Skip to main content

Browse by Speciality Area

Browse by Product Type

All Products

All Access Subscription

Get unlimited access to our full publication and article library.

Get Access Now

Interested in Group Sales? Learn more

Kansas City, KS. During May 1-Dec. 31, 2005, a total of 201 confirmed Shigella sonnei infections were reported among residents of Kansas City, KS. Median age of patients was 7 years (range: 1-70 years).

Healthcare Infection Prevention: Day care shigella outbreak case reports

January 2, 2015

Reprints

Related Articles

Healthcare Infection Prevention

Day care shigella outbreak case reports

Kansas City, KS. During May 1-Dec. 31, 2005, a total of 201 confirmed Shigella sonnei infections were reported among residents of Kansas City, KS. Median age of patients was 7 years (range: 1-70 years). Among patients ages ≤10 years, 66 (51%) were female; among patients aged ≥18 years, 41 (80%) were female. Information about patient exposures to day care settings was not collected. The Kansas Department of Health and Environment Laboratory conducted antimicrobial susceptibility testing on 60 isolates; 53 (88%) isolates were resistant to both ampicillin and TMP/SMX, eight (13%) were resistant to ampicillin/sulbactam, and none were resistant to ceftriaxone, gentamicin, or ciprofloxacin.

• Kansas City, MO. During May 1-Dec. 31, 2005, a total of 645 confirmed and 85 probable shigellosis cases in Kansas City, MO. The median age of patients was 6 years (range: 0-67 years). Overall, 532 (74.0%) infections occurred among children aged ≤10 years; 255 (48%) were among females. Among 157 patients aged ≥18 years, 117 (74.5%) were female. A total of 42 licensed day care centers each had one or more cases of shigellosis among attendees. Routine surveillance data indicated that 36% of patients or one of their household members had attended a day care center; however, a random sample of 10 patients who were reinterviewed indicated that an estimated 82% of patients or one of their household members might have had exposure to a day care center. Antibiotic susceptibility testing of 28 isolates found that 25 (89%) were resistant to ampicillin and TMP/SMX. No resistance to ceftriaxone, ciprofloxacin, or nalidixic acid was observed.

• Kentucky. During May 1-Aug. 31, 2005, a total of 148 confirmed cases of S. sonnei infection were reported in Fayette County, which represented a 42-fold increase above the previous five-year baseline. The median age of patients was 4 years (range: 0-61 years); among children aged ≤10 years, 59 (50%) were female. Among adults aged ≥18 years, 18 (78%) were female. A total of 137 (93%) cases occurred among attendees, their family members, or staff at 16 day care centers in Fayette County. Twelve isolates underwent antimicrobial susceptibility testing at the University of Kentucky; all were resistant to ampicillin and TMP/SMX, and none were resistant to ceftriaxone or ciprofloxacin.