Case management of a multidrug-resistant Shigella dysenteriae serotype 1 outbreak in a crisis context in Sierra Leone, 1999-2000.

Journal article

From December 1999 to the end of February 2000, 4218 cases of dysentery were reported in Kenema district, southeastern Sierra Leone, by a Médecins Sans Frontières team operating in this region. Shigella dysenteriae serotype 1 was isolated from the early cases. The overall attack rate was 7.5% but higher among children under 5 years (11.2%) compared to the rest of the population (6.8%) (RR = 1.6; 95% CI 1.5-1.8). The case fatality ratio was 3.1%, and higher for children under 5 years (6.1% vs....

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Authors: Guerin, P; Brasher, C; Baron, E; Mic, D; Grimont, F

• Publication status: Published
• Journal: Transactions of the Royal Society of Tropical Medicine and Hygiene
• Volume: 98
• Issue: 11
• Pages: 635-643
• Publication date: 2004-11-01
• DOI: 10.1016/j.trstmh.2004.01.005
• EISSN: 1878-3503
• ISSN: 0035-9203
• Language: English
• Keywords: Drug Resistance; Adult; Ciprofloxacin; Disease Outbreaks; Male; Child; Child, Preschool; Sex Distribution; Humans; Aged; Shigella dysenteriae; Adolescent; Middle Aged; Dysentery, Bacillary; Serotyping; Animals; Age Distribution; Anti-Infective Agents; Aged, 80 and over; Female; Sierra Leone