Update on multi-drug resistant shigella

SHINE SA, 7/3/2019

The shigella outbreak is continuing in South Australia. This is to advise clinicians to be on alert for a potential increase in shigella cases, and to highlight updated recommendations on treatment as released by the Communicable Disease Control Branch (CDCB).

The outbreak is predominantly in men who have sex with men (MSM) and there is a potential for further increase in numbers related to a larger outbreak in Victoria and NSW. We encourage you to be alert for clients who have recently traveled interstate.The CDCB is now recommending that patients with confirmed multi-drug resistant (MDR) shigella (or at risk of MDR shigella while awaiting sensitivities) be treated with five days of Ceftrixaone 1g IV, rather than 1 day (as recommended in the Public Health Alert issued in December 2018).

Pregnancy problems are leading global killer of ​​females aged 15 to 19

The Guardian, Tuesday 16 May 2017

Pregnancy complications are the leading cause of death globally among females aged 15-19, with self-harm in second place, a global study has found.

More than 1.2 million female and male adolescents die annually, the World Health roaOrganization (WHO) report said – the majority from preventable causes including mental health issues, poor nutrition, reproductive health problems and violence.