Antibiotic-resistant bacteria linked to severe stomach illness across US

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A drug-resistantbacterial infectionhas been on the rise in the U.S.in recent years, according to an alert from the Centers for Disease Control and Prevention (CDC).

Shigella, a gram-negative bacteria, causes a diarrheal illness called shigellosis.Drug-resistant incidences of the infection have “increased substantially” in the U.S.between 2011 and 2023.

Researchers analyzed over 16,000 Shigella samples, testing them forantibiotic resistanceto determine how many would not respond to commonly used antibiotics.

DEADLY ‘SUPERBUG’ IS SPREADING ACROSS US AS DRUG RESISTANCE GROWS, RESEARCHERS WARN

In 2011, there were no cases of highly drug-resistantShigella infections;by 2023, approximately 8.5% of infections met that criteria.

The findings were published in the CDC’s Morbidity and Mortality Weekly Report on April 9.

Woman with abdominal pain

A drug-resistant bacterial infection has been on the rise in the U.S.in recent years, according to an alert from the CDC.(iStock)

Drug resistance was defined as not responding to ampicillin, azithromycin, ceftriaxone, ciprofloxacin or trimethoprim-sulfamethoxazole, which are the antibiotics commonly used to treat bacterial infections like Shigella.

No FDA–approved oral antimicrobial agents are available to treat drug-resistant cases, the CDC stated.

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The majority of patients were adult men (86%), with a median age of 41.Among patients who reported theirtravel history, more than 80% said they had not left the country recently, suggesting that infections were spreading within the U.S.

About one in three infected patients required hospitalization, the report stated.Among the people who provided their HIV status, nearly half were infected with the virus.

Drug-resistant incidences of the infection have “increased substantially” in the U.S.between 2011 and 2023.

The study had some limitations, the researchers noted.There is the chance that the CDC’s surveillance data may not capture all U.S.cases, and there may be missing data for key variables like travel history and HIV status.

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Symptoms and spread

Most people infected with Shigella willexperience diarrhea(which can be bloody and prolonged), fever and stomach pain, starting one or two days after exposure, according to the CDC.Some people do not have any signs of illness, however.

Symptoms typically last for five to seven days, but some people may experience prolonged sickness for several weeks.

Man holding stomach

Most people infected with Shigella will experience diarrhea (which can be bloody and prolonged), fever and stomach pain, starting one or two days after exposure.(iStock)

In rare cases, infected patients may develop complications such asreactive arthritis, bloodstream infections, seizures or hemolytic-uremic syndrome, which involves damage to blood vessels in the kidneys.

Shigella germs spread easily through an infected person’s stool.People can become infected if they get Shigella germs on their hands and then touch their food or mouth, according to the CDC. 

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