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[Childhood shigellosis: clinical and microbiological characteristics]
J Reina Prieto1, F Salva Armengod, C Morales Oses
1Servicio de Microbiología, Hospital Son Dureta, Palma de Mallorca.
Abstract:
Authors present a retrospective study on 89 cases of pediatric shigellosis detected between 1983-1987. Most frequent isolated strain was S. sonnei with 67.4% and S. flexneri with 31.4% cases. 73.9% of all isolements were marked between the months october-december. Mean age of patients was 4.4 years and 44.9% of them need not to be hospitalized. Only 3.3% of patients presented a clinical syndrome of bacillar disentery with blood and mucus. Strains were resistent to ampicilin in 84.2% and to thrimetoprim-sulphimethosaxol in 80.9% of cases.
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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