Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16448
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dc.contributor.authorTai, Alex YC-
dc.contributor.authorEaston, Marion-
dc.contributor.authorEncena, Jess-
dc.contributor.authorRotty, Jessica-
dc.contributor.authorValcanis, Mary-
dc.contributor.authorHowden, Benajmin P-
dc.contributor.authorSlota-Kan, Simon-
dc.contributor.authorGregory, Joy-
dc.date2016-10-23-
dc.date.accessioned2016-12-06T23:39:33Z-
dc.date.available2016-12-06T23:39:33Z-
dc.date.issued2016-12-
dc.identifier.citationAustralian and New Zealand Journal of Public Health 2016; 40(6): 588-591en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16448-
dc.description.abstractOBJECTIVE: To review the national case definition for shigellosis following the introduction of culture independent diagnostic testing by clinical laboratories and provide evidence to reform jurisdictional public health practices for the management shigellosis., . METHODS: A review of all Australian jurisdictional public health guidelines for shigellosis was conducted. Victorian 2014 shigellosis data were analysed: demographics and risk factors for cases identified by conventional culture or culture-independent diagnostic methods were described. RESULTS: There was considerable variation in reporting of cases to the National Notifiable Disease Surveillance System (NNDSS) by the eight Australian jurisdictions, with an array of classifications based on diagnostic testing methodologies. Analysis of Victorian 2014 shigellosis data found that culture positive cases were more likely to have reported men who have sex with men (MSM) as a risk factor than PCR positive only cases (p<0.0001) and less likely to have reported overseas travel during their incubation period (p<0.0001). Over a 10-year period (2005 to 2014), only two of 86 cases who were employed in high-risk occupations had ongoing positive faecal cultures after appropriate treatment. CONCLUSIONS: The national surveillance case definition for shigellosis should be reviewed to facilitate standardised reporting across Australia. All jurisdictions must consider the public health significance of PCR positive only results in their surveillance risk assessments to inform management of shigellosis cases.en_US
dc.subjectShigellaen_US
dc.subjectCulture independent diagnostic testingen_US
dc.subjectPublic healthen_US
dc.subjectShigellosisen_US
dc.titleA review of the public health management of shigellosis in Australia in the era of culture-independent diagnostic testingen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAustralian and New Zealand Journal of Public Healthen_US
dc.identifier.affiliationCommunicable Diseases Prevention & Control, Department of Health & Human Services, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationCommunicable Diseases Epidemiology & Surveillance and OzFoodNet, Department of Health & Human Services, Victoria, Australiaen_US
dc.identifier.affiliationMicrobiological Diagnostic Unit Public Health Laboratory, Department of Microbiology and Immunology, The Doherty Institute for Infection and Immunity, The University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27774718en_US
dc.identifier.doi10.1111/1753-6405.12590en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
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