Shigellosis in children less than five years in urban slum area: a study at primary health care in Jakarta

  • Junita Elvira
  • Agus Firmansyah
  • Arwin A. P. Akib
Keywords: shigellosis, children, clinical manifestation, antibiotic resistance

Abstract

Background Shigellosis has a global distribution especially in
countries with poor hygiene and sanitation. The most common
manifestation of shigellosis in children is diarrhea with broad
spectrum manifestations from watery diarrhea to classical
dysentery. Appropriate antibiotic management is important to
eradicate Shigella spp.
Objective To find out shigellosis prevalence and manifestations
and also Shigella spp. resistance pattern in children less than 5
years with acute diarrhea in certain district urban slum areas in
Jakarta.
Methods This cross sectional study involved 475 outpatients of
less than 5 years old with acute diarrhea who visited primary health
cares in Jakarta from July– October 2005. Stool for culture and
antibiotic resistance test was taken with single rectal swab.
Results Shigella spp. was found only in 3 (0.6%) patients. The
subjects were between 6 to 24 months. Watery diarrhea was found
in 1 subject and so was the classical dysentery manifestation of
fever and bloody diarrhea. Two strains were found, 2 cases of S.
sonnei and 1 case of S. flexneri. They were resistance to
cotrimoxazole, tetracycline, and colistine.
Conclusion Shigella spp. was not the main cause of acute diarrhea
in children less than 5 years old. Due to the small number of
cases, we could not find the most common manifestation and
resistance pattern of shigellosis in these children.

Author Biographies

Junita Elvira
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.
Agus Firmansyah
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.
Arwin A. P. Akib
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia.

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Published
2007-02-28
How to Cite
1.
Elvira J, Firmansyah A, Akib A. Shigellosis in children less than five years in urban slum area: a study at primary health care in Jakarta. PI [Internet]. 28Feb.2007 [cited 29Mar.2024];47(1):42-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/341
Section
Articles
Received 2016-08-25
Accepted 2016-08-25
Published 2007-02-28