Incidence, clinical implications and impact on public health of infections with Shigella spp. and entero-invasive Escherichia coli (EIEC): results of a multicenter cross-sectional study in the Netherlands during 2016-2017.
Maaike J C van den BeldEsther WarmelinkAlexander W FriedrichFrans A G ReubsaetMaarten SchipperRichard F de BoerDaan W NotermansMariska W F PetrignaniEvert van ZantenJohn W A RossenIngrid H M FriesemaA M D Mirjam Kooistra-Smidnull nullPublished in: BMC infectious diseases (2019)
No convincing evidence was found to support the current guidelines that employs different measures based on species or detection method. Therefore, culture and molecular detection methods for Shigella spp. and EIEC should be considered equivalent for case definition and public health regulations regarding shigellosis. Differences were found regarding risks factors, indicating that different prevention strategies may be required.