Dysentery in Poland in 1999
Stypułkowska-Misiurewicz, H.; Gonera, E.
Przeglad Epidemiologiczny 55(1-2): 85-92
2001
ISSN/ISBN: 0033-2100 PMID: 11556092 Document Number: 537814
The year 1999 was the consecutive year of decrease in the number of cases notified as dysentery. Only 292 cases were notified and incidence rate was 0.76/100,000 inhabitants, while in 1998, 555 cases (incidence rate 1.44/100,000) were notified. Three death cases of old persons in their 79, 85 and 88 were notified as dysentery, all three in one house of social care in Pomerania region. Half of the cases were sporadic ones but half was found in 4 institutional outbreaks. Three outbreaks were due to S. sonnei infection, and one to S. flexneri 4a. S. sonnei was the dominant aetiological agent in 80% of all dysentery cases and S. flexneri was the next (20%). S. boydii and S. dysentery were not isolated. All S. flexneri strains were susceptible to nitriofuran drugs (nitrofuroxaside), amoxycillin with clavulonic acid, cefalosporin, nalidixid acid and chloramphenicol, but were resistant to cotrimoxazole and tetracycline.