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PP-074 Recurrence of shigellosis in Tunisia: a series of 53 cases
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  1. Kbaier Soumaya,
  2. Douad Yasmine,
  3. Belhadj Imen,
  4. Trabelsi Ines,
  5. Khalsi Fatma,
  6. Boussetta Khadija,
  7. Meftah Khaoula,
  8. Smaoui Hanen
  1. Tunis Children’s Hospital

Abstract

Aim Shigellosis or bacillary dysentery a is a significant public health problem in developing countries such as Tunisia. The objective of this study is to analyse the clinical, biological and evolutionary characteristics of shigellosis.

Material and Method In a retrospective study, the medical records of all children suffering from shigellosis who had been admitted to the department of Child Medicine B at the Tunis Children’s Hospital, from July 2022 to October 2023 were reviewed. The epidemiological characteristics, clinical findings, and laboratory data of the patients with shigellosis were analyzed. The statistical analysis was performed using SPSS version 22.0 software.

Results Fifty-three cases of shigellosis were reported, with a mean age of 6.8 years [8 months to 13 years]. An acute febrile dysenteric syndrome was noted in all cases. Eleven patients presented neurological disorders: convulsions in 5 cases and behavioural disorders in 6 cases. A biological inflammatory syndrome was noted on admission in 67% of cases, with lymphopenia in 86%. Twenty patients had acute dehydration, 40% of whom had ionic disorders. Stool cultures were positive in 97% of cases: 89.5% Shigella Sonnei resistant strain and 10.5% Shigella Flexeneri. Antibiotic therapy was prescribed for all patients, with intravenous rehydration in 78.7% of cases. Sixteen patients presented with shock, requiring vasoactive drugs. Only one child required transfer to intensive care. All patients had a favourable outcome.

Conclusions Shigellosis is a public health problem. Treatment is based on primary prevention through hand washing and adequate surface cleaning.

  • Epidemiology
  • Bacillary dysentery
  • Child
  • Shigella
  • complications

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