Are enteric infections sexually transmitted in British Columbia?
Open accessAbstract
BACKGROUND: Enteric infections may on occasion be sexually transmitted, particularly among people who engage in oral-anal sexual contact. Although outbreaks of enteric infections have been reported among men who have sex with men (MSM) in British Columbia (BC), the epidemiology of sexually transmitted enteric infections has never been assessed. OBJECTIVE: To describe the epidemiology of enteric infections in BC to determine if sexual transmission may be occurring. METHODS: A descriptive analysis was conducted of all reported cases of shigellosis, amebiasis and giardiasis in BC for the period 2003-2012. RESULTS: For shigellosis and amebiasis, there was a high male-to-female ratio and a higher rate of infection in males aged 20-59 years as compared to all other age-sex groups. Additionally, for shigellosis, adult males were significantly more likely than females to acquire disease locally (RR 1.9; CI 1.7--.4). CONCLUSION: Analysis suggests that sexual transmission of enteric infections, particularly shigellosis and amebiasis, may be occurring in MSM in BC. Further studies are indicated.
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Global increases in the incidence of shigellosis among adult MSM have been more recently observed.
“Global increases in the incidence of shigellosis among adult MSM have been more recently observed (252–256).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [254]
The Discussion (page not available) reports shigellosis outbreaks among MSM in many developed countries, supporting the claim’s international scope. It does not report a global increase in incidence among adult MSM. The Results (page not available) instead describe a declining shigellosis rate in British Columbia from 2007 to 2012, though that local trend does not establish a global trend. (LLM, conf=0.86)
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References 34 · Cited by 12
Research works printed but not linked: 5
- Tessier J, Gal D. Giardiasis. Prim Care Update. 1999;6(1):1-4.
- Klausner J, Hook E. Current diagnosis and treatment of sexually transmitted diseases. New York: McGraw-Hill Medical; 2007.
- Wilmer A, Romney MG, Gustafson R, Sandhu J, Chu T, Ng C, Hull MW. Shigella flexneri Serotype I in men who have sex with men in Vancouver, Canada. HIV Med. 2015;16(3):168- 175.
- Rowe SL, Radwan S, Lalor K, Valcanis M, Gregory JE. An outbreak of shigellosis among men who have sex with men, Victoria, 2008. Vic Inf Dis Bull. Dec 2010;13(4):119-121.
- Marcus U, Zucs P, Bremer V, Osamah H. Cluster of shigellosis in men in Berlin in 2001. Euro Surveill. 2002;6(33):1862.
- Authors
- Narayan, S., & Galanis, E.
- Affiliations
- Simon Fraser University (CA)
- BC Centre for Disease Control (CA)
- ORCID
- Venue
- Canada Communicable Disease Report
- Published
- 2016-02-04
- Volume
- 42
- Issue
- 2
- Pages
- 24-29
- ISSN
- 1188-4169 (ISSN-L)
- 1481-8531
- PMC
- PMC5864255
- OpenAlex
- W2793948016
- Cited by
- 12
- References
- 34
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 1
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Canada Communicable Disease Report (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Life Sciences › Immunology and Microbiology › Parasitology › Parasitic Infections and Diagnostics
- Keywords
- shigellosis, amoebiasis, giardiasis, men who have sex with men, sex differences in infection, age and sex distribution, British Columbia
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