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.
Open accessAbstract
Surveillance data suggest an intensification of the shigellosis epidemic associated with sexual transmissionin 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, andS. sonnei diagnoses. Clinicians should sensitively ascertain sexual history for men with enteric infections to facilitate prompt diagnosis and appropriate management.
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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 [252]
The Abstract and Discussion and conclusion report rising shigellosis diagnoses among adult men and an intensifying epidemic associated with sexual transmission among MSM in England. The Discussion also mentions intercontinental dissemination of one lineage, but the paper does not establish a global increase in shigellosis incidence among MSM. (LLM, conf=0.88)
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The emergence of LGV in Western Europe: what do we know, what can we do?
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An evaluation of a thicker versus a standard condom with gay men
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Designing an HIV Counseling and Testing Program for Bathhouses
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Jameson, D. R., Celum, C., Manhart, L. E., Menza, T. W., & Golden, M. R. (2010) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e3181bd0ff0 · Cited by 37 · see citing works
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Self-citationHigh-risk drug practices in men who have sex with men
Gilbart, V. L., Simms, I., Gobin, M., Oliver, I., & Hughes, G. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60882-x · Cited by 35 · see citing works
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Amyl Nitrite Alters Human in Vitro Immune Function
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Does additional lubrication affect condom slippage and breakage?
Smith, A. M. A., Jolley, D., Hocking, J. S., Benton, K., & Gerofi, J. P. (1998) · International Journal of STD & AIDS · doi:10.1258/0956462981922359 · Cited by 28 · see citing works
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Immunomodulation by nitrite inhalants may predispose abusers to AIDS and Kaposi's sarcoma
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Safety and acceptability of the RealityTM condom for anal sex among men who have sex with men
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HIV transmission among gay men through oral sex and other uncommon routes
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Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention
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13. How to read a journal article
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Serosorting and Strategic Positioning During Unprotected Anal Intercourse
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HIV test uptake after introducing an opt-out screening system
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Flagged first, then by citations
Research works printed but not linked: 1
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 2,759 · see citing works
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Horizontal antimicrobial resistance transfer drives epidemics of multiple Shigella species
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Identification of Escherichia coli and Shigella Species from Whole-Genome Sequences
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Self-citationCo-circulation of Multidrug-resistant Shigella Among Men Who Have Sex With Men in Australia
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Deletion of toxin–antitoxin systems in the evolution of Shigella sonnei as a host-adapted pathogen
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Shigella sonnei: virulence and antibiotic resistance
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Self-citation100 years of STIs in the UK: a review of national surveillance data
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Self-citationThe evolution and international spread of extensively drug resistant Shigella sonnei
