Aerobic, gram-negative rod.
Contaminated food and water; often travel-related.
Occurs in outbreaks (e.g. daycare).
Symptoms usually start 1-2 days after infection and last 7 days.
Increased MDR to TMP/SMX, Ciprofloxacin, and Azithromycin.
Infectious colitis - dysenteric
HUS (Hemolytic-uremic syndrome)
Most require treatment.
Food handlers require proof of clearance before return to work.
CDC. Shigella – Shigellosis. December 7, 2020. https://www.cdc.gov/shigella/audience-medical-professionals.html