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Shigella is a bacterial gut infection that can cause severe stomach upset and diarrhoea. Anyone can get Shigella, but certain sexual activities that involve contact with faeces poo increase the chances of getting infected.
It is passed on through infected faeces poo getting into your mouth β this can be through contaminated food or sexually. Only a very small amount of the bacteria is needed to cause infection. Infection can be treated with a course of antibiotics, however some strains can prove more difficult to treat.
Sex that may involve contact with faeces poo is a risk e. Bad hygiene like not washing hands can contribute to the spread of shigella.
In Ireland, Shigella is a notifiable infection. This means that all cases diagnosed are notified to Public Health so that all steps necessary are taken to protect the health and wellbeing of those affected or at risk. The bacteria from cases of Shigella infection are sent to a national reference laboratory and are fully DNA sequenced to identify evidence of spread and to track antibiotic resistance. The number of cases of sexually acquired Shigella has increased in MSM in the recent past in Europe, including Ireland.
If you suspect you have Shigella, you should contact your healthcare provider who can organise a test. Shigella is usually diagnosed by sending a stool poo sample to the laboratory for testing. If you picked up Shigella sexually, testing for other STIs is recommended. You can find your nearest STI clinic here. Diarrhoea caused by Shigella usually goes away between five to seven days. People with mild infection will generally get better with fluids and rest.