Mortality due to shigellosis: community and hospital data.

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  • Author(s): Bennish ML;Bennish ML; Wojtyniak BJ
  • Source:
    Reviews of infectious diseases [Rev Infect Dis] 1991 Mar-Apr; Vol. 13 Suppl 4, pp. S245-51.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: University Of Chicago Press Country of Publication: United States NLM ID: 7905878 Publication Model: Print Cited Medium: Print ISSN: 0162-0886 (Print) Linking ISSN: 01620886 NLM ISO Abbreviation: Rev Infect Dis Subsets: MEDLINE
    • Publication Information:
      Publication: Chicago Il : University Of Chicago Press
      Original Publication: Chicago, Univ. of Chicago Press.
    • Subject Terms:
      Developing Countries* ; Disease Outbreaks* ; Shigella dysenteriae*; Diarrhea/*mortality ; Dysentery, Bacillary/*mortality; Age Factors ; Bangladesh/epidemiology ; Diarrhea/epidemiology ; Dysentery, Bacillary/complications ; Dysentery, Bacillary/epidemiology ; Humans ; Incidence ; Nutrition Disorders/complications
    • Abstract:
      Almost all fatal cases of shigellosis occur in developing countries, and data on mortality are generally compiled from three sources: investigations of epidemics caused by Shigella dysenteriae type 1, surveillance of endemic diarrheal disease, and reports from hospitals. Attack rates during epidemics of dysentery due to infection with S. dysenteriae type 1 have ranged from 1% to 33%, and case-fatality rates have ranged from 1% to 7%. In Matlab, a rural district in Bangladesh, most diarrhea-related deaths and approximately 25% of all deaths among children 1 through 4 years of age are attributable to dysentery. In 1984, an epidemic of dysentery was associated with a 42% increase in the death rate in that age group. At the Dhaka Treatment Centre of the International Centre for Diarrhoeal Disease Research, Bangladesh, the fatality rate for 970 inpatients with shigellosis was 11% in 1988, with most deaths occurring among malnourished children who were infected with Shigella flexneri. Control of mortality from shigellosis will require prevention of epidemic S. dysenteriae type 1 disease and endemic S. flexneri infections in children who live in countries with a high prevalence of malnutrition.
    • Number of References:
      46
    • Publication Date:
      Date Created: 19910301 Date Completed: 19910717 Latest Revision: 20190828
    • Publication Date:
      20250114
    • Accession Number:
      10.1093/clinids/13.supplement_4.s245
    • Accession Number:
      2047645