Shigella gastroenteritis: clinical and epidemiological aspects, and antibiotic susceptibility

Acta Paediatrica Japonica; Overseas Edition
Kadriye YurdakökE Berkman

Abstract

The epidemiology and antibiotic sensitivity of Shigella species is changing worldwide. The present study surveyed the changing clinical and epidemiological characteristics and antibiotic susceptibility of Shigella gastroenteritis in Hacettepe University Ihsan Dogramaci Children's Hospital Diarrhoea Training and Treatment Unit between 1987 and 1994. Among 19,812 diarrheal admissions, 618 (3.2%) patient files with Shigella gastroenteritis were reviewed retrospectively. Shigella soneii has been the commonest isolate (64%) since 1987 followed by S. flexineri (30%), S. boydii (5%) and S. dysenteriae (1%), the latter having not been isolated since 1990. The isolate rate of S. sonnei has increased whereas the isolation rate of S. flexineri has decreased concomitantly since 1987 (r = -0.94; P < 0.001). The majority of cases (365/618, 59%) were between 1 and 5 years of age. On admission bloody diarrhea was present in 36%, seizures in 3% and mild-moderate dehydration in 11% of cases. No case had severe dehydration. Only six patients (1%) were hospitalized. No deaths were recorded. The resistance rate for trimethoprim-sulfamethoxazole has increased from 27% in 1990 to 66% in 1994 (P < 0.05) while the resistance rate for ampicillin has dec...Continue Reading

References

Feb 1, 1992·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·C E VoogdB van Klingeren
Jan 1, 1992·Scandinavian Journal of Infectious Diseases·Y al-EissaI al-Ayed
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Citations

Oct 1, 2005·Epidemiology and Infection·C AriasUNKNOWN Outbreak Working Group
Mar 8, 2005·Journal of Clinical Microbiology·Yeong-Sheng LeeYi-Hsiung Tseng
Mar 1, 2005·Journal of Pediatric Gastroenterology and Nutrition·Elif N OzmertDeniz Gür
Sep 14, 2018·International Journal of Microbiology·Stephen T Odonkor, Kennedy K Addo
Oct 21, 2004·Seminars in Pediatric Infectious Diseases·Shai Ashkenazi

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