title: Shigellosis in refugees, Austria, July to November 2015.
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 S. sonnei (n = 13), S. flexneri (n = 10) and S. boydii (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.
authors.affiliation: Austrian Agency for Health and Food Safety (AGES), Vienna, Austria.
authors.forename: Ingeborg
authors.initials: I
authors.lastname: Lederer
authors.forename: Karin
authors.initials: K
authors.lastname: Taus
authors.forename: Franz
authors.initials: F
authors.lastname: Allerberger
authors.forename: Sabrina
authors.initials: S
authors.lastname: Fenkart
authors.forename: Alexander
authors.initials: A
authors.lastname: Spina
authors.forename: Burkhard
authors.initials: B
authors.lastname: Springer
authors.forename: Daniela
authors.initials: D
authors.lastname: Schmid
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001317:Austria / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D024881:Drug Resistance, Bacterial; D004405:Dysentery, Bacillary / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D005243:Feces / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012036:Refugees; D012760:Shigella / Q000145:classification / Q000187:drug effects* / Q000201:enzymology / Q000302:isolation & purification; D055815:Young Adult; D001618:beta-Lactamases / Q000378:metabolism
chemical_list: D000900:Anti-Bacterial Agents; D001618:beta-Lactamases
keywords: Austria; Shigella; antimicrobial resistance; bacterial infections; epidemiology; food-borne infections; hand hygiene; refugees; shigellosis; syndromic surveillance