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Self-citationVusirikala, A., Charles, H., Balasegaram, S., Macdonald, N., Kumar, D., Barker-Burnside, C., Cumiskey, K., Dickinson, M., Watson, M., Olufon, O., et al. (2022) · Emerging infectious diseases · doi:10.3201/eid2810.220960 · Cited by 76 · see citing works
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Self-citationCenters for Disease Control and Prevention’s Sexually Transmitted Diseases Infection Guidelines
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2016 United Kingdom national guideline on the sexual health care of men who have sex with men
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Mitchell, H. D., & Hughes, G. (2017) · Current Opinion in Infectious Diseases · doi:10.1097/qco.0000000000000423 · Cited by 57 · see citing works
Self-citationChilds, T., Simms, I., Alexander, S., Eastick, K., Hughes, G., & Field, N. M. (2015) · Eurosurveillance · doi:10.2807/1560-7917.es.2015.20.48.30076 · Cited by 57 · see citing works
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Escolà‐Vergé, L., Arando, M., Vall-Mayans, M., Rovira, R., Espasa, M., Sulleiro, E., Armengol, P., Zarzuela, F., & Barberá, M.-J. (2017) · Eurosurveillance · doi:10.2807/1560-7917.es.2017.22.30.30581 · Cited by 55 · see citing works
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Enteric Infections in Men Who Have Sex With Men
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Evaluation of Molecular Methods for Serotyping Shigella flexneri
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Self-citationMatanza, X. M., & Clements, A. (2023) · Virulence · doi:10.1080/21505594.2023.2280838 · Cited by 42 · see citing works
Whole-Genome Sequencing for National Surveillance of Shigella flexneri
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Self-citationShigella sonnei: epidemiology, evolution, pathogenesis, resistance and host interactions
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Self-citationMORENO, A. J., Espinal, P., Rodríguez, V., Goterris, L., Fàbrega, A., Serra-Pladevall, J., Barberá, M.-J., Alberny, M., Martín-González, H., Cornejo-Sánchez, T., et al. (2021) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2021.106378 · Cited by 34 · see citing works
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Shigellosis outbreak among MSM living with HIV: a case–control study in Taiwan, 2015–2016
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Self-citationAzithromycin-NonsusceptibleShigella flexneri3a in Men Who Have Sex with Men, Taiwan, 2015–2016
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Self-citationMaking sense of the cause of Crohn’s – a new look at an old disease
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Risk Factors for Asymptomatic Enteric Pathogen Detection Among Men Who Have Sex With Men
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Dallman, T. J., Charles, H., Prochazka, M., Sinka, K., Hughes, G., Godbole, G., & Jenkins, C. (2021) · Journal of Medical Microbiology · doi:10.1099/jmm.0.001437 · Cited by 23 · see citing works
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Self-citationCornelisse, V. J., Zhang, L., Law, M. G., Chen, M. Y., Bradshaw, C. S., Bellhouse, C., Fairley, C. K., & Chow, E. P. F. (2018) · BMC Infectious Diseases · doi:10.1186/s12879-018-3003-2 · Cited by 21 · see citing works
Locke, R. K., Greig, D. R., Jenkins, C., Dallman, T. J., & Cowley, L. A. (2021) · Microbial Genomics · doi:10.1099/mgen.0.000644 · Cited by 20 · see citing works
Self-citationSilva, P. M. D., Bennett, R. J., Kühn, L., Ngondo, R. P., Debande, L., Njamkepo, E., Ho, B. T., Weill, F., Marteyn, B., Jenkins, C., et al. (2023) · EBioMedicine · doi:10.1016/j.ebiom.2023.104822 · Cited by 20 · see citing works
Self-citationBaker, K. S., Dallman, T. J., Thomson, N. R., & Jenkins, C. (2018) · Microbial Genomics · doi:10.1099/mgen.0.000181 · Cited by 20 · see citing works
Self-citationElevated prevalence of multidrug-resistant gram-negative organisms in HIV positive men
