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The new 2023 BASHH sexually transmitted enteric infections guideline
  1. Daniel Richardson1,2,
  2. Mark Pakianathan3,
  3. Michael Ewens4,
  4. Holly Mitchell5,6,
  5. Hasan Mohammed7,
  6. Amy Evans4,8
  1. 1 University Hospitals Sussex NHS Foundation Trust, Brighton, UK
  2. 2 Brighton and Sussex Medical School, Brighton, UK
  3. 3 Guy's and St Thomas' Hospitals NHS Trust, London, UK
  4. 4 Leeds Teaching Hospitals NHS Trust, Leeds, UK
  5. 5 United Kingdom Health Security Agency (UKHSA), London, UK
  6. 6 National Institute for Health and Care Research Health Protection Research Unit (NIHR HPRU) in Blood Borne and Sexually Transmitted Infections, University College London, London, UK
  7. 7 Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  8. 8 Clinical Effectiveness Group, BASHH, UK
  1. Correspondence to Professor Daniel Richardson, Sexual Health & HIV, University Hospitals Sussex NHS Foundation Trust, Brighton, BN2 5BE, UK; daniel.richardson7{at}

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The British Association for Sexual Health and HIV (BASHH) has recently developed and published the first UK guideline for the management of sexually transmitted enteric infections (STEI).1 Reports of outbreaks of STEI are increasing, mainly among sexual networks of men who have sex with men (MSM) including the emergence of extensively drug resistant (XDR) strains of Shigella spp.2 The first described case of STEI was in 1968 by Harry Most who reported on a small sexual network of men in New York City who were diagnosed simultaneously with Entamoeba histolytica and Giardia duodenalis.3 By the late 1970s, Selma Dritz et al described outbreaks of Shigella spp and hepatitis A in MSM in the San Francisco area, including the emergence of antimicrobial resistance.4 During the early HIV epidemic of the 1980s and early 1990s, few reports of STEI were published; but studies from the USA and Edinburgh in the late 1990s demonstrated that Shigella spp and …

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  • Contributors DR created the first draft of this manuscript. MP, ME, HMi, HMo, AE and DR all contributed to the final manuscript. All authors were part of the UK BASHH sexually transmitted enteric infection guideline writing group.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.