{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:48:55Z","timestamp":1769104135616,"version":"3.49.0"},"reference-count":22,"publisher":"Microbiology Society","issue":"10","license":[{"start":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T00:00:00Z","timestamp":1634774400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018336","name":"National Institute for Health Research Health Protection Research Unit","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100018336","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,21]]},"abstract":"<jats:p>National surveillance of shigellosis in England revealed an increase in sexually transmitted <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.3332\" xlink:type=\"simple\">Shigella flexneri<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic> in adult males in 2019 that persisted throughout 2020. We observed a resurgence of azithromycin-resistant <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.3332\" xlink:type=\"simple\">S. flexneri<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic> serotype 3a, and the emergence of two novel multidrug-resistant clades of <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.3332\" xlink:type=\"simple\">S. flexneri<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic> 2a and <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        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