Source:http://linkedlifedata.com/resource/pubmed/id/15363643
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
11
|
| pubmed:dateCreated |
2004-9-14
|
| pubmed:abstractText |
From December 1999 to the end of February 2000, 4218 cases of dysentery were reported in Kenema district, southeastern Sierra Leone, by a Médecins Sans Frontières team operating in this region. Shigella dysenteriae serotype 1 was isolated from the early cases. The overall attack rate was 7.5% but higher among children under 5 years (11.2%) compared to the rest of the population (6.8%) (RR = 1.6; 95% CI 1.5-1.8). The case fatality ratio was 3.1%, and higher for children under 5 years (6.1% vs. 2.1%) (RR = 2.9; 95% CI 2.1-4.1). A case management strategy based on stratification of affected cases was chosen in this resource-poor setting. Patients considered at higher risk of death were treated with a 5 day ciprofloxacin regimen in isolation centres. Five hundred and eighty-three cases were treated with a case fatality ratio of 0.9%. Patients who did not have signs of severity when seen by health workers were given hygiene advice and oral rehydration salts. This strategy was effective in this complex emergency.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0035-9203
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
98
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
635-43
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| pubmed:dateRevised |
2006-11-15
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| pubmed:meshHeading |
pubmed-meshheading:15363643-Adolescent,
pubmed-meshheading:15363643-Adult,
pubmed-meshheading:15363643-Age Distribution,
pubmed-meshheading:15363643-Aged,
pubmed-meshheading:15363643-Aged, 80 and over,
pubmed-meshheading:15363643-Animals,
pubmed-meshheading:15363643-Anti-Infective Agents,
pubmed-meshheading:15363643-Child,
pubmed-meshheading:15363643-Child, Preschool,
pubmed-meshheading:15363643-Ciprofloxacin,
pubmed-meshheading:15363643-Disease Outbreaks,
pubmed-meshheading:15363643-Drug Resistance,
pubmed-meshheading:15363643-Dysentery, Bacillary,
pubmed-meshheading:15363643-Female,
pubmed-meshheading:15363643-Humans,
pubmed-meshheading:15363643-Male,
pubmed-meshheading:15363643-Middle Aged,
pubmed-meshheading:15363643-Serotyping,
pubmed-meshheading:15363643-Sex Distribution,
pubmed-meshheading:15363643-Shigella dysenteriae,
pubmed-meshheading:15363643-Sierra Leone
|
| pubmed:year |
2004
|
| pubmed:articleTitle |
Case management of a multidrug-resistant Shigella dysenteriae serotype 1 outbreak in a crisis context in Sierra Leone, 1999-2000.
|
| pubmed:affiliation |
Epicentre, 8 rue Saint Sabin, 75011 Paris, France. philippe.guerin@epicentre.msf.org
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|