A Waterborne Outbreak of Shigella sonnei with Resistance to Azithromycin and Third-Generation Cephalosporins in China in 2015

Author:

Ma Qiuxia12,Xu Xuebin3,Luo Ming4,Wang Jian1,Yang Chaojie1,Hu Xiaofeng1,Liang Beibei1,Wu Fuli1,Yang Xiaoxia1,Wang Jinyan1,Liu Hongbo1,Li Wen4,Zhong Yu5,Li Peng1,Xie Jing1,Jia Leili1,Wang Ligui1,Hao Rongzhang1,Du Xinying1,Qiu Shaofu1,Song Hongbin1,Sun Yansong1

Affiliation:

1. Institute of Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China

2. Navy's Center for Disease Control and Prevention, Beijing, China

3. Shanghai Municipal Center for Disease Control & Prevention, Shanghai, China

4. Yulin Center for Disease Control & Prevention, Guangxi, China

5. Bobai Center for Disease Control & Prevention, Yulin, Guangxi, China

Abstract

ABSTRACT Here, we report for the first time a waterborne outbreak of Shigella sonnei in China in 2015. Eleven multidrug-resistant (MDR) S. sonnei isolates were recovered, showing high resistance to azithromycin and third-generation cephalosporins in particular, due to an mph (A)- and bla CTX-M-14 -harboring IncB/O/K/Z group transmissible plasmid of 104,285 kb in size. Our study highlights the potential prevalence of the MDR outbreak of S. sonnei in China and its further dissemination worldwide with the development of globalization.

Funder

National Key Program for Infectious Diseases of China

National Natural Science Foundation of China

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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