XDR Shigella

Advisory Alert

March 17, 2023

*Cette information est seulement disponible en anglais.

To: Local Health System Partners


Good afternoon, Health Care Providers:

Please see the attached memo, shared with Public Health from the Ministry of Health, regarding trends related to extensively drug resistant (XDR) Shigella cases in Ontario.

Sexual contact between men who have sex with men (MSM) has been identified as the predominant route of transmission.

This information is shared for awareness when supporting assessment of patients presenting with symptoms consistent with shigellosis.  Clinicians in Ontario are advised to remain vigilant.

Please review the memo for further information on XDR Shigella cases, signs, and symptoms, recommended actions, and follow up.

Thank you for your continued support in promoting and protecting the health of our community.


Original Signed By

Dr. Imran Adrian Khan, BSc, MBBS, MPH, CCFP, FRCPC
Public Health Physician

NOTE: All Advisory Alerts are found on our website.

This item was last modified on March 20, 2023