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[Dysentery in Poland in 2000].

Hanna Stypułkowska-Misiurewicz1, Ewa Gonera

  • 1Zakład Bakteriologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.

Przeglad Epidemiologiczny
|October 10, 2002
PubMed
Summary

Dysentery cases declined significantly since 1995, with Shigella sonnei becoming the dominant cause. Most Shigella strains remained susceptible to common antibiotics, indicating effective treatment options for this infectious disease.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Epidemiology

Background:

  • Bacteriological examination for dysentery diagnosis ceased to be free in 1995, potentially impacting reporting.
  • Dysentery incidence has been declining since 1995.

Purpose of the Study:

  • To analyze trends in notified dysentery cases and outbreaks.
  • To identify the predominant etiological agents of dysentery.
  • To assess the antibiotic susceptibility patterns of Shigella strains.

Main Methods:

  • Retrospective analysis of notified dysentery cases and outbreaks data from 1999-2000.
  • Bacteriological identification of Shigella species.
  • Antimicrobial susceptibility testing of isolated Shigella strains.

Main Results:

  • Notified dysentery cases decreased from 292 in 1999 to 121 in 2000.
  • Shigella sonnei was the dominant agent (80%), followed by Shigella flexneri (20%).
  • All strains were susceptible to nitrofurans, gentamicin, nalidixic acid, cefotaxime, and imipenem; limited susceptibility to co-trimoxazole and doxycycline was observed.

Conclusions:

  • The decline in dysentery cases may be linked to changes in diagnostic accessibility.
  • Shigella sonnei is the primary cause of dysentery, with generally favorable antibiotic susceptibility profiles.
  • Continued surveillance and antibiotic stewardship are crucial for managing dysentery effectively.

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