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).

Hepatitis A in MSM

SA Health / SHINE SA, October 2017

An increase in the number of notifications of hepatitis A has been reported in New South Wales amongst men who have sex with men (MSM). It is suspected that these infections are associated with a recent outbreak overseas amongst MSM in Europe and the Americas.

Key prevention messages:

  • Vaccination is the most effective form of prevention against hepatitis A infection. To receive the vaccine, contact your health care provider to arrange an appointment.
  • Follow good personal hygiene practices, especially thorough hand washing and safe sexual practices.
  • People with hepatitis A are excluded from work for 7 days after the onset of jaundice (if present) or 2 weeks from the onset of illness.

A factsheet and 2 videos of different lengths have been developed.

Dr Alison Ward, Senior Consultant Sexual Health Physician, Head of Unit, STD Services, Clinic 275 (RAH), discusses the importance of vaccination against Hepatitis A for men who have sex with men (MSM) (3:08 Minutes)

Dr Alison Ward, Senior Consultant Sexual Health Physician, Head of Unit, STD Services, Clinic 275 (RAH), discusses the importance of vaccination against Hepatitis A for men who have sex with men (MSM) (47 seconds)

New Hepatitis A factsheet from SA health

Department for Health and Ageing, Government of South Australia, September 2017

An increase in the number of notifications of hepatitis A has been reported in New South Wales amongst men who have sex with men (MSM). It is suspected that these infections are associated with a recent outbreak overseas amongst MSM in Europe and the Americas.

Key prevention messages:

  • Vaccination is the most effective form of prevention against hepatitis A infection. To receive the vaccine, contact your health care provider to arrange an appointment.
  • Follow good personal hygiene practices, especially thorough hand washing and safe sexual practices.
  • People with hepatitis A are excluded from work for 7 days after the onset of jaundice (if present) or 2 weeks from the onset of illness.

Download factsheet (PDF):  FactSheet – Hepatitis A MSM