[Diarrheal disease in hospitalized patients during the first year of the war]

During the period from April 1992 to April 1993 at the Clinic for infectious Disease in Sarajevo were hospitalized 213 patients. The major causative agents were different kinds of Shigella. Shigella sonnei with 159 (74.6%) was the most frequent isolated organism, then subsequent Shigella species with 38 (23.9%) and Shigella flexneri 3 with 23 (14.5%). Bacillary dysentery (Shigellosis) was manifested as acute gastroenteritis with 60 patients (37.7%). This disease was manifested in the form of acute enterocolitis in the same number and there were also 39 cases or 24.5% of enterocolitis acuta haemorrhagica. The patients were treated with symptomatic or dietary regimen in 69 (43.4%). As a specific therapy 36 (22.6%) patients were received Trimethoprim-sulfamethoxazole, 28 (17.6%) Chloramphenicol and 24 (15.1%) Pefloxacin, 56 patients were treated with Nifuroxazid (Ercefuryl) only. The most sensitivity of isolated organism were shown up against Pefloxacin (100%), aminoglycosides (99.4%), Chloramphenicol (96.9%) and Cephalosporins (60.4%). The lowest sensitivity, at the same rate had Ampicillin and Trimethoprim sulfamethoxazole. All patients were recovered, there were no complications. The diseases were manifested as acute gastroenterocolitis (28 or 13.1%), and acute enterocolitis (17 or 8.0%) at the patients with bacteriological unknown causative agents. Salmonella was recorded at 9 patients.