Reinheimer, C., Keppler, O. T., Stephan, C., Wichelhaus, T. A., Friedrichs, I., & Kempf, V. A. J. (2017) · BMC Infectious Diseases · doi:10.1186/s12879-017-2286-z · Cited by 19 · see citing works
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Potential for Phages in the Treatment of Bacterial Sexually Transmitted Infections
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Wani, R. L. S., Filson, S. A., Chattaway, M. A., & Godbole, G. (2015) · International Journal of STD & AIDS · doi:10.1177/0956462415610275 · Cited by 17 · see citing works
Trends in shigellosis notifications in England, January 2016 to March 2023
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Self-citationMen who have sex with men: A group of travellers with special needs
Agüero, F., Aumatell, C. M., Morchón, S., & Ramon, J. M. (2018) · Travel Medicine and Infectious Disease · doi:10.1016/j.tmaid.2018.10.020 · Cited by 16 · see citing works
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Self-citationThe changing epidemiology of shigellosis in Australia, 2001–2019
Ibrahim, A., Glass, K., Williamson, D. A., Polkinghorne, B., Ingle, D. J., Wright, R., & Kirk, M. (2023) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0010450 · Cited by 13 · see citing works
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Mitchell, H. D., Thomson, N. R., Jenkins, C., Dallman, T. J., Painset, A., Kirwan, P., Delpech, V., Mikhail, A. F. W., Field, N. M., & Hughes, G. (2021) · Microbiology Spectrum · doi:10.1128/spectrum.01213-21 · Cited by 13 · see citing works
Self-citationEpidemiology of inflammatory bowel disease in men with high-risk homosexual activity
Mansoor, E., Martin, S. A., Perez, A., Nguyen, V. Q. C., Katz, J., Gupta, S., & Cominelli, F. (2022) · Gut · doi:10.1136/gutjnl-2022-328218 · Cited by 12 · see citing works
Bernaquez, I., Gaudreau, C., Pilon, P. A., & Békal, S. (2021) · Microbial Genomics · doi:10.1099/mgen.0.000672 · Cited by 11 · see citing works
Cheng, Q., Ma, Z., Gong, Z., Liang, Y., Guo, J., Ye, X., Han, Z., & Yao, Z. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1102907 · Cited by 11 · see citing works
Infectious mimics of inflammatory bowel disease
Bhaijee, F., Arnold, C. A., Lam-Himlin, D. M., Montgomery, E. A., & Voltaggio, L. (2015) · Diagnostic histopathology · doi:10.1016/j.mpdhp.2015.06.015 · Cited by 11 · see citing works
Bernstein, K. T., Bowen, V. B., Kim, C. R., Counotte, M. J., Kirkcaldy, R. D., Kara, E., BOLAN, G. A., Low, N. N., & Broutet, N. J. N. (2017) · PLoS Medicine · doi:10.1371/journal.pmed.1002474 · Cited by 11 · see citing works
Accessory Genome Dynamics and Structural Variation of Shigella from Persistent Infections
Bengtsson, R. J., Dallman, T. J., Jenkins, C., Allen, H., Silva, P. M. D., Stenhouse, G., Pulford, C. V., Bennett, R. J., & Baker, K. S. (2021) · mBio · doi:10.1128/mbio.00254-21 · Cited by 12 · see citing works
Self-citationAn adult case with shigellosis-associated encephalopathy
Schuster, H. J., Gompelman, M., Ang, W., & Kooter, A. J. (2018) · BMJ Case Reports · doi:10.1136/bcr-2017-222372 · Cited by 10 · see citing works
Mikhail, A. F. W., Pereboom, M., Utsi, L., Hawker, J. I., Lighthill, J., Aird, H. C., Swindlehurst, M., Greig, D. R., Jenkins, C., Godbole, G., et al. (2021) · Epidemiology and Infection · doi:10.1017/s0950268821000509 · Cited by 10 · see citing works
Self-citationDauby, N., Suin, V., Jacques, M., Abady, M., den Wijngaert, S. V., Delforge, M. L., Wit, S. D., & Libois, A. (2017) · Epidemiology and Infection · doi:10.1017/s0950268817002412 · Cited by 9 · see citing works
Mitchell, H. D., Thomson, N. R., Jenkins, C., Dallman, T. J., Painset, A., Kirwan, P., Delpech, V., Mikhail, A. F. W., Field, N. M., & Hughes, G. (2021) · Utrecht University Repository (Utrecht University) · doi:10.17863/cam.87612 · Cited by 9 · see citing works
Self-citationPetersen, J., Gibin, M., Sile, B., & Simms, I. (2016) · Sexually Transmitted Infections · doi:10.1136/sextrans-2015-052306 · Cited by 9 · see citing works
Self-citationvan Bilsen, W. P. H., van Dulm, E., Matser, A. A., Linde, I., van Duijnhoven, Y. T. H. P., Prins, J. M., Prins, M., Boyd, A. C., & van Dam, A. P. (2021) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2021.106276 · Cited by 9 · see citing works
