Recent trends in the epidemiology of shigellosis in Israel

被引:47
作者
Cohen, D. [1 ]
Bassal, R. [2 ]
Goren, S. [1 ]
Rouach, T. [3 ]
Taran, D. [4 ]
Schemberg, B. [4 ]
Peled, N. [5 ]
Keness, Y. [6 ]
Ken-Dror, S. [7 ]
Vasilev, V. [8 ]
Nissan, I. [8 ]
Agmon, V. [8 ]
Shohat, T. [1 ,2 ]
机构
[1] Tel Aviv Univ, Sackler Fac Med, Sch Publ Hlth, Dept Epidemiol & Prevent Med, IL-69978 Tel Aviv, Israel
[2] Minist Hlth, Israel Ctr Dis Control, Tel Hashomer, Israel
[3] Meuhedet Hlth Serv, Cent Lab, Lod, Israel
[4] Maccabi Hlth Serv, Cent Lab, Rehovot, Israel
[5] Ben Gurion Univ Negev, Soroka Univ Med Ctr, Clin Microbiol Lab, IL-84105 Beer Sheva, Israel
[6] Haemek Med Ctr, Clin Microbiol Lab, Afula, Israel
[7] Clalit Hlth Serv, Haifa Dist Lab, Haifa, Israel
[8] Cent Minist Hlth Labs, Jerusalem, Israel
关键词
Antibiotic resistance; epidemics; host (in infections); Shigella; surveillance system; DAY-CARE-CENTERS; ANTIMICROBIAL RESISTANCE TRENDS; NEW-YORK-CITY; SUSCEPTIBILITY PATTERNS; DIARRHEAL DISEASE; SERUM ANTIBODIES; FOODNET SITES; UNITED-STATES; RISK-FACTORS; CHILDREN;
D O I
10.1017/S0950268814000260
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We provide an update on the epidemiology of shigellosis in Israel using data generated by a sentinel laboratory-based surveillance network for the period 1998-2012. The average annual incidence of culture-proven shigellosis was 97/100000. We estimated that each case of shigellosis accounted for 25 cases in the community indicating the high burden of disease. Orthodox Jewish communities, living in highly crowded conditions and with a high number of children aged <5 years were the epicentre of country-wide biennial propagated epidemics of S. sonnei shigellosis. S. flexneri was the leading Shigella serogroup in Israeli Arabs. S. flexneri 2a and S. flexneri 6 alternated as the most common serotypes. Both S. sonnei and S. flexneri isolates showed high rates of resistance to ampicillin and trimethoprim/sulfamethoxazole and very low rates of resistance to quinolones and third-generation cephalosporins. Shigellosis due to S. sonnei conferred 81% (95% confidence interval 69-89) protection against the homologous Shigella serotype when epidemic exposure re-occurred 2 years later. These data are of value in the process of Shigella vaccine development.
引用
收藏
页码:2583 / 2594
页数:12
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