibility to Azithromycin Among Men Who Have Sex with Men - Chicago and Metropolitan Minneapolis-St. Paul, 2014. MMWR Morb Mortal Wkly Rep. 2015;64(21):597-8. PMID: 26042652 
  12. Gaudreau C, Barkati S, Leduc JM, Pilon PA, Favreau J, Bekal S. Shigella spp. with reduced azithromycin susceptibility, Quebec, Canada, 2012-2013. Emerg Infect Dis. 2014;20(5):854-6.  https://doi.org/10.3201/eid2005.130966  PMID: 24750584 
  13. Baker KS, Dallman TJ, Ashton PM, Day M, Hughes G, Crook PD, et al. Intercontinental dissemination of azithromycin-resistant shigellosis through sexual transmission: a cross-sectional study. Lancet Infect Dis. 2015;15(8):913-21.  https://doi.org/10.1016/S1473-3099(15)00002-X  PMID: 25936611 
  14. Henze B. [Endemic occurrence of bacillary dysentery among refugees and the native population]. Offentl Gesundheitsdienst. 1959;21:139-48. German. PMID: 14401166 
  15. Kjersem H, Jepsen S, Larsen L, Black F. Salmonella and Shigella carriers among refugees from the middle east and Sri Lanka in Denmark. Scand J Soc Med. 1990;18(3):175-8. PMID: 2237324 
  16. European Centre for Disease Prevention and Control (ECDC). Communicable disease risks associated with the movement of refugees in Europe during the winter season. Stockholm: ECDC; 10 Nov 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/refugee-migrant-health-in-european-winter-rapid-risk-assessment.pdf
  17. European Centre for Disease Prevention and Control (ECDC). Rapid Risk Assessment. Shigellosis among refugees in the EU. Stockholm: ECDC. 26 Nov 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/Shigella-RRA-24-11-2015-Austria-Greece-Slovenia.pdf
/content/10.2807/1560-7917.ES.2015.20.48.30081
Loading

Data & Media loading...

Comment has been disabled for this content
Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error