[Shigellosis, a sexually transmitted disease in homosexual men]

L P Bovée1, P G Peerbooms, J A van den Hoek

  • 1Gemeentelijke Geneeskundige en Gezondheidsdienst, afd. Infectieziekten, Postbus 2200, 1000 CE Amsterdam.

Insights

In 2001, Amsterdam saw more Shigella sonnei infections among homosexual men, often linked to oral-anal contact. Underlying HIV infection may be a contributing factor.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Epidemiology

Background:

  • Shigella infections pose a public health concern, particularly in urban settings.
  • Understanding transmission routes is crucial for effective control strategies.

Purpose of the Study:

  • To analyze trends in Shigella infections in Amsterdam from 1997-2001.
  • To investigate potential risk factors and transmission patterns, especially within the homosexual community.

Main Methods:

  • Retrospective analysis of registered Shigella infection data in Amsterdam.
  • Focus on the period 1997-2001, with detailed examination of 2001 cases.
  • Correlation analysis to identify potential sources and risk factors.

Main Results:

  • A notable increase in Shigella infections was observed in 2001 among homosexual men.
  • Oral-anal contact was identified as a common source of infection in this demographic.
  • All identified infections were caused by the Shigella sonnei subtype.
  • No specific venue was linked to the observed increase in infections.
  • A likely association with underlying Human Immunodeficiency Virus (HIV) infection was suggested.

Conclusions:

  • The findings highlight a specific transmission pattern of Shigella sonnei within the homosexual community in Amsterdam.
  • Oral-anal contact represents a significant risk factor for Shigella sonnei transmission in this population.
  • The potential role of HIV infection warrants further investigation and targeted public health interventions.

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