[Childhood shigellosis: clinical and microbiological characteristics]

J Reina Prieto1, F Salva Armengod, C Morales Oses

  • 1Servicio de Microbiología, Hospital Son Dureta, Palma de Mallorca.

Insights

Pediatric shigellosis cases, primarily from Shigella sonnei and flexneri, peaked in autumn. Most children did not require hospitalization, and strains showed high resistance to ampicillin and trimethoprim-sulfamethoxazole.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Context:

  • A retrospective analysis of 89 pediatric shigellosis cases from 1983-1987.
  • Focus on common Shigella strains and seasonal patterns in pediatric infections.

Purpose:

  • To characterize pediatric shigellosis epidemiology and antimicrobial resistance patterns.
  • To identify the most prevalent Shigella species and their seasonal distribution.

Summary:

  • Shigella sonnei (67.4%) and Shigella flexneri (31.4%) were the most common isolates.
  • Infections predominantly occurred between October and December (73.9%).
  • High resistance rates were observed for ampicillin (84.2%) and trimethoprim-sulfamethoxazole (80.9%).

Impact:

  • Highlights the epidemiological trends of pediatric shigellosis in the studied period.
  • Provides crucial data on antimicrobial resistance, informing treatment guidelines.
  • Suggests the need for ongoing surveillance of Shigella infections and resistance patterns in children.

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