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[Dysentery in Poland in 1999]
H Stypułkowska-Misiurewicz1, E Gonera
1Zakład Bakteriologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.
Przeglad Epidemiologiczny
|September 15, 2001
Summary
Dysentery cases decreased in 1999, with Shigella sonnei as the primary cause. Outbreaks occurred in institutions, and Shigella flexneri showed resistance to certain antibiotics.
Area of Science:
- Epidemiology
- Infectious Diseases
- Microbiology
Context:
- The study analyzes dysentery notification data from 1999, noting a continued decrease in cases compared to 1998.
- Dysentery incidence in 1999 was 0.76 per 100,000 inhabitants, with 292 cases reported.
- Three fatalities were reported in elderly individuals residing in a social care facility in Pomerania.
Purpose:
- To report on the epidemiological trends of dysentery in 1999.
- To identify the etiological agents responsible for dysentery cases and outbreaks.
- To assess the antimicrobial susceptibility patterns of isolated Shigella strains.
Summary:
- Dysentery cases declined in 1999, with 292 notifications and an incidence rate of 0.76/100,000.
- Half of the cases were sporadic, while the other half occurred in four institutional outbreaks, primarily caused by Shigella sonnei (80%) and Shigella flexneri (20%).
- Shigella flexneri strains exhibited susceptibility to several antibiotics, including amoxicillin/clavulanic acid and chloramphenicol, but resistance to cotrimoxazole and tetracycline.
Impact:
- Provides crucial data on dysentery epidemiology and trends in the region.
- Identifies Shigella sonnei as the predominant pathogen, informing public health interventions.
- Highlights the importance of antimicrobial susceptibility testing for guiding treatment and preventing resistance.