Introduction and Spread of Multi-Resistant Shigella dysenteriae I in Thailand

Dn, Taylor; Bodhidatta, Ladaporn; Je, Brown; Echeverria, Peter; Kunanusont, Chaiyos; Naigowit, Pimjai; Hanchalay, Suvath; Chatkaeomorakot, Arunsri; Aa, Lindberg

doi:10.4269/ajtmh.1989.40.77

Cited by 30 publications

(15 citation statements)

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“…Subsequent events in central-east Africa were not published until the early 1990s. However, epidemics were observed in India and Burma in 1984 [33-36], in Thailand in 1986 [37] and in Iran in 1988 [38]. …”

Section: Resultsmentioning

confidence: 99%

Using European travellers as an early alert to detect emerging pathogens in countries with limited laboratory resources

Guérin

Grais²,

Røttingen

et al. 2007

BMC Public Health

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Background: The volume, extent and speed of travel have dramatically increased in the past decades, providing the potential for an infectious disease to spread through the transportation network. By collecting information on the suspected place of infection, existing surveillance systems in industrialized countries may provide timely information for areas of the world without adequate surveillance currently in place. We present the results of a case study using reported cases of Shigella dysenteriae serotype 1 (Sd1) in European travellers to detect "events" of Sd1, related to either epidemic cases or endemic cases in developing countries.

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Section: Resultsmentioning

confidence: 99%

Using European travellers as an early alert to detect emerging pathogens in countries with limited laboratory resources

Guérin

Grais²,

Røttingen

et al. 2007

BMC Public Health

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“…Studies have linked unboiled water [10], [11], contaminated food [12], and household contacts [13] with shigellosis. In this investigation, we documented a school outbreak of shigellosis caused by drinking untreated water from a contaminated well.…”

Section: Discussionmentioning

confidence: 99%

Shigellosis Outbreak Associated with Contaminated Well Water in a Rural Elementary School: Sichuan Province, China, June 7–16, 2009

Han

Liu

et al. 2012

PLoS ONE

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ObjectivesWe investigated a shigellosis outbreak in an elementary school to identify the source of infection, mode of transmission and risk factors for illness.MethodsIn a case-control investigation, we compared the source of drinking water, consumption of untreated well water and suspected food items, and hygienic habits between case-students and randomly selected asymptomatic control-students, frequency-matched by class on a 1∶1 ratio.Results18% of the 533 students and no teachers developed Shigella. 52%(44/85) of case-students and 17% (12/71) of control-students drank untreated well water (OR = 2.3, 95% CI = 1.1–5.8); 47% (n = 40/85) of case-students and 14% (10/71) of control-students drank untreated water from Well A (OR = 3.7, 95% CI = 1.3–11). The odds ratio increased with the amount of untreated Well A water consumed (p = 0.035, χ2 test for trend). Rectal swabs from 5 of 6 case-students and water from Well A yielded Shigella flexneri 2b.ConclusionsThis shigellosis outbreak was caused by drinking untreated water from a well polluted by Shigella flexneri 2b.

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“…The epidemic strain was resistant to tetracycline, streptomycin, chloramphenicol, and trimethoprim-sulphamethoxazole. There were two deaths among the 101 hospitalized, culture-confirmed cases [6]. In July 1992, there was an emergence of nalidixic acid-resistant Sd1 in a western district of Thailand near the Myanmar border, when 485 schoolchildren contracted dysentery.…”

Section: Introductionmentioning

confidence: 99%

Molecular characteristics of Shigella spp. isolated from patients with diarrhoea in a new industrialized area of Thailand

et al. 2006

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Introduction and Spread of Multi-Resistant Shigella dysenteriae I in Thailand

Cited by 30 publications

References 0 publications

Using European travellers as an early alert to detect emerging pathogens in countries with limited laboratory resources

Using European travellers as an early alert to detect emerging pathogens in countries with limited laboratory resources

Shigellosis Outbreak Associated with Contaminated Well Water in a Rural Elementary School: Sichuan Province, China, June 7–16, 2009

Molecular characteristics of Shigella spp. isolated from patients with diarrhoea in a new industrialized area of Thailand

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