{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T01:34:23Z","timestamp":1768354463611,"version":"3.49.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In 2023, Philadelphia reported an outbreak of Shigella flexneri infections. We evaluated all patients hospitalized in our health system with shigellosis during this outbreak. Sixty-seven patients were hospitalized, and 21 (31.3%) were bacteremic. Trimethoprim-sulfamethoxazole was the only antibiotic with reliable susceptibility. Most patients had housing insecurity and opioid use disorder.<\/jats:p>","DOI":"10.1093\/ofid\/ofaf296","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T10:48:07Z","timestamp":1747392487000},"source":"Crossref","is-referenced-by-count":2,"title":["High Rates of Bacteremia and Fluoroquinolone Resistance During an Outbreak of Shigellosis Among People Experiencing Homelessness and Opioid Use Disorder in Philadelphia, Pennsylvania"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1962-9330","authenticated-orcid":false,"given":"Eleanor","family":"Stedman","sequence":"first","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8723-1968","authenticated-orcid":false,"given":"Andrea","family":"Molin","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valencia","family":"Oglesby","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Torpey","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3890-8685","authenticated-orcid":false,"given":"Stephanie","family":"Spivack","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6654-5861","authenticated-orcid":false,"given":"Kaede V","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0563-0752","authenticated-orcid":false,"given":"Sara","family":"Schultz","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Temple University Hospital , Philadelphia, Pennsylvania ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"2025052808272339300_ofaf296-B1","doi-asserted-by":"crossref","first-page":"10.1128\/ecosalplus.ESP-0006-2017","DOI":"10.1128\/ecosalplus.esp-0006-2017","article-title":"A brief history of Shigella","volume":"8","author":"Lampel","year":"2018","journal-title":"EcoSal Plus"},{"key":"2025052808272339300_ofaf296-B2","doi-asserted-by":"crossref","first-page":"S319","DOI":"10.1093\/clinids\/13.Supplement_4.S319","article-title":"Potentially lethal complications of shigellosis","volume":"13(Suppl 4)","author":"Bennish","year":"1991","journal-title":"Rev Infect Dis"},{"key":"2025052808272339300_ofaf296-B3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1136\/sextrans-2022-055583","article-title":"Factors associated with sexually transmitted Shigella in men who have sex with men: a systematic review","volume":"99","author":"Siddiq","year":"2023","journal-title":"Sex Transm Infect"},{"key":"2025052808272339300_ofaf296-B4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1093\/cid\/ciae575","article-title":"Increased severity of multidrug-resistant Shigella sonnei infections in people experiencing homelessness","volume":"80","author":"Stefanovic","year":"2024","journal-title":"Clin Infect Dis"},{"key":"2025052808272339300_ofaf296-B5","first-page":"91","article-title":"Shigella bacteremia, Georgia, USA, 2002\u20132012","volume":"26","author":"Tobin-D\u2019Angelo","year":"2020","journal-title":"Emerg Infect Dis"},{"key":"2025052808272339300_ofaf296-B6"},{"key":"2025052808272339300_ofaf296-B7","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1099\/0022-1317-50-8-667","article-title":"Sensitivity and performance characteristics of a direct PCR with stool samples in comparison to conventional techniques for diagnosis of Shigella and enteroinvasive Escherichia coli infection in children with acute diarrhoea in Calcutta, India","volume":"50","author":"Dutta","year":"2001","journal-title":"J Med Microbiol"}],"container-title":["Open Forum Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ofid\/advance-article-pdf\/doi\/10.1093\/ofid\/ofaf296\/63205572\/ofaf296.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ofid\/article-pdf\/12\/5\/ofaf296\/63205572\/ofaf296.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ofid\/article-pdf\/12\/5\/ofaf296\/63205572\/ofaf296.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T12:27:30Z","timestamp":1748435250000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ofid\/article\/doi\/10.1093\/ofid\/ofaf296\/8133623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,28]]}},"URL":"https:\/\/doi.org\/10.1093\/ofid\/ofaf296","relation":{},"ISSN":["2328-8957"],"issn-type":[{"value":"2328-8957","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,28]]},"article-number":"ofaf296"}}