Diarrhoeal diseases still affect many people, especially children living in impoverished and under-developed settings. In Papua New Guinea (PNG) diarrhoea remains one of the leading causes of hospitalization and a major cause of death. Here, we focus on the role of Shigella in diarrhoeal illness in PNG, and provide an overview of the causative organism and the illness. A review of the available data on the aetiology of diarrhoea in PNG suggests that shigellosis is a major cause of diarrhoeal illness. Since shigellosis can cause protracted and life-threatening illness an appreciation of the burden of shigellosis is important to aid in the development of optimal prevention and control strategies. Treatment strategies for all cases of moderate-severe diarrhoeal illness should centre on rehydration, but where antimicrobial treatment is required consideration should be given to the increasing antimicrobial resistance observed in Shigella isolates in PNG.
Shigellosis ; Diseases ; Infection prevention

No abstract available.
Dysentery, Bacillary*

No abstract available.
Dysentery, Bacillary*

No abstract available.
Dysentery, Bacillary*

No abstract available.
Dysentery, Bacillary*

No abstract available.
Dysentery, Bacillary*

No abstract available.
Dysentery, Bacillary*

A total of 1125 diarrhea fecal samples were examined: 163 were positive by using PCR (14.5%) and 67 Shigella found by culture (5.9%). The highest prevalence of shigellosis was seen in children with 2 years old and in the group of ³16 years old (23% and 17.9% by PCR, and 30.7% and 52.2% by culture, respectively). The lowest prevalence was found in children £ 6 months (3.1%) by PCR, and 3% by culture). The positive cases were seen more in female than in male in the age group of ³16 years old. Shigellosis is a sporadic infection all year round but the higher frequency seen in the hot months.
Dysentery, Bacillary ; Suburban Health

The bacillary dysentery can occur in all age but rarely in children under 6 months in the pediatric department of Bach mai Hospital had a warning in the food hygience and safety and drug administration for infant. The first baby was treated by Negram in the condition of disease free. The second baby was treated by Negram in the fifth day, within 2 days and discharged in the condition of disease free.
Dysentery, Bacillary ; child

PURPOSE: The occurrence of shigellosis patients has increased radically in 2 recent years. For this, the authors investigated the epidemic aspect of shigellosis by regional groups to know whether the epidemic aspect of shigellosis is a general situation which occurs identically in various areas of Kyung Nam. METHODS: We reviewed pediatric patients who were hospitalized in Ulsan(eastern), in Masan(cen tral), in Chinju(western) of Kyung Nam from January, 1988 to April, 1999. RESULTS: A total of 54 cases of shigellosis were noted from Ulsan(12), Masan(21) and Chinju(21) over ten years. The number of patients was 1 each in 1991 and 1993, 5 each in 1998 and 1999 at Ulasan, 9 in 1988, 8 between 1990 and 1995, 3 in 1998, 1 in 1999 at Masan, 1 each in 1990, 1991, 1994, 4 in 1998, 14 in 1999 at Chinju. The shigellosis patients increased from 1998, especially in Chinju. S. flexneri was reported in Masan(AMP)(R)5, AMP+TMP/SMX(R)4) before 1990, in Masan (2) between 1990 and 1995 and in Chinju(AMP(R)7, AMP+MP/SMX(R)1) in 1999. S. sonnei was reported in Ulsan(AMP(R)1, TMP/SMX(R)1), in Masan(6) and in Chinju(AMP(R)2, TMP/SMX(R) 1) between 1990 and 1995 and in Ulsan(TMP/SMX(R)9, AMP+TMP/SMX(S)1), in Masan(TMP/ SMX(R)2, AMP+TMP/SMX(R)1+(S)1) and in Chinju(TMP/SMX(R)6) between 1998 and 1999. CONCLUSION: Independent of the past, shigellosis patients occurred by regional groups in three parts of Kyung Nam. The present epidemic aspect of the eastern area is similar to that of the central area, but is partially similar to that of western Kyung Nam.
Dysentery, Bacillary* ; Gyeongsangnam-do ; Humans