{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:22:07Z","timestamp":1792272127005,"version":"4.4.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T00:00:00Z","timestamp":1607731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>From October to December 2019, 18 shigellosis cases (median age: 4.3\u2009years, range: 0\u201321) were identified in the Reception Center for refugees\/migrants on the Greek island of Samos. Fifteen cases (83.3%) were Afghani. Median time from arrival to symptoms onset was 53\u2009days (40\u2013101). Isolates from 14 cases, serotyped as Shigella flexneri 1b, and from three cases, serotyped as S. sonnei phase S (I), presented a multidrug-resistant phenotype. S. flexneri 1b isolates also produced extended-spectrum \u03b2-lactamases. Shigella flexneri 2a isolate from the remaining case was resistant to sulfomethoxazole, trimethoprim and pefloxacin. Improvement of hygiene and strengthening of laboratory investigation is needed.<\/jats:p>","DOI":"10.1093\/eurpub\/ckaa220","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T12:10:13Z","timestamp":1604491813000},"source":"Crossref","is-referenced-by-count":9,"title":["Public health and clinical implications of multidrug-resistant shigellosis cases in a reception centre for refugees\/migrants, Greece, October\u2013December 2019"],"prefix":"10.1093","author":[{"given":"Kassiani","family":"Mellou","sequence":"first","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgia","family":"Mandilara","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy, School of Public Health, National Reference Centre for Salmonella and Shigella, University of West Attica, West Attica, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthi","family":"Chrysostomou","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyriaki","family":"Tryfinopoulou","sequence":"additional","affiliation":[{"name":"Central Public Health Laboratory (CPHL), National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theologia","family":"Sideroglou","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kleon","family":"Karadimas","sequence":"additional","affiliation":[{"name":"Central Public Health Laboratory (CPHL), National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki Taxiarhoula","family":"Agiassoti","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy, School of Public Health, National Reference Centre for Salmonella and Shigella, University of West Attica, West Attica, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitra","family":"Lamprou","sequence":"additional","affiliation":[{"name":"Paediatric Unit, General Hospital of Samos \u201cSt. Panteleimon\u201d, Samos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Zampeta","sequence":"additional","affiliation":[{"name":"Paediatric Unit, General Hospital of Samos \u201cSt. Panteleimon\u201d, Samos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garyfallia","family":"Antoniou","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen C","family":"Maltezou","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Panayiotakopoulos","sequence":"additional","affiliation":[{"name":"Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases, National Public Health Organization (NHPO), Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,12,12]]},"reference":[{"key":"2020121215533597500_ckaa220-B1","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.3201\/eid1611.090934","article-title":"Decrease in shigellosis-related deaths without Shigella spp.-specific interventions, Asia","volume":"16","author":"Bardhan","year":"2010","journal-title":"Emerg Infect Dis"},{"key":"2020121215533597500_ckaa220-B2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S0140-6736(13)60844-2","article-title":"Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study","volume":"382","author":"Kotloff","year":"2013","journal-title":"Lancet"},{"key":"2020121215533597500_ckaa220-B3","author":"European Centre for Disease Prevention and Control (ECDC)","year":"2020"},{"key":"2020121215533597500_ckaa220-B4","author":"National Public Health Organization (NHPO)"},{"key":"2020121215533597500_ckaa220-B5","author":"United Nations High Commissioner for Refugees (UNHCR)"},{"key":"2020121215533597500_ckaa220-B6","author":"Asylum Information Database Reception and Identification procedure Greece (AIDA)"},{"key":"2020121215533597500_ckaa220-B7","doi-asserted-by":"crossref","first-page":"30081","DOI":"10.2807\/1560-7917.ES.2015.20.48.30081","article-title":"Shigellosis in Refugees, Austria, July to November 2015","volume":"20","author":"Lederer","year":"2015","journal-title":"Euro Surveill"},{"key":"2020121215533597500_ckaa220-B8","author":"European Centre for Disease Prevention and Control (ECDC)","year":"2015"},{"key":"2020121215533597500_ckaa220-B9","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.1017\/S095026881600100X","article-title":"Resistant Shigella strains in refugees, August-October 2015","volume":"144","author":"Georgakopoulou","year":"2016","journal-title":"Epidemiol Infect"},{"key":"2020121215533597500_ckaa220-B10","doi-asserted-by":"crossref","first-page":"247","DOI":"10.4103\/ijmr.IJMR_2077_17","article-title":"Antimicrobial resistance, virulence & plasmid profiles among clinical isolates of Shigella serogroups","volume":"149","author":"Sethuvel","year":"2019","journal-title":"Indian J Med Res"}],"container-title":["European Journal of Public 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