Evidence map›Paper›PMID 40393962›Full record

ArticleNature communications2025

Multidrug-resistant Shigella flexneri outbreak affecting humans and non-human primates in New Mexico, USA.

Sarah Shrum Davis, Paris Salazar-Hamm, Karen Edge, Tim Hanosh, Jessica Houston, Anastacia Griego-Fisher, Francelli Lugo, Nicholas Wenzel, D'Eldra Malone, Carol Bradford and 7 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Multifunctional antibody responses from a primateScience translational medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. AnalyzingInfection and drug resistance · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Sarah Shrum DavisInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Paris Salazar-HammBiology Department, University of New Mexico, Albuquerque, NM, USA.ORCID http://orcid.org/0000-0002-6168-5723
Karen EdgeInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Tim HanoshInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Jessica HoustonInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Anastacia Griego-FisherScientific Laboratory Division, New Mexico Department of Health, Albuquerque, NM, USA.ORCID http://orcid.org/0000-0003-4687-534X
Francelli LugoCity of Albuquerque Environmental Health, Albuquerque, NM, USA.
Nicholas WenzelScientific Laboratory Division, New Mexico Department of Health, Albuquerque, NM, USA.
D'Eldra MaloneScientific Laboratory Division, New Mexico Department of Health, Albuquerque, NM, USA.
Carol BradfordCity of Albuquerque BioPark, Albuquerque, NM, USA.
Kelly PlymesserInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Michael BakerInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Kurt SchwalmDepartment of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Sarah LathropUniversity of New Mexico Emerging Infections Program, Office for Community Health, Albuquerque, NM, USA.
Chad SmelserInfectious Disease Epidemiology Bureau, New Mexico Department of Health, Santa Fe, NM, USA.
Darrell L DinwiddieClinical and Translational Science Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Daryl DommanClinical and Translational Science Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA. ddomman@lanl.gov.ORCID http://orcid.org/0000-0001-5389-9185

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
University of New Mexico Clinical and Translational Science CenterKL2TR001448 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CANNON, JUDY LIN · 2015 to 2024
$3.5M
NCATS NIH HHS KL2 TR001448NCATS NIH HHS UL1 TR001449U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) KL2TR001448U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR001449
6 · The paper itself

Abstract

Shigellosis is a gastrointestinal infection caused by species of Shigella. A large outbreak of Shigella flexneri serotype 2a occurred in Albuquerque, New Mexico between May 2021 and November 2023 that involved humans and non-human primates (NHP) from a local zoo. We analyzed the genomes of 202 New Mexican isolates as well as 15 closely related isolates from other states, and four from NHP. The outbreak was initially detected within men who have sex with men but then predominantly affected people experiencing homelessness. Nearly 70% of cases were hospitalized and there was one human death. The outbreak extended into Albuquerque's BioPark Zoo, causing high morbidity and six deaths in NHPs. All isolates were multidrug-resistant, including towards fluoroquinolones, a first line treatment option which led to treatment failures in human and NHP populations. We show the circulation of the same S. flexneri strain in humans and NHPs, causing fatalities in both populations. This study demonstrates the threat of antimicrobial resistant organisms to vulnerable human and NHP populations and emphasizes the value of genomic surveillance within a One Health framework.

Indexed as

Disease OutbreaksDrug Resistance, Multiple, BacterialDysentery, BacillaryShigella flexneriAdultAnimalsAnti-Bacterial AgentsFemaleGenome, BacterialHumansMaleMicrobial Sensitivity TestsMiddle AgedNew MexicoPrimatesYoung AdultAnti-Bacterial Agents

Identifiers

PMID40393962
PMCPMC12092818

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.