Ben-Noun L, Shvartzman P
Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba.
Harefuah. 1994 Nov 15;127(10):381-3, 431.
The epidemiological and clinical characteristics of 47 patients infected with Shigella in 3436 patients at a primary care clinic during 30 months were reviewed. Most cases were seen during the winter. The prominent clinical features were abdominal pain (91.5%), headaches (72.5%), bloody diarrhea (66%), mucoid stools (63.8%), fever (53.2%) and 75% had 4-10 stools per day. Most patients presented the first day of the illness (75%). S. sonnei has been found the most prevalent among 4 types of shigella. Resistance to ampicillin was complete and to Resprim 95%, but to nalidixic acid and to tetracycline, 4.9%. A third of the patients were treated with oral fluids and an appropriate diet and 2/3 received antibiotics. Children between 1-4 years of age who attend kindergartens are the main risk group for Shigellosis.
回顾了一家基层医疗诊所3436名患者中47例感染志贺菌患者在30个月内的流行病学和临床特征。大多数病例出现在冬季。突出的临床特征为腹痛（91.5%）、头痛（72.5%）、血性腹泻（66%）、黏液便（63.8%）、发热（53.2%），75%的患者每日排便4 - 10次。大多数患者在发病首日就诊（75%）。在4种志贺菌中，宋内志贺菌最为常见。对氨苄西林的耐药率为100%，对瑞普明为95%，但对萘啶酸和四环素的耐药率为4.9%。三分之一的患者接受口服补液及适当饮食治疗，三分之二接受了抗生素治疗。1 - 4岁上幼儿园的儿童是志贺菌病的主要风险群体。