Epidemiologic and Genomic Investigation of Sexually Transmitted Shigella sonnei , England
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Self-citationFlowers, P., Wu, O., Lorimer, K., Ahmed, B., Hesselgreaves, H., MacDonald, J., Cayless, S., Hutchinson, S. J., Elliott, L., Sullivan, A. K., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21050 · Cited by 7 · see citing works
Safer chemsex: consideration of Shigella
Bains, M., Crook, P., Field, N. M., & Hughes, G. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x683929 · Cited by 7 · see citing works
Self-citationvan den Beld, M. J. C., Pijnacker, R., van Dam, A. P., Bovée, L., Kwa, D., Linde, I., Wolthuis, R., Notermans, D. W., Bosch, T., & Franz, E. (2023) · Microbial Genomics · doi:10.1099/mgen.0.000978 · Cited by 6 · see citing works
Shigellosis in adults: A retrospective study of clinical and epidemiological features in East London
McGuire, E., Mikhail, A. F. W., Day, M. R., Wani, R. S., & Godbole, G. (2019) · International Journal of STD & AIDS · doi:10.1177/0956462419871851 · Cited by 4 · see citing works
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Guerrero-Vadillo, M., Peñuelas, M., Domı́nguez, Á., Godoy, P., Gómez‐Barroso, D., Soldevila, N., Izquierdo, C., Martínez, A., Torner, N., Avellón, A., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192416775 · Cited by 4 · see citing works
Sexually transmitted enteric infections in men who have sex with men
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Diarrhea caused by Shigella flexneri in patients with primary HIV infection
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Fountain, H., Thorley, K., Reid, D., Ogaz, D., Richardson, D., Charles, H., Baker, K. S., Jenkins, C., Pulford, C. V., Hughes, G., et al. (2026) · JMIR Public Health and Surveillance · doi:10.2196/73762 · Cited by 2 · see citing works
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Nowakowska, A., Demkow, U. A., & Podsiadły, E. (2021) · Postępy Higieny i Medycyny Doświadczalnej · doi:10.5604/01.3001.0014.6955 · Cited by 1 · see citing works
Sexually transmitted shigellosis
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A Rapidly Re-Emerging Sexually Transmitted Shigella Flexneri in Man having Sex with the Man (MSM)
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Navigating an outbreak: geospatial methods for STI outbreak investigations: Table 1
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Sexually transmissible bacterial enteric pathogens
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Self-citationEpidemiology or biology? A systematic review untangling the relationship between Shigella and HIVPreprint
Reithinger, E., Ursin, A., Thomas, J., Pascall, D. J., & Baker, K. S. (2026) · Research Square · doi:10.21203/rs.3.rs-11154087/v1
- Authors
- Simms, I., Field, N., Jenkins, C., Childs, T., Gilbart, V. L., Dallman, T. J., Mook, P., Crook, P. D., & Hughes, G.
- Affiliations
- Public Health England (GB)
- Venue
- Eurosurveillance
- Published
- 2015-04-16
- Volume
- 20
- Issue
- 15
- ISSN
- 1025-496X (ISSN-L)
- 1560-7917
- OpenAlex
- W580739951
- Cited by
- 95
- References
- 126
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 9 · 2022: 8 · 2021: 12 · 2020: 5 · 2019: 7 · 2018: 14 · 2017: 11 · 2016: 13 · 2015: 3
- FWCI
- 18.24
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Eurosurveillance (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (CL-2010-18-010)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- shigellosis, Shigella flexneri, Shigella sonnei, men who have sex with men, sexual transmission, gastrointestinal infections, sexual history, Shigella flexneri 2a, England
- MeSH terms
- Adolescent, Adult, Aged, Dysentery, Bacillary, England, Humans, Male, Middle Aged, Population Surveillance, Risk Factors, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases, Shigella flexneri, Shigella sonnei, Homosexuality, Male, Young Adult, Epidemics
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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