MMWR Morb Mortal Wkly Rep. 2001 Oct 26;50(42):922-6.
Shigella sonnei causes approximately 10,000 cases of gastroenteritis each year in the United States. These infections occur predominately among young children and usually are associated with poor hygienic conditions in child-care settings. Outbreaks of shigellosis among men who have sex with men (MSM) have occurred because of direct or indirect oral-anal contact but usually are caused by Shigella flexneri. This report describes an investigation of S. sonnei cases that occurred among MSM in San Francisco during May-December 2000. Following efforts to heighten awareness, the number of cases has declined, but new cases continue to occur at low levels in this risk group (Figure 1). The increased incidence of sexually transmitted Shigella and other sexually transmitted diseases (STDs) in MSM require renewed and innovative prevention efforts.
在美国，宋内志贺菌每年导致约10000例肠胃炎病例。这些感染主要发生在幼儿中，通常与儿童保育场所卫生条件差有关。男男性行为者（MSM）中发生的志贺菌病暴发是由于直接或间接的口交接触，但通常由福氏志贺菌引起。本报告描述了对2000年5月至12月期间旧金山男男性行为者中发生的宋内志贺菌病例的调查。在提高认识的努力之后，病例数量有所下降，但在这个风险群体中仍有新病例以低水平持续出现（图1）。男男性行为者中性传播志贺菌和其他性传播疾病（STD）发病率的增加需要重新开展创新的预防工作。
