Changing epidemiology of shigellosis in Taiwan, 2010-2019: an emerging threat to HIV-infected patients and men who have sex with men

• Published in: Emerging microbes & infections 2022-12, Vol.11 (1), p.498-506
• Main Authors: Tsai, Chin-Shiang, Lin, Kuan-Yin, Liou, Bo-Huang, Chiou, Chien-Shun, Lin, Yi-Chun, Lee, Yuan-Ti, Yang, Chia-Jui, Tang, Hung-Jen, Liao, Ying-Shu, Liu, Chun-Eng, Lee, Chen-Hsiang, Lu, Po-Liang, Huang, Sung-Hsi, Hung, Chien-Ching, Ko, Wen-Chien
• Format: Article
• Language: English
• Subjects: Adult; Anti-Bacterial Agents - pharmacology; Anti-Bacterial Agents - therapeutic use; Antibiotics; Antimicrobial agents; antimicrobial resistance; Bacillary dysentery; Chlamydia; Diarrhea; Disease control; Drug resistance; Dysentery; Dysentery, Bacillary - drug therapy; Dysentery, Bacillary - epidemiology; Epidemiology; fluoroquinolones; Gonorrhea; Hepatitis; HIV; HIV Infections - drug therapy; HIV Infections - epidemiology; Homosexuality, Male; Hospitals; Human immunodeficiency virus; Humans; Infections; Internal medicine; Laboratories; Male; Medical research; Medical schools; Medicine; oro-anal sex; Parasitology; Public health; Retrospective Studies; Sexual and Gender Minorities; sexually transmitted disease; Sexually transmitted diseases; Shigellosis; STD; Taiwan - epidemiology; University colleges
• ISSN: 2222-1751; 2222-1751
• DOI: 10.1080/22221751.2022.2031309

Shigellosis appears to increase in certain at-risk populations in developed countries. Based on the nationwide surveillance, the annual incidence of shigellosis in Taiwan (1999-2019) was 0.38-5.77 cases per 100,000 people. Indigenous shigellosis has mostly affected men who have sex with men (MSM) and people living with HIV (PLWH) since 2015. In this retrospective study, compared with those diagnosed before 2015, indigenous cases diagnosed during 2015-2019 mostly occurred in male adults (96.0% vs 47.1%, P