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Volume 26, Number 1—January 2020
Dispatch

Shigella Bacteremia, Georgia, USA, 2002–20121

Melissa Tobin-D’Angelo, Nadine Oosmanally, Siri N. Wilson, Evan J. Anderson, Suzanne Segler, and Lynett Poventud
Author affiliations: Georgia Department of Public Health, Atlanta, Georgia, USA (M. Tobin-D’Angelo, N. Oosmanally, S.N. Wilson, L. Poventud); Georgia Emerging Infections Program, Atlanta (M. Tobin-D’Angelo, N. Oosmanally, E.J. Anderson, S. Segler); Emory University School of Medicine, Atlanta (E.J. Anderson); Veterans Administration Medical Center, Atlanta (S. Segler)

Main Article

Table

Epidemiologic and clinical characteristics of shigellosis cases, Georgia, USA, 2002–2012

Characteristic Isolates, no. postive/total no. (%)*
 Odds ratio (95% CI)
All Shigella Feces Blood Univariate† Multivariate‡
Outbreak-associated case‡ 591/3,681 (16.1) 586/3,509 (16.7) 0/38 15.46 (0.95–251.97)
International travel–acquired case§
 114/3,681 (8.3)
 113/1,315 (8.6)
 1/17 (5.9)
1.51 (0.20−11.5)
Hospitalized patient 1,940/10,443 (18.6) 1,826/10,804 (16.9) 44/72 (61.1) 0.10 (0.06–0.18)
Died 35/11,262 (0.31) 29/8,823 (0.3) 2/66 (3.0) 0.11 (0.25–0.45)
Atlanta resident¶
 3,793/11,262 (33.7)
 3,647/10,794 (33.8)
 50/72 (69.4)
4.46 (2.70–7.38)
Patient race/ethnicity
White 4,396/9,502 (46.3) 4,782/9,026 (53.0) 12/71 (16.9) 7.36 (4.10– 13.20)
Other 484/9,502 (5.1) 364/9,026 (4.0) 1/71 (1.4) 6.50 (0.40– 105.15)
Hispanic 874/7,545 (11.6) 844/6,405 (13.2) 1/63 (1.6) 8.18 (1.13– 59.04)
Black
 4,082/9,502 (43.0)
 3,880/9,026 (43.0)
 58/71 (81.7)
6.03 (3.30–11.03)
 5.40 (2.94– 9.89)
Male sex 5,500/11,196 (49.1) 5,348/10,744 (49.8) 51/72 (70.8) 2.45 (1.47–4.08) 1.50 (0.83– 2.68)
Age >18 y
 3,321/11,262 (29.5)
 3,089/10,773 (28.7)
 53/72 (73.6)
6.83 (4.04–11.56)
 4.61 (2.55– 8.34)
S. flexneri serogroup§ 755/6,960 (10.8) 710/6,742 (10.5) 26/52 (50.0) 8.50 (4.91–14.72) 1.96 (1.06– 3.61)

*Unknown results were excluded.
†Odds ratio in comparison to isolation from feces. Blank cells indicate variables were not included in the final model.
‡Final logistic regression model results (cases with missing data were excluded from the multivariate analysis).
§Reported only for 2005–2012.
¶Atlanta resident is a patient residing in the 20-county metropolitan statistical area.

Main Article

1The findings of this study were presented in part at IDWeek 2013, October 2–6, 2013, San Francisco, CA, USA.

Page created: December 18, 2019
Page updated: December 18, 2019
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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