Health Alerts, Advisories, Notifications, and Updates

• PDPH-HAN: Cirprofloxacin-resistance in Shigella isolates in Philadelphia (04/07/2015)
• PDPH-HAN: Jan. 2012 Shigellosis in MSM (01/03/2012)

Surveillance

• PDPH Annual Report
• CDC Shigella Surveillance

Vaccine Information

• No vaccines are currently available for shigellosis.

Diagnostics and Treatment

• The primary way shigellosis is diagnosed is through a stool culture. Infection with Shigella bacteria can be treated with antibiotics, but these bacteria are frequently resistant to many antibiotic drugs. Providers should order antimicrobial susceptibility testing to determine the appropriate drug for treatment. Also, treatment is typically reserved for those who present with severe illness, are immunocompromised, or those who work or participate in high-risk settings (childcare, healthcare, and foodhandling).

Report shigella cases to PDPH by calling 215-685-6748 during business hours or completing this Disease reporting form and faxing the form to 215-238-6947.

Health Educational Materials

• PDPH Shigella Fact Sheet 2011
• PA Department of Health Shigellosis Fact Sheet

Links and Resources

• CDC Shigella Overview

Guidelines for Management and Control

Shigella Guidelines
All Facilities/Populations	The Philadelphia Department of Public Health regulations require the exclusion of persons with Shigella infection who participate or work in high-risk settings (e.g., childcare, foodservice, healthcare). They must have two negative stool cultures collected 24 hours apart and at least 48 hours after the completion of antiobiotic therapy before they can return.