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The Pediatric Forum |

Sharing Shigella: Risk Factors for a Multicommunity Outbreak of Shigellosis

Andi L. Shane, MD, MPH; Nicole A. Tucker, MPH; John A. Crump, MBBS, DTM&H; Eric D. Mintz, MD, MPH; John A. Painter, DVM, MS
Arch Pediatr Adolesc Med. 2003;157(6):601-603. doi:10.1001/archpedi.157.6.601-a.
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Recurrent, prolonged, multicommunity outbreaks of daycare-associated Shigella sonnei infections, which occur in communities approximately every 7 to 9 years, continue to present management dilemmas to public health officials.1,2 An area comprising 4 counties and 8 health jurisdiction regions surrounding the greater metropolitan area of Cincinnati, Ohio, experienced an outbreak of 1642 S sonnei cases between May 1 and September 7, 2001. We interviewed a random sample of 97 families who had at least 1 member with culture-confirmed S sonnei to determine the risk factors for transmission. Of the 56 patients in our random sample who were 5 years or younger, 53 (95%) were symptomatic, and 55 (99%) attended daycare. Ten of the adult patients in the family sample were daycare workers. All patients received a course of antimicrobial therapy, and 3 (3%) required hospitalization.

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