Case-Control Study of Shigellosis in San Francisco: The Role of Sexual Transmission and HIV Infection
Author(s) -
Tomás Aragón,
Duc J. Vugia,
Sue Shallow,
M Samuel,
Arthur Reingold,
F. J. ANGULO,
Williamson Z. Bradford
Publication year - 2007
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/510593
Subject(s) - shigellosis , medicine , men who have sex with men , shigella , population , transmission (telecommunications) , odds ratio , epidemiology , confidence interval , immunology , environmental health , demography , human immunodeficiency virus (hiv) , biology , syphilis , biochemistry , escherichia coli , sociology , electrical engineering , gene , engineering
Shigella species infect approximately 450,000 persons annually in the United States. Person-to-person transmission of Shigella species, which have a low infectious dose, occurs frequently, particularly in areas with poor sanitation and hygiene. Sexual transmission of Shigella species among men who have sex with men (MSM) has been inferred from outbreaks of shigellosis among that population, and limited studies have suggested the importance of human immunodeficiency virus (HIV) infection as a risk factor for shigellosis. No population-based study of sporadic shigellosis has evaluated the role of sexual practices (especially among MSM) and HIV infection along with other established risk factors for shigellosis.
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